Deck 97: Ambulatory Nursing

Question 1

A nurse is preparing a rehabilitation care plan for a client who was admitted to the healthcare facility with lower back pain. Which is the goal of rehabilitation?

A) Prevention of such pain in the future
B) Evaluation of the cause of the condition
C) Correction of the client's disability
D) Restoring the client's physical abilities as much as possible

Answer 1

Restoring the client's physical abilities as much as possible

Question 2

A nurse is preparing a client with a new prosthetic leg for a visit from the physical therapist. Which are high priority goals of long-term rehabilitation therapy? Select all that apply.

A) Surviving the injury
B) Promoting independence
C) Giving pain relief
D) Promoting happiness
E) Coping with the loss
F) Obtaining a complete recovery

Answer 2

Promoting independence
Promoting happiness
Coping with the loss

Question 3

The nurse is preparing a rehabilitation plan for a client who has had a major stroke. Which member of the team would specifically help to improve the client's aphasia?

A) Speech therapist
B) Occupational therapist
C) Physical therapist
D) Nutritionist

Answer 3

Speech therapist

Question 4

A client who has paralysis following a car accident is experiencing dyspraxia. Which problem is associated with this condition?

A) Difficulty speaking
B) Difficulty swallowing
C) Difficulty performing coordinated movements
D) Emotional lability

Question 5

A 58-year-old male client needs long-term rehabilitation following a fall from a ladder that left him with a spinal cord injury. Where will most of his rehabilitation occur?

A) In the hospital
B) In his doctor's office
C) In a rehabilitation facility
D) In his community

Question 6

According to Maslow, which needs should be the priority for the client in the acute stage of illness?

A) Self-actualization needs
B) Survival needs
C) Self-esteem needs
D) Activities of daily living

Question 7

A 40-year-old male client with multiple injuries involving his hands and legs is brought to the primary healthcare facility. The nurse should first assist the client in fulfilling which basic need?

A) Assist him to take food and water.
B) Assist him to bathe and dress independently.
C) Assist him to move independently.
D) Help him to communicate with family members.

Question 8

A client diagnosed with a hemiplegia prays for God to help him recover and states that he will go to church every day if he just recovers. What state of the grief reaction is this client experiencing?

A) Defense, shock, and denial
B) Anger
C) Bargaining
D) Depression

Question 9

A nurse is preparing a list of members of the rehabilitation team required to care for a 20-year-old client with spinal cord injuries. Who should be included?

A) Orthodontist
B) Pharmacist
C) Sex therapist
D) Laboratory instructor

Question 10

The nurse is performing a home assessment to determine if a client's home environment is appropriate for long-term rehabilitation from burns. Which considerations are priority when choosing a home environment? Select all that apply.

A) Proximity to a medical center
B) Financial resources
C) Adequate insurance
D) Safety considerations
E) Available caregivers
F) Community support

Question 11

The nurse is evaluating a 23-year-old female client who is confined to a wheelchair, to determine her ability to perform ADLs. Which evaluations should the nurse perform?

A) Electromyography (EMG)
B) Vocational assessment
C) Neurologic testing
D) Functional evaluation

Question 12

A nurse is considering a career in rehabilitation. Which skill is the most important for this career choice?

A) Interpersonal
B) Cognitive
C) Decision making
D) Technical

Question 13

A nurse preparing a rehabilitation plan for a client with hemiplegia includes a record for the activities of daily living (ADLs). Which client activity should be classified as an instrumental activity of daily living?

A) Ability to self-feed
B) Ability to administer medications
C) Ability to eliminate waste
D) Ability to bathe and dress

Question 14

The rehabilitation nurse is reviewing the functional ADLs of a client who has cerebral palsy. Which are examples of this type of ADL? Select all that apply.

A) Ability to dress self
B) Ability to self-feed
C) Ability to use the telephone
D) Ability to shop for groceries
E) Ability to toilet independently
F) Ability to pay bills

Question 15

A 50-year-old client diagnosed with paraplegia uses a wheelchair. Which instructions should the nurse give to the caregiver regarding adaptations to be made for the convenience of the client at home?

