A nurse is developing an exercise program for a patient who has
COPD. Which instructions would the nurse include in a teaching
plan for this patient? Select all that apply.
A. Teach the patient to avoid sudden position changes that may
cause dizziness.
B. Recommend that the patient restrict fluid intake until after
exercise.
C. Instruct the patient to push a little further beyond fatigue each
session.
D. Tell the patient to avoid exercising in very cold or very hot
temperatures.
E. Encourage the patient to modify exercise if weak or ill.
F. Recommend that the patient consume a high-carb, low-
protein diet.
A. Teach the patient to avoid sudden position changes that may
cause dizziness,
D. Tell the patient to avoid exercising in very cold or very hot
temperatures.
A nurse is providing active-assistive range-of-motion exercises
for a patient who is recovering from a stroke. During the
session, the patient reports that they are "too tired to go on."
What actions are appropriate at this time? Select all that apply.
A. Stop performing the exercises.
B. Decrease the number of repetitions performed.
C. Reevaluate the plan of care.
,D. Move to the patient's other side to perform exercises.
E. Encourage the patient to finish the exercises and then rest.
F. Assess the patient for additional symptoms of intolerance.
A. Stop performing the exercises,
C. Reevaluate the plan of care,
F. Assess the patient for additional symptoms of intolerance.
A nurse assists a patient with ambulation for the first time
following a knee replacement. Shortly after beginning to walk,
the patient tells the nurse that they are dizzy and feel like they
might fall. Place these nursing actions in the order in which the
nurse should perform them to protect the patient:
A. Grasp the gait belt.
B. Stay with the patient and call for help.
C. Place feet wide apart with one foot in front.
D. Gently slide the patient down to the floor, protecting their
head.
E. Pull the weight of the patient backward against your body.
F. Rock your pelvis out on the side of the patient.
C. Place feet wide apart with one foot in front -> F. Rock your
pelvis out on the side of the patient -> A. Grasp the gait belt ->
E. Pull the weight of the patient backward against your body ->
D. Gently slide the patient down to the floor, protecting their
head -> B. Stay with the patient and call for help.
A nurse caring for patients in a pediatric office assesses
children's achievement of developmental milestones. Which
patient finding requires follow-up with the pediatrician?
A. 4-month-old infant who is unable to roll over
, B. 6-month-old infant who is unable to hold head up
C. 11-month-old infant who cannot walk unassisted
D. 18-month-old toddler who cannot jump
B. 6-month-old infant who is unable to hold head up
A nurse is caring for a patient with lower extremity paralysis.
Which action will the nurse take to prevent external rotation of
the hip and foot?
A. Use a trochanter roll.
B. Apply SCDs.
C. Obtain a prescription for antiembolism stockings.
D. Have the patient maintain low-Fowler's position.
E. Have the patient cross their arms on their chest and place a
pillow between their knees.
F. Place a cervical collar on the patient's neck and gently roll
them to the other side of the bed.
A. Use a trochanter roll.
A nursing student asks the primary nurse why an immobile
patient developed two urinary tract infections (UTIs) in the 6
months. How does the nurse best explain this patient's risk for
UTI?
A. Improved renal blood supply to the kidneys
B. Urinary stasis
C. Decreased urinary calcium
D. Acidic urine formation
B. Urinary stasis