Take Action; Evaluate Exam Questions and Answers
Which action would the nurse take for a newly admitted patient who is unsteady when transferring
from the wheelchair to the bed?
Initiate a fall prevention plan for the patient.
Which action would the nurse take first when assisting a patient who has been in bed for several days
after surgery to transfer from the bed to the chair?
Allow the patient to dangle.
Ambulating
Isotonic
Kegel exercises
Isometric
Heavy weight-lifting
Anaerobic
Repeated stair-climbing
Aerobic
Which interventions would the nurse implement for a patient with lower extremity Paralysis?
Turn every 2 hours.
Arrange for a special bed.
Perform range-of-motion (ROM) exercises at least two times per day.
Which evaluative cue alerts the nurse that a patient with Activity Intolerance is improving?
Has a pulse oximetry reading of 94% when standing to brush teeth
Which instruction would the nurse share with the patient about coughing techniques?
Take two deep breaths in and out to start.
Which action would the nurse take when caring for a patient with sequential compression devices
(SCDs)?
Monitor the patient's toes for impaired circulation.
Which action would the nurse take to improve an immobile patient's nutritional intake?
Allow the patient to make food choices.
Which evaluative findings will alert the nurse an immobile patient with a left hip stage 1 pressure
injury is declining?
Has a Braden Scale score that indicates a high risk for skin breakdown
Develops a Stage 1 pressure injury on the buttocks
Develops a Stage 2 pressure injury on the left hip