ANSWERS
A 24-year-old client has been involved in a motorcycle accident and is now a
paraplegic. As the client begins to resume activities of daily living, which device
should the nurse consider using to assist with hygiene and daily care? correct
answer Trapeze
A 33 year old female patient is 1 day post-op from a neuro surgery. What bed
position is the best for this patient? correct answer semi-fowler
A 50 year old male patient needs a position change to promote general lung
expansion. What is the best position for correct answer Fowler
A client who is bedridden asks the nurse what exercises can be included to
prevent muscle atrophy. What is the nurse's best response? correct answer
Isometric
A nurse determines that a fracture bedpan must be used for the patient who:
correct answer has a spinal cord injury
A nurse is ambulating a patient in the hall several rooms away from the patient's
room. During the walk, the patient states, " I am dizzy and I feel weak" and the
patient begins to fall. What action by the nurse is most appropriate at this time?
correct answer Lower the patient to the floor gently.
A nurse is caring for a patient who is ordered OOB (out of bed) in a chair for 1
hour twice a day. The nurse is concerned about the complication of orthostatic
hypotension. What nursing action employed by the nurse will help to minimize
, the risk of orthostatic hypotension? correct answer Dangle the patient on the side
of the bed for 1 minute before standing.
A nurse is caring for a patient who recently had spinal surgery requiring the
patient to be supine in bed. What dependent nursing action should the nurse
implement that will help prevent complications associated with venous stasis?
correct answer Apply sequential compression devices.
A nurse is caring for a patient with a diagnosis of venous stasis of the lower left
leg. Which independent nursing action is important for the nurse to implement?
correct answer Elevate the left leg on a pillow.
A nurse is positioning a patient in the supported prone position. What action
should the nurse implement when positioning the patient? correct answer Put a
small pillow under the patient's abdomen.
A nurse is providing passive range-of-motion exercises. Which principle is
important? correct answer Support above and below the joint being exercised.
A nurse is repositioning a patient in right Sim's position. What action should the
nurse implement when positioning this patient? correct answer . Turn the body
halfway between the lateral and prone position.
A nurse is repositioning a patient in the right lateral position. What action should
the nurse implement when positioning this patient? correct answer Rest the head
on one pillow.