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1. "Use your hands and arms to support your body weight."
Rationale:
1. Is true, but watch out if it isn't 2-3 finger-widths, because crutch paralysis can
occur. S/S: Paresis & Paresthesias in wrist & hands.
2. Is a fall risk.
3. Crutches should be 6 inches in front & 6 inches lateral.
4. Elbow should be bent at a 30 degree angle.
The nurse is teaching a client how to ambulate using
crutches. Which of the following information should the
nurse include?
1. "Use your hands and arms to support your body weight."
2. "Wear slippers when ambulating with the crutches in your home."
3. "Maintain the crutches 12inch (30cm) in front of your feet while standing."
4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
,4. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
Rationale:
MS causes nerve damage & can result in optic neuritis (Vision loss, blurry
vision). In most cases it resolves itself in 4-12 weeks, but medications (steroids
can speed up the process & resolve it quicker.
1. MS patients should not exert themselves too much at one time. Space out
activities & allow time for rest.
2. Urinary retention is primarily treated by medication (bethanochol), and
exercises can aid with it but are not the primary treatment.
3. Hot temperatures are bad for MS and can worsen symptoms. Your nerves
are already messed up and extra heat can stress the body into overdrive.
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would indicate a correct
understanding of the teaching?
1. "I will complete all of my household chores in the morning when I am well
rested."
2. "I have learned how to massage my bladder to help empty my bladder
completely."
3. "I will take a hot bath in the evening to help me relax if I have had a
stressful day at work."
4. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
,Highlight:
"Loss of appetite"
"Abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week."
"Client states, "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach."
"Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry reading 98%
on room air.
Rationale:
Loss of appetite may indicate an underlying medical condition or
infection. The intensity of abdominal pain requires evaluation to
determine the cause.
Trauma to the abdomen can cause internal injuries that need to be assessed to
ensure no significant damage or complications.
The nurse in the emergency department (ED) is caring for a 41-year-old male
client. Highlight the findings below that would require follow-up.
(See Picture)
, Answer:
Bowel obstruction: Appetite, Bowel Pattern, Gastrointestinal
Symptoms. Appendicitis: Pain level.
Ruptured Spleen: Pain level.
The nurse in the emergency department is caring for a 41-year-old
male client. Nurse's Notes:
11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for
the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale
for 1 week. Client states "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach." Client plays soccer with the child once a
week. Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry
reading 98% on room air. No significant past medical or surgical history. Body
mass index (BMI) 32. Drinks alcohol only during social occasions, usually 3
beverages. Smokes cigarettes during social occasions.
For each assessment finding below, click to specify if the finding is consistent
with the disease process of bowel obstruction, appendicitis, or ruptured spleen.
Each finding may support more than 1 disease process.
Exam Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Guaranteed Success!!
Newest Exam | Just Released!!2026
1. "Use your hands and arms to support your body weight."
Rationale:
1. Is true, but watch out if it isn't 2-3 finger-widths, because crutch paralysis can
occur. S/S: Paresis & Paresthesias in wrist & hands.
2. Is a fall risk.
3. Crutches should be 6 inches in front & 6 inches lateral.
4. Elbow should be bent at a 30 degree angle.
The nurse is teaching a client how to ambulate using
crutches. Which of the following information should the
nurse include?
1. "Use your hands and arms to support your body weight."
2. "Wear slippers when ambulating with the crutches in your home."
3. "Maintain the crutches 12inch (30cm) in front of your feet while standing."
4. "Adjust the hand grips of the crutches so that your elbows are fully extended."
,4. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
Rationale:
MS causes nerve damage & can result in optic neuritis (Vision loss, blurry
vision). In most cases it resolves itself in 4-12 weeks, but medications (steroids
can speed up the process & resolve it quicker.
1. MS patients should not exert themselves too much at one time. Space out
activities & allow time for rest.
2. Urinary retention is primarily treated by medication (bethanochol), and
exercises can aid with it but are not the primary treatment.
3. Hot temperatures are bad for MS and can worsen symptoms. Your nerves
are already messed up and extra heat can stress the body into overdrive.
The nurse has taught a client with multiple sclerosis (MS).
Which of the following statements by the client would indicate a correct
understanding of the teaching?
1. "I will complete all of my household chores in the morning when I am well
rested."
2. "I have learned how to massage my bladder to help empty my bladder
completely."
3. "I will take a hot bath in the evening to help me relax if I have had a
stressful day at work."
4. "I should expect the blurred vision to resolve after I have received
medications for several weeks."
,Highlight:
"Loss of appetite"
"Abdominal pain rated 7/10 on the Numerical Rating Scale for 1 week."
"Client states, "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach."
"Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry reading 98%
on room air.
Rationale:
Loss of appetite may indicate an underlying medical condition or
infection. The intensity of abdominal pain requires evaluation to
determine the cause.
Trauma to the abdomen can cause internal injuries that need to be assessed to
ensure no significant damage or complications.
The nurse in the emergency department (ED) is caring for a 41-year-old male
client. Highlight the findings below that would require follow-up.
(See Picture)
, Answer:
Bowel obstruction: Appetite, Bowel Pattern, Gastrointestinal
Symptoms. Appendicitis: Pain level.
Ruptured Spleen: Pain level.
The nurse in the emergency department is caring for a 41-year-old
male client. Nurse's Notes:
11:00: Client reports nausea, loss of appetite, vomiting, fever, and constipation for
the past 2 weeks and abdominal pain rated 7/10 on the Numerical Rating Scale
for 1 week. Client states "The abdominal pain started after my 7-year-old child
accidentally kicked me in the stomach." Client plays soccer with the child once a
week. Vital signs: T 103.4 F (39.7 C), P 92, RR 22, BP 130/86, pulse oximetry
reading 98% on room air. No significant past medical or surgical history. Body
mass index (BMI) 32. Drinks alcohol only during social occasions, usually 3
beverages. Smokes cigarettes during social occasions.
For each assessment finding below, click to specify if the finding is consistent
with the disease process of bowel obstruction, appendicitis, or ruptured spleen.
Each finding may support more than 1 disease process.
