Deck 46: Activity and Exercise

Question 1

Which of the following positions would be of greatest benefit for sleeping to a client who has a sensory defect from a stroke?

A) Fowler's.
B) Dorsal.
C) Lateral affected side.
D) Lateral unaffected side.

Answer 1

Lateral unaffected side.

Question 2

The client who is unconscious is developing foot drop. What nursing action is indicated?

A) Place high-topped shoes on the client while in bed.
B) Use a device to elevate the linens off the feet.
C) Use only the prone and Sims' positions for client positioning.
D) Keep the linens on the end of the bed turned back to expose the feet.

Answer 2

Place high-topped shoes on the client while in bed.

Question 3

The nurse is providing range of motion exercising to the client's elbow when the client complains of pain. What action should the nurse take?

A) Reduce the movement of the joint just until the point of slight resistance.
B) Discontinue the treatment and document the results in the medical record.
C) Continue to exercise the joint as before to loosen the stiffness.
D) Stop immediately and report the pain to the client's physician.

Answer 3

Reduce the movement of the joint just until the point of slight resistance.

Question 4

The postoperative client is ambulating for the first time since surgery. The client has been able to tolerate sitting up on the side of the bed and has stood at the bedside without difficulty on two occasions. Which staff member should conduct the initial assessment of the client's abilities?

A) A physiotherapist.
B) An assistant in nursing.
C) A Registered Nurse.
D) An enrolled nurse.

Question 5

The nurse is organising a wellness project to educate adolescents about keeping their bodies healthy. Which information about diet and exercise should be included?

A) The most important factors for maintaining health are diet and activity.
B) Increase in exercise is sufficient to manage most people's weight gain.
C) Obese women who remain active have a low mortality rate.
D) Diet is the most important predictor of health.

Question 6

Match the terms and the statement:
1. Abduction
2. Adduction
3. Rotation
4. Circumduction
A. Movement of bone around its central axis
B. Movement of distal part of the bone in a circle
C. Movement of bone towards midline
D. Movement of bone away from midline

Question 7

Recommendations for moderate exercise at least daily for the older adult is based on the evidence that:

A) it can prevent and even reverse most of the chronic diseases experienced in the older person.
B) it is better for their psychological status to stay out of nursing homes.
C) older people do not get as much exercise as the younger generation.
D) All of the above.

Question 8

Match the following terms and statements.
1. Isotonic exercises
2. Isometric exercises
3. Isokinetic exercises
4. Aerobic exercises
5. Anaerobic exercises
A. Weight lifting or sprinting
B. Resistive exercise to build muscle size
C. Pushing and pulling against a stationary object
D. Squeezing a pillow between knees and holding
E. Uses large muscle groups and oxygen

Question 9

The nurse is working on a hospital committee focused on preventing back injury in nurses. Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?

A) All nursing personnel must attend annual body mechanics education.
B) In order to prevent injury, nurses must strive to become physically fit.
C) Implement a 'No Lift' policy in the workplace.
D) Nurses must wear "back belts" when lifting clients.

Question 10

A nurse is providing a health education session to adults and is citing The Australian National Physical Activity and Sedentary Behaviour Guidelines for Adults. What advice is accurate for the nurse to give this client group?

A) Any physical activity is better than none.
B) If you are pregnant, exercise should be limited to no more than 15 minutes of moderate activity per day.
C) Be active on most, preferably all, days of the week.
D) Break up long periods of sitting as often as possible.

Question 11

The nurse is teaching a client how to use a walking stick while rehabilitating from a left leg injury. The nurse should advise this client to place the walking stick on which side of the body?

Question 12

The nurse is caring for a client medically diagnosed with early osteoporosis. Which intervention is most applicable for this client?

A) Provide the client with assisted range of motion exercising twice daily.
B) Institute an exercise plan that includes weight-bearing activities.
C) Increase the amount of calcium in the client's diet.
D) Protect the client's bones with strict bed rest.

Question 13

The four basic elements of normal movement are body alignment, balance, joint mobility and ________.

Question 14

The nurse is considering using the NANDA-I nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client. In order to make this problem statement more individual, the nurse should:

A) describe what happens when the client attempts mobility.
B) add strength assessment data.
C) include what mobility is impaired.
D) use Level 1, 2, 3, or 4 to describe immobility.

Question 15

The mother of a 12-month-old child is concerned that her child is not yet walking like others in her playgroup. The child health nurse replies:

A) "Crawling is an important building block for walking."
B) "You need to teach her how to stand up straight."
C) "We might need to do some tests to check her bones."
D) "The other children must be very advanced."

