Question 1

Mr.Frederick,80 years old,is confined to bed with multiple injuries following a motor vehicle accident.The nurse is instructing him on how to perform isometric exercises.How will these exercises affect Mr.Frederick?
A)Decrease heart rate
B)Prevent contractures
C)Maintain muscle strength
D)Improve cardiorespiratory function

Accepted Answer

Isometric exercises are static exercises that involve contracting a muscle without movement, and are useful in maintaining muscle strength when a person is confined to bed. Isometric exercises do not directly affect heart rate, prevent contractures, or improve cardiorespiratory function.

Question 2

The nurse educator is working on a hospital committee focused on preventing back injuries in nurses.When completing rounds on one of the inpatient units,what observations would indicate to her that further education is necessary?
A)Two nurses are pulling a client up in bed.They are standing toward the head of the bed,feet apart and facing towards the centre of the bed.
B)Two nurses are pulling a client up in bed using a sliding sheet.Their palms are facing up grasping the sheet.
C)Two nurses are pulling a client up in bed.The bed is in Trendelenburg position.
D)Two nurses are repositioning a client from one side to the other.The nurse pulling the client towards her rocks from her front foot to her back foot.

Accepted Answer

A

Question 3

What benefits of exercise for elderly clients may result in a decreased risk of falls?
A)Improved balance
B)Strengthened muscles
C)Increased range of motion
D)Improved cardiovascular function

Accepted Answer

A

Question 4

Supination refers to the movement of the sole of the foot inward by moving the ankle joint.

Accepted Answer

Supination refers to the movement of the sole of the foot outward by moving the ankle joint. Inward movement is called pronation.

Question 5

The nurse educator is working on a hospital committee focused on preventing back injuries in nurses.Which recommendation by this committee is most likely to result in a decrease in back injuries if followed?
A)Nurses must use transfer belts when moving clients.
B)No independent lifting of clients is permitted in the facility.
C)In order to prevent injury,nurses must strive to become physically fit.
D)All nursing personnel must attend annual body mechanics education.

Accepted Answer

Prohibiting independent lifting of clients would ensure that proper lifting techniques are being used and prevent nurses from trying to lift too much weight by themselves, which is a common cause of back injuries. While the other options (using transfer belts, becoming physically fit, attending body mechanics education) may also help prevent back injuries, they are not as effective as an outright prohibition on independent lifting.

Question 6

Mrs.Cara is attending her first prenatal visit.What information would the nurse offer her regarding exercise?
A)She can exercise if exercise was a part of her pre-pregnancy routine.
B)Exercise should be limited to no more than 15 minutes per day.
C)Healthy pregnant women should exercise at least 30 minutes per day.
D)She should increase her normal exercise pattern from pre-pregnancy routine.

Accepted Answer

The nurse would offer Mrs. Cara the advice that healthy pregnant women should exercise at least 30 minutes per day. This recommendation is supported by the American College of Obstetricians and Gynecologists (ACOG) and the Centers for Disease Control and Prevention (CDC), and it is generally safe for women with healthy pregnancies to continue their pre-pregnancy exercise routines with modifications as needed. However, it is important for Mrs. Cara to discuss any concerns or potential complications with her healthcare provider before starting or continuing an exercise program during pregnancy.

Question 7

Mr.Pearson,a newly admitted client,has contractures of both lower extremities.What nursing intervention should be included in this client's plan of care?
A)Flexor-strengthening exercises
B)Frequent position changes
C)Weight-bearing activities.
D)Range of motion exercises

Accepted Answer

Range of motion exercises are the best choice for a client with contractures of both lower extremities as they can help improve joint mobility and prevent further contractures. Flexor-strengthening exercises and weight-bearing activities may not be appropriate for this client as they require movement of the lower extremities, which may be limited by the contractures. Frequent position changes can also help prevent contractures, but may not be enough to improve the client's current condition.

Question 8

Which of the following elements necessary for normal body movement will impact optimal lung expansion?
A)Proper body alignment
B)Joint mobility
C)Base of support
D)Coordinated movement

Accepted Answer

Proper body alignment is crucial for optimal lung expansion as it ensures that the chest cavity is positioned correctly to allow the lungs to expand fully during breathing.

Question 9

Circumduction is a term that refers to the movement of a bone around its central axis.

Accepted Answer

Circumduction is a term that refers to the movement of a joint in a circular motion, not a bone around its central axis.

