Deck 33: Activity Exercise

Question 1

Which is true of synarthroses joints?

A) Freely movable
B) Capable of only limited movement
C) Immovable
D) Painful with movement

Answer 1

Immovable

Question 2

Which course of action taken by a patient with osteoporosis indicates that teaching about the health problem was effective?

A) Taking a calcium supplement every day and increasing phosphorous intake
B) Participating in an aerobic barbell strength class at the gym three times a week
C) Using a wheelchair to reduce the risk of spontaneous fractures to legs and feet
D) Seeking healthcare by scheduling a follow-up examination with bone density testing

Answer 2

Participating in an aerobic barbell strength class at the gym three times a week

Question 3

What would be the most appropriate goal for a frail,older patient with a nursing diagnosis of Risk for Injury after hip surgery?

A) Remain free from injury or falls throughout hospital stay
B) Increase activity tolerance by discharge from hospital
C) Demonstrate effective breathing when ambulating
D) Increase mobility by discharge from hospital

Answer 3

Remain free from injury or falls throughout hospital stay

Question 4

A client had the cast removed because of a fractured ulna and is directed to perform isometric exercises.Which exercise complies with the healthcare provider's order?

A) Place a 5-pound dumbbell in the right hand and squeeze; hold the squeeze position for 6 to 8 seconds and repeat 5 to 10 times.
B) Grasping the right wrist with the left hand,move the right arm up,down,and side to side; hold each position for 6 to 8 seconds and repeat 5 to 10 times.
C) Grasping the right wrist with the left hand,pull the right arm across the body; hold this position for 6 to 8 seconds and repeat 5 to 10 times.
D) Press the right hand against a wall; hold this position for 6 to 8 seconds and repeat 5 to 10 times.

Question 5

What is the correct method for turning an adult patient who recently sustained a spinal cord injury?

A) Ask the patient to assist with the turn by holding the siderails of the bed.
B) Place a drawsheet under the patient to assist with turning.
C) Request help from another nurse to perform the logrolling technique.
D) Use a mechanical lift for safe turning and protecting the nurse's back.

Question 6

When caring for a patient with osteoporosis,which is the most important action to take to minimize progression of the disease?

A) Take a calcium supplement twice a day.
B) Start a weight-bearing exercise program.
C) Avoid strenuous activity that puts stress on the bones.
D) Schedule regular healthcare checkups.

Question 7

Which nursing diagnosis is the most appropriate to ensure the safety of a frail older client with a history of emphysema who is recovering from hip replacement surgery?

A) Impaired Physical Mobility related to weakness
B) Ineffective Breathing Pattern related to disease process
C) Activity Intolerance related to injury
D) Risk for Injury related to medical condition

Question 8

The nurse is helping the patient to perform leg exercises after surgery to prevent thrombophlebitis.Which type of muscle is the patient using for these exercises?

A) Skeletal
B) Smooth
C) Cardiac
D) Slow-twitch fibers

Question 9

The nurse is caring for a 25-year-old male quadriplegic patient.Which treatment should the nurse perform to decrease the risk of joint contracture and promote joint mobility?

A) Active ROM
B) Turning the patient every 2 hours
C) Passive ROM
D) Administering glucosamine supplements

Question 10

In order to achieve balance,body mass must be distributed around which point?

A) Center of body alignment
B) Center of balance
C) Center of gravity
D) Base of support

Question 11

An older patient with newly diagnosed osteoporosis asks the nurse to explain her health problem.Which is the correct description of osteoporosis?

A) Loss of bone density that increases the risk of fracture
B) Degenerative joint disease that produces pain and decreased function
C) Chronic inflammatory joint disease that must be treated with steroids
D) Acute infection in the bone that must be treated with antibiotics

Question 12

A client with chronic obstructive pulmonary disease (COPD)receives supplemental oxygen at 2 L/min via nasal cannula.Which positioning technique will best assist with this client's breathing?

