Deck 4: Stress, Exercise, and Immobility

Question 1

A client is on long-term bed rest. Which condition might the client develop due to immobility?
1) Orthostatic hypotension
2) Venous stasis
3) Hypertension
4) Dyspnea

Answer 1

2

Question 2

Which condition commonly found in inactive clients results in edema?
1) Venous stasis
2) Pulmonary embolism
3) Hypertension
4) Orthostatic hypotension

Answer 2

1

Question 3

A client who has been taking an antidepressant for 10 days complains of depression and does not find the medication to be effective. Which is the best response by the nurse?
1) "I will increase the drug dosage after informing the physician"
2) "The medication will take at least 3 weeks to be effective."
3) "I will change the medication after informing the physician."
4) "Stop taking the medication."

Answer 3

2

Question 4

What is polysomnography?
1) A diagnostic test to examine sleep patterns
2) A diagnostic test to examine eye movement
3) A diagnostic test to examine respiratory functions
4) A diagnostic test to examine electrical activity of the brain

Question 5

A registered nurse is explaining the effects of exercise on cardiovascular system to a student nurse. Which statement by the student nurse indicates effective teaching?
1) "Exercise prevents thrombus formation."
2) "Exercise increases fibrinogen levels."
3) "Exercise prevents angiogenesis."
4) "Exercise increases the heart's efficiency by decreasing cardiac muscle mass."

Question 6

What is the physiological change that occurs in stage 5 of the sleep cycle?
1) Heart rate decreases
2) Breathing becomes rapid
3) Breathing becomes regular
4) None of the above

Question 7

In which stage of Hans Selye's general adaptation syndrome is the sympathetic nervous system (SNS) activated?
1) Alarm stage
2) Resistance stage
3) Exhaustion stage
4) Homeostasis

Question 8

Which is the most commonly used over-the-counter sleep aid?
1) Diphenhydramine (Benadryl)
2) Phenylephrine (Neo-Synephrine)
3) Pseudoephedrine (Sudafed)
4) Acetylcholine (Miochol)

Question 9

A bedridden client has frequent gastrointestinal reflux. Which condition might the client develop due to gastrointestinal reflux?
1) Aspiration pneumonia
2) Hypotension
3) Hyperthermia
4) Constipation

Question 10

What is the result of decreased cardiac output in a client, who is on a prolonged bed rest?
1) Increase in stroke volume
2) Increase in heart rate
3) Increase in venous returns
4) Increase in diastolic volume

Question 11

Which stage of sleep makes it difficult to wake someone?
1) Stage 1
2) Stage 2
3) Stage 3
4) Stage 5
Exhibit

Question 12

A client is scheduled for a heart valve replacement. Which strategic action of the primary healthcare provider enhances the client's adaptive ability and coping mechanism to reduce stress?
1) Encouraging a family member to stay with the client in the pre-operative setting
2) Permitting a family member to stay in the operation theater
3) Administering epinephrine to reduce stress
4) Restricting the family members from talking to the client in the pre-operative setting

Question 13

Which problem is a 55-year-old client most likely to exhibit as a result of prolonged benzodiazepine use?
1) Unstable gait
2) Bradycardia
3) Dyspnea
4) Anuria

Question 14

A nurse is providing care for a client, who is on bed rest due to immobility. Which measure does the nurse adopt in order to counteract the ill effects of immobility?
1) Assess the client's skin for erythema.
2) Place the client in prone position.
3) Avoid seating the client on a chair.
4) Change the position of the client every 4 hours.

Question 15

What is the effect of physical activity on gastrointestinal system?
1) Increases constipation
2) Improves peristaltic movement
3) Increases the risk of diverticulosis
4) Increases the risk of inflammatory bowel diseases

Question 16

What happens when nitric-oxide dependent vasodilation occurs in the coronary arteries?
1) Increase in platelet activation
2) Increase in thrombus formation
3) Increase in myocardial perfusion
4) Increase in endothelial inflammation

Question 17

A client, who is on prolonged bed rest, has developed kidney stones. Which factor could have caused kidney stones?
1) Change in the levels of glucose
2) Change in the levels of growth hormone
3) Change in the levels of thyroid hormone
4) Change in the levels of parathyroid hormone

Question 18

Which statement is correct regarding the effects of exercise?
1) Enlarges the muscle fibers
2) Decreases the rate of breathing
3) Increases the risk of colon cancer
4) Decreases the number of mitochondrial enzymes

Question 19

A client was hospitalized due to immobility. The blood report after one month of hospitalization shows that the client has developed septicemia. Which factor could have caused septicemia?
1) Erythema
2) Decubitus ulcer
3) Antibacterial drugs
4) Excessive exercise

Question 20

Which is an example of eustress?
1) Job promotion
2) Death of a friend
3) Unemployment
4) Divorce

Question 21

A client is on prolonged bed rest. What are the psychological changes the client would exhibit?
1) Increased anxiety
2) Increased mood swings
3) Altered tactile responses
4) Increased levels of concentration
5) Increased problem solving ability

Question 22

Which nutritional advice given by a nurse to a client under stress is appropriate?
1) "Eat a heavy meal before bedtime."
2) "Consume more soy products."
3) "Drink a glass of milk before going to bed."
4) "Add peanuts and brown rice to your diet."
5) "Add spinach and green vegetables to your diet."
Completion
Complete each statement.

Question 23

What gastrointestinal changes are seen in clients on bed rest?
1) Slowed peristalsis
2) Diminished appetite
3) Increased diaphragm strength
4) Increased rate of intestinal absorption
5) Decreased abdominal and pelvic muscle strength

Question 24

A nurse is assessing the sleep history of different clients for obstructive sleep apnea (OSA). Which signs could indicate that the client has OSA? Client 1
Client 2
Client 3
Client 4
Excessive daytime sleepiness, snoring, and repetitive pauses in breathing during sleep
Drowsiness during daytime, able to sleep only 6 hours at night, snoring, and leg cramps at night
Difficulty getting back to sleep after waking during the night, hallucinations when awake, and jerking of the legs during sleep
Sleepwalking, nightmares, and leg cramps at night
1) Client 1
2) Client 2
3) Client 3
4) Client 4

Question 25

A 50-year-old male client is scheduled for a cardiac exercise stress test. The predicted maximal heart rate in beats/minute is ____________________