Question 10

Mr.Granger is a 65-year-old client hospitalized with multiple fractures suffered in a motor vehicle accident.He calls the nurse and 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)Deeply palpate the area for rebound tenderness
C)Measure the calf and compare to the opposite calf
D)Medicate the client for pain and reassess in 30 minutes

Accepted Answer

The nurse should measure the client's calf and compare it to the opposite calf to assess for any possible swelling, which could indicate deep vein thrombosis (DVT). Pain and burning in one calf can be a symptom of DVT, which is a serious complication that requires immediate attention. Percussing or palpating the area could potentially dislodge a blood clot, so these actions should be avoided. Medicating the client for pain may provide temporary relief, but it does not address the underlying issue and does not provide adequate assessment.

Question 11

Which of the following physiological alterations is frequently a result of immobility?
A)Bradycardia
B)Venous pooling
C)Diuresis
D)Increased vital capacity

Accepted Answer

When a person is immobile for prolonged periods, blood can pool in the veins of the legs and lower body, leading to venous pooling, a decrease in cardiac output, and possible orthostatic hypotension. Bradycardia (slow heart rate) is not a frequent result of immobility. Diuresis (increased urine output) is not typical of immobility but could occur if a person is given diuretic medication. Increased vital capacity is not a likely result of immobility, as the decreased respiratory effort may lead to decreased lung expansion and a decrease in vital capacity.

Question 12

Mrs.Farron is a 65-year-old who has recently been diagnosed with depression.What explanation can the nurse provide her about how exercise can improve long-term symptoms of depression?
A)Increases levels of endorphins
B)Creates a diversion from reason for depression
C)Limits endogenous opioids
D)Decreases harmful effects of serotonin

Accepted Answer

Exercise has been shown to increase levels of endorphins, which are the body's natural painkillers and mood boosters. By increasing endorphins through exercise, it can improve long-term symptoms of depression.

Question 13

Mr.Frederick,80 years old,is confined to bed with multiple injuries following a motor vehicle accident.Which of the following observations would allow the nurse to conclude that his psychoneurological system is intact following his injuries?
A)Mr.Frederick's self-esteem has decreased over the last three weeks.
B)Mr.Frederick is withdrawn and does not initiate conversation.
C)Mr.Frederick is explaining to his wife how to solve a problem with the furnace.
D)Mr.Frederick becomes frustrated when he tries to perform activities of daily living.

Accepted Answer

Mr. Frederick explaining to his wife how to solve a problem with the furnace shows that his cognitive abilities and communication skills are intact, indicating that his psychoneurological system is intact despite his physical injuries. Option A indicates a decrease in self-esteem, which is not related to the psychoneurological system. Option B indicates withdrawal and lack of communication, which may suggest a psychological or emotional issue but does not necessarily indicate a problem with the psychoneurological system. Option D may suggest physical limitations, but does not necessarily indicate a problem with the psychoneurological system.

Question 14

Seventy-five-year-old Mrs.Bertram has been admitted to hospital with right-sided paralysis as a result of a left-sided cerebrovascular accident.She has a diagnosis of impaired mobility related to paralysis.She is to have passive range of motion (ROM)exercises performed on the right side of her body.Which of the following accurately reflects how ROM should be performed?
A)Weekly as long as paralysis is evident
B)To the point of discomfort
C)To the point of slight resistance
D)To both arms and legs

Accepted Answer

Passive ROM exercises should be performed to the point of slight resistance, but not to the point of discomfort. This helps to prevent injury and promote circulation and flexibility in the affected limb. The frequency of these exercises may vary depending on the patient's condition, but they should be performed regularly as part of a comprehensive rehabilitation plan. It is important to note that in this case, only the right side of the body should be exercised due to the patient's left-sided paralysis.

Question 15

How should the nurse position Mr.Joseph,a 75-year-old client with chronic obstructive pulmonary disease (COPD)who is complaining of dyspnea?
A)Semi-Fowler's position with two pillows
B)Orthopneic position across the overbed table
C)Fowler's position with two pillows behind the head
D)High Fowler's position with two pillows behind the head

Accepted Answer

The orthopneic position helps expand the chest and lungs, making it easier for patients with COPD to breathe.

Question 16

The nurse is caring for 50-year-old Mrs.Lucas,who has been recently diagnosed with early osteoporosis.Which interventions should be planned for this client?
A)During exacerbations,protect her bones with strict bed rest
B)Develop an exercise plan that includes weight-bearing activities
C)Increase vitamin D in her diet to enhance absorption of calcium
D)Passive range of motion exercises twice daily

Accepted Answer

The answer of The nurse is caring for 50-year-old Mrs.Lucas,who...

Question 17

Mr.Neil,a community health nurse,is speaking to families about the benefits of an active lifestyle.What activity levels does he recommend as appropriate for children ages 5-11?
A)30 minutes minimum of moderate to vigorous activity daily
B)60 minutes of moderate to vigorous activity daily
C)30 minutes of moderate activity daily,and 30 minutes of vigorous activity 3 times a week
D)60 minutes of moderate activity 3 times a week.

