Deck 8: Rehabilitation Concepts for Chronic and Disabling Health Problems

Question 1

The nurse is obtaining an admission history of a client with hip problems.The client asks,"Why are you asking about my bowels and bladder?" What is the nurse's best response?

A) "To plan your care based on your normal elimination routine."
B) "So we can help prevent side effects of your medications."
C) "We need to evaluate your ability to function independently."
D) "To schedule your activities around your elimination pattern."

Answer 1

"To plan your care based on your normal elimination routine."

Question 2

The nurse is caring for a client with a spinal cord injury at level T3.How will the nurse assist the client with bladder dysfunction?

A) Insert an indwelling urinary catheter.
B) Stroke the medial aspect of the thigh.
C) Use the Credé maneuver every 3 hours.
D) Apply a Texas catheter with leg bag.

Answer 2

Use the Credé maneuver every 3 hours.

Question 3

The nurse is caring for a rehabilitation client.Which activity plan should the nurse implement to best conserve a client's energy without compromising physical or mental health?

A) Reduce hygiene activities and restrict visitors.
B) Ensure that the client toilets before and after planned activities.
C) Schedule energy-intensive activities when energy levels are high.
D) Schedule as many activities as possible in a small block of time.

Answer 3

Schedule energy-intensive activities when energy levels are high.

Question 4

The nurse is providing education for a client at risk for urinary tract infection.Which beverage should the nurse encourage the client to drink?

A) Carbonated beverages
B) Citric juices
C) Milk
D) Tomato juice

Question 5

The nurse is caring for a bedridden client.Which intervention will the nurse implement to prevent pressure ulcer formation?

A) Adjust nutritional intake based on serum albumin levels.
B) Measure the ulcer diameter and depth every shift.
C) Change the gauze dressing whenever drainage is observed.
D) Apply antibiotic ointment to all excoriated skin areas.

Question 6

The nurse is planning care for a client who is beginning a structured cardiac rehabilitation program.Before starting the program,what should the nurse do first?

A) Administer nitroglycerin to increase blood flow to the heart.
B) Assess the client for orthostatic hypotension.
C) Start oxygen at 2 L/min via nasal cannula.
D) Determine the level of activity before shortness of breath occurs.

Question 7

The nurse is caring for a client who is undergoing rehabilitation.Which nursing intervention would be best to prevent venous stasis and thrombus formation?

A) Range-of-motion exercises
B) Foot support while in bed
C) Increased dietary calcium intake
D) Avoidance of sudden position changes

Question 8

The client who is performing intermittent self-catheterization at home is concerned about the cost of the catheters.What is the nurse's best response?

A) "I will try to find out whether you qualify for money to purchase these necessary supplies."
B) "Even though it is expensive, the cost of taking care of urinary tract infections would be even higher."
C) "Instead of purchasing new catheters, you can boil the catheters and reuse them up to 10 times each."
D) "You can reuse the catheters at home. Clean technique, rather than sterile technique, is acceptable."

Question 9

The nurse is caring for a client who has long-standing chronic obstructive pulmonary disease (COPD)and is recovering from a stroke.Which intervention is a priority when activity tolerance is assessed during rehabilitation?

A) Assess vital signs before, during, and after activity.
B) Perform a daily cognitive assessment.
C) Consult physical therapy to ambulate the client.
D) Monitor the client's progress in self-care ability.

Question 10

The nurse delegates the unlicensed nursing assistant (UAP)to ambulate an older adult client.What information must the nurse communicate to the UAP when delegating this task?

A) "The client has skid-proof socks, so there is no need to use your gait belt."
B) "Teach the client how to use her walker while you are ambulating up the hall."
C) "Sit the client on the edge of the bed with legs dangling before ambulating."
D) "Ask the client if she needs pain medication before you walk her in the hall."

Question 11

A paraplegic client is being evaluated for transfer to a rehabilitation unit.The nurse refers the client to which interdisciplinary team member for evaluation of activities of daily living?

A) Physical therapist
B) Occupational therapist
C) Recreational therapist
D) Vocational therapist

Question 12

The nurse is teaching a client who is a paraplegic about prescribed rehabilitation.The client verbalizes that he doesn't know why he should go.What is the nurse's best response?

A) "Your doctor ordered rehabilitation, and he does know what is best for you."
B) "When new discoveries are made, people in rehabilitation programs benefit first."
C) "Rehabilitation will teach you how to maintain the functional ability you have."
D) "You are right. It will not benefit you. I will cancel the orders for rehabilitation."

Question 13

The nurse is caring for a client in a rehabilitation center.Which test will best assist the nurse in determining the severity of a client's disability?

A) Instrumental activities of daily living (IADL)
B) Minimum data set (MDS)
C) Functional independence measure (FIM)
D) Independent living skills test (ILST)

Question 14

The rehabilitation nurse is caring for an obese client with new bilateral leg amputations.The nurse is planning to move the client from the bed to the chair.What is the best approach?

