Chapter 26: Ambulatory Aids
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A healthy, 32-year-old man wants to start a fitness program to increase his muscle tone
and muscle strength. What advice should the nurse offer him? The United States
Department of Health and Human Services recommends:
1) That exercising even once a week is beneficial.
2) 30 minutes or more of moderate-intensity physical activity three times a week.
3) 1 hour, three times a week of moderate-intensity physical activity.
4) 150 to 300 minutes or more of moderate-intensity physical activity per week.
ANS: 4
Exercise involves physical activity and increases muscle tone and strength. The U.S.
Department of Health and Human Services recommends 150 to 300 minutes or more
of moderate- or vigorous-intensity physical activity per week.
PTS: 1 DIF: Moderate REF: V1, m 757 KEY: Nursing
process: Interventions | Client need: HPM | Cognitive level: Comprehension
2. A patient fractured her right ulna 8 weeks ago and has just had her cast removed. The
orthopedic surgeon prescribes isometric exercises for the right arm. Which of the
following exercises comply with the surgeons orders?
1) Place a foam ball in the right hand and squeeze; hold the squeeze position for 6 to
8 seconds, and replace
2) Grasping the right wrist with the left hand, move the right arm up, down, and side
to side; hold each seconds, and repeat 5 to 10 times.
3) Grasping the right wrist with the left hand, pull the right arm across the body; hold
this position for 6 repeat 5 to 10 times.
4) Press the right hand against a wall; hold this position for 6 to 8 seconds, and
repeat 5 to 10 times.
ANS: 4
Isometric exercise involves muscle contraction without motion. Isometric exercises
are useful for developing strength. This type of exercise is appropriate for the patient
who has had an extremity confined to a cast because muscle atrophy occurs when the
muscle is not used.
PTS: 1 DIF: Difficult REF: V1, m 755 KEY: Nursing process:
Interventions | Client need: PHSI | Cognitive level: Application
3. A patient is on strict bed rest for 5 days. During this time he has not had a bowel
movement; normally, he passes stools daily. He describes feeling bloated and
uncomfortable. What information should the nurse give the patient when explaining
constipation?
1) Immobility often causes constipation.
2) A stool softener daily will relieve the problem.
3) Use of a bedpan results in bloating and constipation.
4) A low-fiber diet will resolve the problem.
, ANS: 1
Immobility slows peristalsis, which leads to constipation, gas, and difficulty
evacuating stools from the rectum. Increasing fiber in the diet often prevents
constipation. A stool softener may be ordered if other measures are unsuccessful.
Some people do find use of a bedpan difficult.
PTS: 1 DIF: Easy REF: V1, m 763 KEY: Nursing process:
Interventions | Client need: PHSI | Cognitive level: Comprehension
4. A patient is on strict bed rest for 5 days. During this time he has not had a bowel
movement; normally, he passes stools daily. He describes feeling bloated and
uncomfortable. A nursing diagnosis that would best address a patient who is on bed rest is
Constipation related to:
1) Change in previous pattern.
2) Immobility.
3) Dietary intake.
4) Change in environment.
ANS: 2
Immobility slows peristalsis, which leads to constipation, gas, and difficulty
evacuating stools from the rectum. Based on the scenario, this nursing diagnosis
would specifically address the patients condition.
PTS: 1 DIF: Moderate REF: V1, m 763; higher-order item with
implied answer KEY: Nursing process: Diagnosis | Client need: PHSI |
Cognitive level: Analysis
5. A 32-year-old paraplegic has been admitted to the hospital for antibiotic therapy to treat
pneumonia. He lives independently and has developed strong upper-body strength to
maximize his independence. Which transfer device should be used when transferring him
from the bed to his wheelchair?
1) Mechanical lift
2) Transfer belt
3) Draw sheet
4) Transfer board
ANS: 4
A transfer board is used by patients with longstanding mobility problems; it offers
them the greatest amount of independence while ensuring safety. Patients using a
transfer board should have sufficient upper-body strength to perform the transfer
safely. A mechanical lift could be used, but it does not promote independence. A
transfer belt is used for clients who are able to stand. A draw sheet is useful for
moving a patient in bed rather than from bed to wheelchair.
PTS: 1 DIF: Easy REF: V1, m 775 KEY: Nursing process:
Evaluation | Client need: SECE | Cognitive level: Comprehension
6. An 82-year-old patient is unsteady on her feet when transferring her position in the room.
She reports feeling a little sore but has no complaints of weakness. What is the
appropriate piece of equipment to use when helping her ambulate?