Accepted Answer

According to the Centers for Disease Control and Prevention, children ages 5-11 should engage in at least 60 minutes of moderate to vigorous physical activity daily. This can include activities such as running, jumping, playing sports, or riding bikes. Therefore, choice B is the best option as it meets the recommended activity levels.

Question 18

Mr.Neil,a community health nurse,is organizing a wellness project to educate teenagers about keeping their bodies healthy.Which information about diet and exercise should be included?
A)Diet is the most important predictor of health.
B)Diet and activity together are important factors for maintaining health.
C)Exercise is sufficient to manage healthy weight.
D)Obese women who remain active have a low mortality rate.

Accepted Answer

Both diet and activity are important factors in maintaining health. While diet is important, it is not the only predictor of health. Exercise is also important, but it alone is not sufficient to maintain a healthy weight. Additionally, while being active can improve health outcomes, it is not a guarantee of low mortality rates in obese individuals. Therefore, choice B is the most accurate and comprehensive choice.

Question 19

Seventy-five-year-old Mrs.Bertram has been admitted to hospital with right-sided paralysis as a result of a cerebrovascular accident.What is the rationale for maintaining her in good body alignment while she is in bed?
A)It increases body strength and muscle mass.
B)Proper body alignment will alleviate pain.
C)It reduces the musculoskeletal strain and enhances lung expansion.
D)It minimizes the workload of the heart by preventing the valsalva manoeuvre.

Accepted Answer

Maintaining good body alignment can reduce the musculoskeletal strain and enhance lung expansion, both of which are important in preventing complications such as pneumonia and bedsores in immobilized patients. In addition, proper alignment can also reduce pressure on the nerves and blood vessels, prevent contractures, and improve circulation.

Question 20

Ms.Peters is a student nurse working with a home care nurse.They visit an elderly client who has contractures.Miss Peters asks the nurse,"What is the physiological reason for contractures?" How will the nurse respond?
A)Flexor muscles are stronger than extensor muscles
B)Muscle mass loss affects only extensor muscles
C)Hyperextension of the joints of the arms and legs
D)Repetitive flexor and ulnar adduction

Accepted Answer

Flexor muscles are naturally stronger than extensor muscles, which can lead to an imbalance when muscles are not regularly stretched or moved, potentially resulting in contractures.

Quiz 39: Activity and Exercise

Mr.Frederick,80 years old,is confined to bed with multiple injuries following a motor vehicle accident.The nurse is instructing him on how to perform isometric exercises.How will these exercises affect Mr.Frederick?

The nurse educator is working on a hospital committee focused on preventing back injuries in nurses.When completing rounds on one of the inpatient units,what observations would indicate to her that further education is necessary?

What benefits of exercise for elderly clients may result in a decreased risk of falls?

Supination refers to the movement of the sole of the foot inward by moving the ankle joint.

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

Mrs.Cara is attending her first prenatal visit.What information would the nurse offer her regarding exercise?

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

Which of the following elements necessary for normal body movement will impact optimal lung expansion?

Circumduction is a term that refers to the movement of a bone around its central axis.

Mr.Granger is a 65-year-old client hospitalized with multiple fractures suffered in a motor vehicle accident.He calls the nurse and complains of pain and burning in the right calf area.What action should be taken by the nurse?

Which of the following physiological alterations is frequently a result of immobility?

Mrs.Farron is a 65-year-old who has recently been diagnosed with depression.What explanation can the nurse provide her about how exercise can improve long-term symptoms of depression?

Mr.Frederick,80 years old,is confined to bed with multiple injuries following a motor vehicle accident.Which of the following observations would allow the nurse to conclude that his psychoneurological system is intact following his injuries?

How should the nurse position Mr.Joseph,a 75-year-old client with chronic obstructive pulmonary disease (COPD) who is complaining of dyspnea?

The nurse is caring for 50-year-old Mrs.Lucas,who has been recently diagnosed with early osteoporosis.Which interventions should be planned for this client?

Mr.Neil,a community health nurse,is speaking to families about the benefits of an active lifestyle.What activity levels does he recommend as appropriate for children ages 5-11?

Mr.Neil,a community health nurse,is organizing a wellness project to educate teenagers about keeping their bodies healthy.Which information about diet and exercise should be included?

Seventy-five-year-old Mrs.Bertram has been admitted to hospital with right-sided paralysis as a result of a cerebrovascular accident.What is the rationale for maintaining her in good body alignment while she is in bed?

Ms.Peters is a student nurse working with a home care nurse.They visit an elderly client who has contractures.Miss Peters asks the nurse,"What is the physiological reason for contractures?" How will the nurse respond?