A) Fowler's position
B) Sims' position
C) Lateral recumbent position
D) Lateral position

Question 13

A healthy client wants to start a fitness program to increase muscle tone and strength.What advice about the U.S.Department of Health and Human Service's recommendations should the nurse provide to this client?

A) Exercise once a week
B) 30 minutes or more of moderate-intensity physical activity three times a week
C) 1 hour,three times a week of moderate-intensity physical activity
D) 150 to 300 minutes or more of moderate-intensity physical activity per week

Question 14

A 15-year-old patient complains of left ankle pain after being tackled while playing football.He asks the nurse what tests he needs to have to determine whether he has a strain or a fracture.How should the nurse reply?

A) "You don't need an x-ray; I can tell by the way your ankle looks and feels whether you have a strain or fracture."
B) "Sprains,strains,and fractures have similar symptoms at first; you will need an x-ray of the joint to be certain."
C) "We will need to get a venous Doppler study to make sure that there is not a fracture."
D) "First,we need to get an MRI to diagnose your injury as a fracture instead of strain or sprain."

Question 15

What action is most important in limiting the nurse's risk of back injuries?

A) Use good body mechanics at all times.
B) Work with another nurse or an aide when lifting and turning patients.
C) Avoid manual lifting by using assistive devices as often as possible.
D) Develop a lift team at the clinical site.

Question 16

The parents of an adolescent client recovering from a crushed pelvis are concerned about the client's lack of interest in music,television,or friends.What is the best response the nurse can make?

A) "I will inform his doctor and see if we can get your son started on an antidepressant medication."
B) "He is at a critical time in his life; teens are often moody,and being in the hospital with an injury will only make that worse."
C) "Your son had a major injury; and his immobility might be causing him to feel isolated and depressed."
D) "He is bored because he has been in the hospital for 3 weeks; I'll try to find something new for him to do."

Question 17

A nurse is assessing a 74-year-old male patient for an exercise program to be offered at the local hospital.During the evaluation,the nurse notes the following vital signs: P = 72,RR = 16,BP = 132/70.After 3 minutes of moderate-intensity running on the treadmill,the patient becomes short of breath and states,"I have to stop.I can't do this anymore." The nurse measures his vital signs again: P = 152,RR = 40,BP = 172/98.She instructs him to rest.Vital signs return to baseline after 15 minutes.The nurse should recognize his symptoms as associated with which of the following?

A) Anxiety
B) Orthostatic hypotension
C) Limited activity tolerance
D) Respiratory distress

Question 18

A nurse has been asked to design an exercise program with the goal of increasing a client's muscular strength and endurance.Which exercise program would specifically focus on meeting that goal?

A) Flexibility training
B) Resistance training
C) Aerobic conditioning
D) Anaerobic conditioning

Question 19

A frail older client is expected to ambulate with a walker after surgery to repair a fractured left hip.What action should the nurse take to support the client's use of the walker?

A) Aerobic exercise with deep breathing
B) Quadriceps and gluteal repetitions
C) Isometric toning of lower legs
D) Arm resistance training

Question 20

What is the best intervention to protect the integument of a frail,malnourished,immobile patient?

A) Offering the patient six small meals a day
B) Assisting the patient to sit in a chair three times a day
C) Turning the patient at least every 2 hours
D) Administering fluid boluses as directed by the healthcare provider

Question 21

According to the U.S.Department of Health and Human Services 2008 Physical Activity Guidelines for Americans,which statement about the benefits of physical activity is correct?

A) The risks of physical activity outweigh the health benefits.
B) Physical activity in excess of recommendations for age is harmful.
C) Combining aerobic and muscle-strengthening activities promotes better health.
D) Lesser amounts of activity provide little to no health benefits.

Question 22

An older client begins to faint while ambulating in the hallway with the nurse.What action should the nurse take?