1) Crutches
2) Transfer belt
3) Cane
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
1. A healthy, 32-year-old man wants to start a fitness program to increase his muscle tone
and muscle strength. What advice should the nurse offer him? The United States
Department of Health and Human Services recommends:
1) That exercising even once a week is beneficial.
2) 30 minutes or more of moderate-intensity physical activity three times a week.
3) 1 hour, three times a week of moderate-intensity physical activity.
4) 150 to 300 minutes or more of moderate-intensity physical activity per week.
ANS: 4
Exercise involves physical activity and increases muscle tone and strength. The U.S.
Department of Health and Human Services recommends 150 to 300 minutes or more
of moderate- or vigorous-intensity physical activity per week.
PTS: 1 DIF: Moderate REF: V1, m 757 KEY: Nursing
process: Interventions | Client need: HPM | Cognitive level: Comprehension
2. A patient fractured her right ulna 8 weeks ago and has just had her cast removed. The
orthopedic surgeon prescribes isometric exercises for the right arm. Which of the
following exercises comply with the surgeons orders?
1) Place a foam ball in the right hand and squeeze; hold the squeeze position for 6 to
8 seconds, and replace
2) Grasping the right wrist with the left hand, move the right arm up, down, and side
to side; hold each seconds, and repeat 5 to 10 times.
3) Grasping the right wrist with the left hand, pull the right arm across the body; hold
this position for 6 repeat 5 to 10 times.
4) Press the right hand against a wall; hold this position for 6 to 8 seconds, and
repeat 5 to 10 times.
ANS: 4
Isometric exercise involves muscle contraction without motion. Isometric exercises
are useful for developing strength. This type of exercise is appropriate for the patient
who has had an extremity confined to a cast because muscle atrophy occurs when the
muscle is not used.
PTS: 1 DIF: Difficult REF: V1, m 755 KEY: Nursing process:
Interventions | Client need: PHSI | Cognitive level: Application
3. A patient is on strict bed rest for 5 days. During this time he has not had a bowel
movement; normally, he passes stools daily. He describes feeling bloated and
uncomfortable. What information should the nurse give the patient when explaining
constipation?
1) Immobility often causes constipation.
2) A stool softener daily will relieve the problem.
3) Use of a bedpan results in bloating and constipation.
4) A low-fiber diet will resolve the problem.
, ANS: 1
Immobility slows peristalsis, which leads to constipation, gas, and difficulty
evacuating stools from the rectum. Increasing fiber in the diet often prevents
constipation. A stool softener may be ordered if other measures are unsuccessful.
Some people do find use of a bedpan difficult.
PTS: 1 DIF: Easy REF: V1, m 763 KEY: Nursing process:
Interventions | Client need: PHSI | Cognitive level: Comprehension
4. A patient is on strict bed rest for 5 days. During this time he has not had a bowel
movement; normally, he passes stools daily. He describes feeling bloated and
uncomfortable. A nursing diagnosis that would best address a patient who is on bed rest is
Constipation related to:
1) Change in previous pattern.
2) Immobility.
3) Dietary intake.
4) Change in environment.
ANS: 2
Immobility slows peristalsis, which leads to constipation, gas, and difficulty
evacuating stools from the rectum. Based on the scenario, this nursing diagnosis
would specifically address the patients condition.
PTS: 1 DIF: Moderate REF: V1, m 763; higher-order item with
implied answer KEY: Nursing process: Diagnosis | Client need: PHSI |
Cognitive level: Analysis
5. A 32-year-old paraplegic has been admitted to the hospital for antibiotic therapy to treat
pneumonia. He lives independently and has developed strong upper-body strength to
maximize his independence. Which transfer device should be used when transferring him
from the bed to his wheelchair?
1) Mechanical lift
2) Transfer belt
3) Draw sheet
4) Transfer board
ANS: 4
A transfer board is used by patients with longstanding mobility problems; it offers
them the greatest amount of independence while ensuring safety. Patients using a
transfer board should have sufficient upper-body strength to perform the transfer
safely. A mechanical lift could be used, but it does not promote independence. A
transfer belt is used for clients who are able to stand. A draw sheet is useful for
moving a patient in bed rather than from bed to wheelchair.
PTS: 1 DIF: Easy REF: V1, m 775 KEY: Nursing process:
Evaluation | Client need: SECE | Cognitive level: Comprehension
6. An 82-year-old patient is unsteady on her feet when transferring her position in the room.
She reports feeling a little sore but has no complaints of weakness. What is the
appropriate piece of equipment to use when helping her ambulate?
1) Crutches
2) Transfer belt
3) Cane