Question 16

The bed-bound client complains of pain and burning in the right calf area. What action should be taken by the nurse?

A) Percuss over the area for change in tone.
B) Medicate the client for pain and reassess in 30 minutes.
C) Measure the calf and compare to the opposite calf.
D) Deeply palpate the area for rebound tenderness.

Question 17

The nurse has documented that the client has orthostatic (postural) hypotension. Which of the following assessment findings would support this assessment?

A) Decrease in blood pressure when moving from supine to standing.
B) Decrease in heart rate when moving from supine to sitting.
C) Pale colour in the legs when lying in bed.
D) Complaints of dizziness when first sitting up.
E) Increased respiratory rate on exertion.

Question 18

The newly admitted client has contractures of both lower extremities. What nursing intervention should be included in this client's plan of care?

A) Range of motion exercises to prevent worsening of contractures.
B) Weight-bearing activities to stimulate joint relaxation.
C) Exercises to strengthen flexor muscles.
D) Frequent position changes to reverse the contractures.

Question 19

How should the nurse position a client who is complaining of a problem exhaling?

A) High Fowler's position with two pillows behind the head.
B) Sims' position with both legs flexed.
C) Prone position with knees flexed and arms extended.
D) Orthopnoeic position across the overway table.

Question 20

Which nursing action is first when assisting the client to a lateral position for placement of a bedpan?

A) Place the client's arm over the chest.
B) Raise the opposite side rail.
C) Move the client to the side of the bed.
D) Refer to functional mobility chart.

Question 21

A client has been put on complete 'bed rest' for complications of pregnancy. The nurse, when planning care considers that:

A) the client will be very demanding.
B) muscle atrophy occurs rapidly.
C) the client is at risk of pneumonia.
D) the client will need entertainment.

Question 22

The client's chief complaint is, "I just can't get around like I used to. I have to stop halfway up the stairs to the bedroom and just walking to the bathroom makes me so tired." Which nursing diagnosis is most likely appropriate for this client? Activity Intolerance:

A) Level 1.
B) Level 2.
C) Level 3.
D) Level 4.

Question 23

The nurse is planning care for an older client in her home. What considerations would be taken into account for ambulation?

A) Use appropriate assistive equipment.
B) Advise the client to stay in her chair.
C) Walk bare footed.
D) Keep living space well lit.
E) Need for education on falls prevention.

Question 25

The nurse is preparing to transfer a client from the bed to a trolley. The correct safe practice guidelines include:

A) lock the wheels of the trolley and the bed.
B) put the patient's head away from stationary wheels.
C) always push the trolley from the feet of the client.
D) leave client unattended when bed rails are up.

Question 27

The client has a history of postural hypotension. Which activities would the nurse advise this client would be likely to cause postural hypotension?

A) Hot baths.
B) Heavy meals.
C) Use of a rocking chair.
D) Valsalva manoeuvres.
E) Bending down to the floor.

Question 28

The nurse is evaluating the proper fit of crutches for a client who is to be discharged home. What portion of this client's body should support the weight?

Question 29

What is the priority action of the nurse prior to transferring a client from bed to wheelchair?

A) Place a transfer belt on the client.
B) Lock the brakes on both wheels of the wheelchair.
C) Place the bed in its lowest position.
D) Place the wheelchair parallel to the bed.

Question 30

The nurse must lift a seven-kilogram box of supplies from a low shelf on the supply cart to a table. The nurse should employ which techniques to best protect the back?

A) Place the feet together to provide a strong base of support.
B) Flex the knees to lower the centre of gravity.
C) Face the box, pick it up and rotate the upper body toward the table.
D) Hold the box as close to the body as possible.
E) Bend over and use a jerking motion to pull the box to waist level.

Question 31

The nurse is assisting the client to dangle on the bedside. After raising the head of the bed, in which position should the nurse face?

A) Directly toward the client.
B) Toward the nearest corner of the head of the bed.
C) Toward the far corner of the foot of the bed.
D) Toward the side of the bed.

Question 32

The nurse is assisting a newly delivered mother in ambulating to the nursery to see her baby. The client complains of light-headedness and begins to faint. What is the nurse's most important action?

A) Be certain the client does not hit her head on anything.
B) Ensure the client's modesty as she falls.
C) Check the vital signs and for excessive vaginal bleeding.
D) Call for immediate assistance.