A) Assist the patient to slide down the leg while being guided to a seated or lying position.
B) Grab and hold the patient under the arms and call for assistance.
C) Immediately release the transfer device and place a wheelchair behind the patient to prevent a fall.
D) Instruct the patient to grab the rail in the hallway and call for assistance.

Question 23

When encouraging a fitness program for older adults,what must the nurse consider?

A) Older adults should engage in 75 to 150 minutes of moderate-intensity physical activity per week.
B) More than 150 minutes of moderate-intensity physical activity can be harmful to bones.
C) Structured fitness programs achieve greater health benefits for older adults.
D) Older adults at risk for falling should do activities that maintain or improve balance.

Question 24

A client with chest tubes needs to be repositioned in bed.What action should the nurse take first when preparing to turn this client?

A) Lower the siderails.
B) Lock the bed wheels.
C) Lower the head of the bed.
D) Raise the bed to waist level.

Question 25

A client with a high spinal cord injury but well-developed upper body strength is hospitalized for pneumonia.Which transfer device should be used when transferring him from the bed to his wheelchair?

A) Mechanical lift
B) Transfer belt
C) Drawsheet
D) Transfer board

Question 26

A patient on strict bedrest for 5 days has not had a bowel movement although normally this occurs every day.When determining the nursing diagnosis,what would be causing this patient's constipation?

A) Change in previous pattern
B) Immobility
C) Dietary intake
D) Change in environment

Question 27

The nurse is instructing a patient about the need to replace fluid before,during,and after exercise in order to avoid dehydration.On what should the nurse teach the patient to base the amount of fluid to consume? Select all that apply.

A) Duration of exercise
B) Environmental temperature
C) Level of fitness
D) Degree of thirst
E) Body weight

Question 28

Physical therapy suggested that a client start using a cane to aid with stability when walking.What measurement should the nurse make so that this assistive device is appropriate for the client?

A) Floor to the axilla plus 1 inch
B) Floor to the top of the hip joint
C) Distance between the elbow and the wrist
D) Distance between the heel and the anterior fold of the axilla

Question 29

A patient on bedrest because of a high-risk pregnancy has not had a bowel movement for 5 days.What information should the nurse give the patient when explaining constipation?

A) Immobility often causes constipation.
B) A stool softener daily will relieve the problem.
C) Use of a bedpan results in bloating and constipation.
D) A low-fiber diet will resolve the problem.

Question 30

While observing a client walk on a treadmill in the community room,the nurse notices that a client is able to carry on a conversation without any shortness of breath.What does this client's behavior indicate about the intensity of the activity?

A) Exercise is too hard.
B) Exercise is appropriate.
C) Exercise is not hard enough.
D) Exercise needs to be changed.

Question 31

Which body system must interact to produce mobility and locomotion? Select all that apply.

A) Digestive system
B) Muscles
C) Skeleton
D) Nervous system
E) Blood

Question 32

A patient has started a fitness program.What program feature indicates that the program is well-rounded? Select all that apply.

A) Flexibility
B) Isometric exercises
C) Resistance training
D) Aerobic conditioning
E) Pilates

Question 33

Which patient is at risk for decreased activity? Select all that apply.

A) Older adult who walks at the mall for physical activity
B) Someone living in a skilled nursing facility
C) Healthy adult who works as a computer programmer
D) Obese child who enjoys video games
E) Healthy adult with a spinal cord deformity who walks with a cane

Question 34

An older patient is unsteady when walking about the room and reports feeling a little sore but has no complaints of weakness.What is the appropriate piece of equipment to use when helping this patient ambulate?

A) Crutches
B) Transfer belt
C) Cane
D) Walker

Question 35

Which action represents proper body mechanics for nurses providing care as well as teaching patients about safe body movements? Select all that apply.

A) Stand with the body in alignment and maintain erect posture.
B) Bend at the waist to lift heavy objects from the floor.
C) Use a wide base of support with your feet at shoulder width.
D) Keep objects close to your body when carrying them.
E) Squat to lower the body and use the leg muscles when lifting