A) Use the bear-hug method to transfer the client safely.
B) Ask several members of the health care team to assist.
C) Utilize the facility's mechanical lift to move the client.
D) Consult physical therapy before performing all transfers.

Question 15

A nurse catheterizes a client immediately after voiding.The residual volume is 50 mL.What will the nurse do next?

A) Notify the physician.
B) Insert an indwelling catheter.
C) Document the finding in the chart.
D) Modify the bladder training program.

Question 16

The nurse is caring for a client with decreased mobility.What intervention should the nurse include in the care plan to best help this client decrease the risk of fracture?

A) Apply shoes to improve foot support.
B) Perform weight-bearing activities.
C) Increase calcium-rich foods in the diet.
D) Use pressure-relieving devices.

Question 17

The nurse assesses a client admitted for rehabilitation.The client has generalized weakness and needs assistance with activities of daily living.Which exercise should the nurse implement?

A) Passive range of motion
B) Active range of motion
C) Resistive range of motion
D) Aerobic exercise

Question 18

A client with a past history of angina had a total knee replacement.What will the nurse teach the client before rehabilitation activities are begun?

A) "Use analgesics even if you are not in pain."
B) "Take nitroglycerin prophylactically before beginning activity."
C) "Take anti-inflammatory medications before exercising."
D) "Do not exercise if you have knee pain."

Question 19

The nurse is planning care for a client who is newly wheelchair bound owing to a spinal cord injury.What priority intervention should the nurse include in the plan of care to assist the client in transferring from the bed to the wheelchair?

A) A diet high in protein and low in calories
B) An occupational therapy consult
C) Bowel and bladder retraining
D) Upper arm strengthening exercises

Question 20

The nurse is performing passive range-of-motion exercises on a semiconscious client and meets resistance while attempting to extend the right elbow more than 45 degrees.What action by the nurse is best?

A) Splint the joint and continue passive range of motion to the shoulder only.
B) Progressively increase joint motion 5 degrees beyond resistance each day.
C) Apply weights to the right distal extremity before initiating any joint exercise.
D) Continue to move the joint only to the point at which resistance is met.

Question 21

A client with a flaccid bladder is undergoing bladder training.The nurse begins the client's bladder training using which technique?

A) Stroking the medial aspect of the thigh
B) Valsalva maneuver
C) Self-catheterization
D) Frequent toileting

Question 22

The nurse is implementing nutritional changes to reduce the risk for skin breakdown in a client with impaired physical mobility.Which dietary modifications will the nurse reinforce?

A) High-protein
B) Low-protein
C) High-carbohydrate
D) Low-carbohydrate
E) High-fat
F) Low-fat

Question 23

An older adult client tells the nurse,"I tire easily." Which activities best assist the client to conserve energy?

A) Perform all tasks in the morning.
B) Take frequent rest periods.
C) Gather all supplies needed for a chore.
D) Use a cart, bag, or tray to carry items.
E) Push objects rather than lifting them.
F) Break large activities into smaller parts.
G) Hire someone to assist with chores.

Question 24

The nurse is caring for a client after a stroke.The client has a right facial droop,drools continuously,and chokes on her own saliva.What rehabilitation team member should the nurse consult to ensure client safety?

A) Speech-language pathologist
B) Nutritionist
C) Rehabilitation case manager
D) Cognitive therapist

Question 25

The nurse collaborates with a physical therapist when providing care for a rehabilitation client.The role of the physical therapist is to help the client with which activities?

A) Achieve mobility.
B) Attain independence with dressing.
C) Use a walker in public.
D) Learn techniques for transferring.
E) Perform activities of daily living.
F) Complete job training.

Question 26

The nurse is caring for a client with left-sided weakness.Which gait-training techniques will the physical therapist and the nurse use when assisting the client to walk with a cane?

A) Place the cane in the client's left hand.
B) Hold the cane with the client's stronger hand.
C) Move the cane forward, followed by legs stepping forward.
D) Take one step forward, followed by the cane moving forward.
E) Step forward with the stronger leg, then the weaker leg.
F) Move the weaker leg one step forward, followed by the stronger leg.

Question 27

The nurse is caring for a client with a disabling condition.Which abnormal findings would alert the nurse to an increased risk for skin breakdown?

A) Low serum albumin level
B) High serum transferrin level
C) Low serum carboxyhemoglobin
D) High serum hematocrit
E) Increased weight gain
F) Incontinence
G) Poor fluid intake

Question 28

The nurse is caring for a client who is wheelchair bound.Which interventions will the nurse implement to prevent skin breakdown?

A) Change the client's position every 1 to 2 hours.
B) Place pillows under the client's heels.
C) Have the client do wheelchair pushups.
D) Remove the client's shoes to check for pressure areas.
E) Assess the client's lower legs for pressure from the wheelchair.
F) Massage the client's calves and feet with lotion.