A) Installing lowered electrical outlets
B) Providing low coffee tables
C) Providing small lights in darker areas
D) Installing overhead showers

Question 16

The nurse meets with the representative of a company selling specialized clothing for persons with disabilities. Which is the priority goal of using this type of clothing?

A) Comfort
B) Safety
C) Fashion
D) Independence

Question 17

A nurse is caring for a 15-year-old client with impaired right hand mobility. Which prosthesis provide movement and control similar to normal thumb-finger opposition?

A) Dynamic hand splint
B) Supportive braces
C) Handihook
D) Resting splint

Question 18

The nurse is performing a home assessment for a client with paraplegia who is being discharged from a rehabilitation facility in a wheelchair. Which home adaptation would the nurse recommend?

A) Raising the toilet seat and using L-shaped toilet paper holders
B) Replacing lever-style doorknobs with round doorknobs
C) Covering wood floors with high pile carpeting
D) Placing scatter rugs on hardwood floors

Question 19

Besides promoting self-esteem, what physical complications do effective, safe mobility help to prevent? Select all that apply.

A) Hypostatic pneumonia
B) Pressure wounds
C) Thrombophlebitis
D) Diarrhea
E) Diabetes
F) Constipation

Question 20

The nurse is caring for clients with mobility alterations. Which nursing consideration would be appropriate when caring for these clients?

A) Sit or kneel when talking to clients in wheelchairs or scooters.
B) Discourage clients from using their wheelchairs for sports-related activities.
C) Allow the client to determine the type of wheelchair or walker that is safest to use.
D) Encourage the client to use assistance from family to ambulate whenever possible.

Question 21

Which client would benefit from the use of an exoskeleton?

A) A paraplegic
B) A client who relies on a walker
C) A quadriplegic
D) A client who requires a tripod cane

Question 22

The nurse is scheduling a client for a visit with an enterostomal therapist. Which types of assistance are the specialty of this type of therapist? Select all that apply.

A) With elimination
B) With skin care
C) With breathing
D) With cardiovascular functioning
E) With Muscle strengthening

Question 23

Which client would be most likely to have a neurogenic bladder or bowel?

A) A client who uses a walker
B) A client who is on bed rest
C) A client who has a prosthetic leg
D) A client who is paralyzed

Question 24

The nurse is teaching a client who has neurogenic bladder what foods to avoid. Which
Food would be eliminated from this client's diet?

A) Bananas
B) Oranges
C) Beef
D) Whole grains

Question 25

A client with a diagnosis of quadriplegia frequently experiences fecal impactions. Which should the nurse recommend to the client as part of the continence program?

A) The client should manually disimpact daily.
B) The client should eat a low-protein, low-calorie diet.
C) The client should maintain a regular time for elimination.
D) The client should restrict fluid intake to relieve the problem.

Question 26

A client diagnosed with muscular dystrophy is prescribed functional electrical stimulation. What is one benefit of this type of therapy?

A) Gait improvement
B) Pain management
C) Brain wave stimulation
D) Prevention of skin breakdown

Question 27

A nurse is caring for a female client diagnosed with chronic obstructive pulmonary disease (COPD). Which nursing care measure should be included in the rehabilitation care plan of the client?

A) Provide the client with body wraps.
B) Provide the client with compression appliances.
C) Encourage the client to perform vigorous physical exercise.
D) Assist the client in doing spirometry exercises.

Question 28

The nurse teaches student nurses to be respectful to any person who is physically or mentally challenged. Which action is a recommended nursing intervention when caring for this population?

A) Acknowledge and pet a client's helper animal.
B) Do not touch a client's assistive equipment.
C) Refer to clients as "disabled persons."
D) Do not offer to assist a client with a disability.

Question 29

A 60-year-old male client diagnosed with hemiplegia is to be discharged from the healthcare facility. Which resource should the nurse tell the client to visit with regard to medical reimbursement?

A) Client case manager
B) Laboratory instructor
C) Hospital administrator
D) Attending physician

Question 30

A nurse is educating a physically handicapped client about the government policies available to make public places accessible and safe for people with disabilities. Which statement is true regarding the advantages of removing architectural barriers in public places?

A) Helps clients with disabilities to become employed
B) Aids in reimbursement for rehabilitation from long-term illness
C) Provides organizational support during financial crisis
D) Provides education to clients about the benefits of rehabilitation