1 Chapter 28
While positioning a patient in the supported supine position, the nurse places a
pillow under the upper shoulders. What is the rationale behind this intervention?
Correct1
Maintain correct alignment
2
Reduce external rotation of hip
3
Provide support for lumbar spine
4
Reduce internal rotation of shoulder
Placing of pillows under the shoulders while positioning a patient in the supine position
maintains correct alignment and prevents flexion contractures of cervical vertebrae. Placing
trochanter rolls to the lateral surface of the patient’s thighs may reduce external rotation of
the hip. Placing a small rolled towel under the lumbar area of the back provides support for
the lumbar spine. Placing pillows under pronated forearms reduces internal rotation of the
shoulder and prevents extension of the elbows.
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2.
While caring for a postoperative patient, the nurse spreads trochanter rolls on the
bed before positioning the patient. In which position is the nurse preparing to place
the patient?
1
Sims' position
2
Prone position
,Correct3
Supine position
4
Supported Fowler’s Position
Trochanter rolls are used to increase comfort for the patient and to reduce the risk of injury
to the skin and musculoskeletal system when the patient is placed in the supine position. In
the Sims' position, the patient places the weight on the anterior ileum, humerus, and
clavicle. Trochanter rolls would not be used in this position. In the prone position, the nurse
uses pillows under the lower extremities to reduce the risk of foot drop. In the supported
Fowler’s position, the knees are supported to reduce the risk of deep vein thrombosis.
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3.
A 3-year-old child has rickets. Which vitamin should be supplemented to the child’s
diet?
1
Vitamin A
2
Vitamin B
3
Vitamin C
Correct4
Vitamin D
A deficiency of vitamin D causes rickets. Therefore, the child should receive vitamin D
supplements. Deficiency of vitamin A causes night blindness. Lack of vitamin B causes
neural tube defects. Vitamin C deficiency leads to scurvy.
STUDY TIP: Know the names of deficiencies for all the vitamins. If you are a visual learner,
find photographs of the deficiencies in textbooks or reliable websites to help you remember
them.
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,4.
What are the risk factors for developing pathological fractures in patients with
immobility? Select all that apply.
Correct1
Decreased metabolism
2
Decreased urinary output
3
Decreased tissue catabolism
Correct4
Decreased calcium regulation
5
Decreased urine concentration
Decreased metabolism and calcium regulation are the major risk factors for developing
pathological fractures in patients with immobility. Decreased urinary output is a urinary
elimination change seen in patients with immobility due to decreased intake of fluids.
Decreased tissue catabolism is tissue breakdown due to muscle weakness and decreased
muscle mass in patients with immobility. Decreased urinary concentration is a urinary
elimination change seen in patients with immobility due to decreased fluid intake and
output.
35%of students nationwide answered this question correctly.
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1 3317723725
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Issue with this question?
5.
A 60-year-old female patient sustained a femur fracture due to a fall in the
bathroom. The patient complains of severe pain. Which mineral supplement is likely
to be added to the patient’s prescription to manage osteoporosis?
1
Zinc
Correct2
Calcium
, 3
Sodium
4
Iron
In osteoporosis the bones lack calcium due to demineralization. Therefore, calcium
supplements are added to the prescription to improve bone strength. Zinc is useful in
cellular metabolism but has no role in bone health. Sodium is important for cells to function
but has no role in promoting bone health. Iron is needed for hemoglobin production. It does
not help in managing osteoporosis related to bone changes.
98%of students nationwide answered this question correctly.
View Topics
1 3317722686
Confidence: Nailed it
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Issue with this question?
6.
The nurse puts elastic stockings on a patient following major abdominal surgery.
Why are elastic stockings used after a surgical procedure?
1
To prevent varicose veins
2
To prevent muscular atrophy
3
To ensure joint mobility and prevent contractures
Correct4
To promote venous return to the heart
Elastic stockings maintain external pressure on the lower extremities and assist in
promoting venous return to the heart. This increase in venous return helps reduce the stasis
of blood and in turn reduces the risk for deep vein thrombosis (DVT) formation in the lower
extremities. The stockings are not used to prevent varicose veins, muscular atrophy, and
contractures, or to promote joint mobility.
The registered nurse is teaching a nursing student about the interventions
performed to prevent deep vein thrombosis in an immobilized patient. Which
statement made by the nursing student indicates a need for correction?
Correct1
"I will massage the legs."
2
While positioning a patient in the supported supine position, the nurse places a
pillow under the upper shoulders. What is the rationale behind this intervention?
Correct1
Maintain correct alignment
2
Reduce external rotation of hip
3
Provide support for lumbar spine
4
Reduce internal rotation of shoulder
Placing of pillows under the shoulders while positioning a patient in the supine position
maintains correct alignment and prevents flexion contractures of cervical vertebrae. Placing
trochanter rolls to the lateral surface of the patient’s thighs may reduce external rotation of
the hip. Placing a small rolled towel under the lumbar area of the back provides support for
the lumbar spine. Placing pillows under pronated forearms reduces internal rotation of the
shoulder and prevents extension of the elbows.
55%of students nationwide answered this question correctly.
View Topics
1 3619020567
Confidence: Nailed it
Stats
Issue with this question?
2.
While caring for a postoperative patient, the nurse spreads trochanter rolls on the
bed before positioning the patient. In which position is the nurse preparing to place
the patient?
1
Sims' position
2
Prone position
,Correct3
Supine position
4
Supported Fowler’s Position
Trochanter rolls are used to increase comfort for the patient and to reduce the risk of injury
to the skin and musculoskeletal system when the patient is placed in the supine position. In
the Sims' position, the patient places the weight on the anterior ileum, humerus, and
clavicle. Trochanter rolls would not be used in this position. In the prone position, the nurse
uses pillows under the lower extremities to reduce the risk of foot drop. In the supported
Fowler’s position, the knees are supported to reduce the risk of deep vein thrombosis.
64%of students nationwide answered this question correctly.
View Topics
1 3317723769
Confidence: Nailed it
Stats
Issue with this question?
3.
A 3-year-old child has rickets. Which vitamin should be supplemented to the child’s
diet?
1
Vitamin A
2
Vitamin B
3
Vitamin C
Correct4
Vitamin D
A deficiency of vitamin D causes rickets. Therefore, the child should receive vitamin D
supplements. Deficiency of vitamin A causes night blindness. Lack of vitamin B causes
neural tube defects. Vitamin C deficiency leads to scurvy.
STUDY TIP: Know the names of deficiencies for all the vitamins. If you are a visual learner,
find photographs of the deficiencies in textbooks or reliable websites to help you remember
them.
79%of students nationwide answered this question correctly.
View Topics
1 3619006892
Confidence: Nailed it
Stats
Issue with this question?
,4.
What are the risk factors for developing pathological fractures in patients with
immobility? Select all that apply.
Correct1
Decreased metabolism
2
Decreased urinary output
3
Decreased tissue catabolism
Correct4
Decreased calcium regulation
5
Decreased urine concentration
Decreased metabolism and calcium regulation are the major risk factors for developing
pathological fractures in patients with immobility. Decreased urinary output is a urinary
elimination change seen in patients with immobility due to decreased intake of fluids.
Decreased tissue catabolism is tissue breakdown due to muscle weakness and decreased
muscle mass in patients with immobility. Decreased urinary concentration is a urinary
elimination change seen in patients with immobility due to decreased fluid intake and
output.
35%of students nationwide answered this question correctly.
View Topics
1 3317723725
Confidence: Nailed it
Stats
Issue with this question?
5.
A 60-year-old female patient sustained a femur fracture due to a fall in the
bathroom. The patient complains of severe pain. Which mineral supplement is likely
to be added to the patient’s prescription to manage osteoporosis?
1
Zinc
Correct2
Calcium
, 3
Sodium
4
Iron
In osteoporosis the bones lack calcium due to demineralization. Therefore, calcium
supplements are added to the prescription to improve bone strength. Zinc is useful in
cellular metabolism but has no role in bone health. Sodium is important for cells to function
but has no role in promoting bone health. Iron is needed for hemoglobin production. It does
not help in managing osteoporosis related to bone changes.
98%of students nationwide answered this question correctly.
View Topics
1 3317722686
Confidence: Nailed it
Stats
Issue with this question?
6.
The nurse puts elastic stockings on a patient following major abdominal surgery.
Why are elastic stockings used after a surgical procedure?
1
To prevent varicose veins
2
To prevent muscular atrophy
3
To ensure joint mobility and prevent contractures
Correct4
To promote venous return to the heart
Elastic stockings maintain external pressure on the lower extremities and assist in
promoting venous return to the heart. This increase in venous return helps reduce the stasis
of blood and in turn reduces the risk for deep vein thrombosis (DVT) formation in the lower
extremities. The stockings are not used to prevent varicose veins, muscular atrophy, and
contractures, or to promote joint mobility.
The registered nurse is teaching a nursing student about the interventions
performed to prevent deep vein thrombosis in an immobilized patient. Which
statement made by the nursing student indicates a need for correction?
Correct1
"I will massage the legs."
2
