NUR 305 Ch. 34 Practice Questions.
Activity
What is a benefit of regular exercise over time?
increased risk for blood clots
increased work of breathing
decreased heart rate
decreased venous return - answer decreased heart rate
*
- increases circulating fibrinolysin that serves to break up small clots --> decreasing the
risk for blood clots.
- improved pulmonary function--> including decreased work of breathing
- Venous return is improved when contracting muscles compress superficial veins and
push blood back to the heart against gravity.
A nurse is conducting a home assessment of a 90-year-old client with a history of
several minor strokes that have left the client with a hemiplegic gait. The nurse is
particularly concerned about falls. Which activities would help to prevent falls for this
client? Select all that apply.
removing clutter from the floor
placing nightlights in the bathroom and hallways
moving the bedroom to the ground floor
installing hardwood floors - answerremoving clutter from the floor
placing nightlights in the bathroom and hallways
moving the bedroom to the ground floor
A nurse applies padded boots to maintain the unconscious client's foot in dorsiflexion.
The nurse is protecting the client from what complication?
decubitus ulcers
muscle spasms
muscle atrophy
foot drop - answerfoot drop
*contracture in which the foot is fixed in plantar flexion
A nurse at a health care facility is assisting a client during a prescribed passive
therapeutic exercise. Passive exercise is most suitable for clients who:
have undergone mastectomy surgery.
are paralyzed from a stroke or spinal injury.
have cardiorespiratory conditioning.
, have had prior cardiac-related symptoms. - answerare paralyzed from a stroke or spinal
injury.
The nurse is assessing the gait of an older adult client who is walking with knees slightly
flexed and body leaning slightly forward. Which action will the nurse take?
Facilitate an orthopedic consultation.
Document a common gait for the older adult.
Apply falls prevention measures.
Encourage the client to consider assistive devices. - answerDocument a common gait
for the older adult.
*One contributing factor is the shift in the center of gravity. To compensate for this shift,
the knees flex slightly for support and the client leans forward
A client with limited mobility has outward rotation of the bony protrusions at the head of
the femur. Which assistive device would the nurse include in the plan of care?
trochanter rolls
foot boards
foot splints
roller sheets - answertrochanter rolls
The nurse uses gait belts when assisting clients to ambulate. Which client would be a
likely candidate for this assistive device?
A client who has leg strength and can cooperate with the movement
A client who has an abdominal incision
A client with a thoracic incision
A client who is confined to bed rest - answerA client who has leg strength and can
cooperate with the movement
* Gait belts also allow the nurse to assist in ambulating clients who have leg strength,
can cooperate, and require minimal assistance.
The nurse is preparing a client for a stress electrocardiogram. Which client statement
requires further nursing teaching?
"I will keep walking, even if I feel exhausted."
"You will monitor my heart rate and rhythm while I walk."
"The speed and incline of the treadmill will increase as the test goes on."
"I will wear a pulse oximeter to measure my level of oxygenation." - answer"I will keep
walking, even if I feel exhausted."
The client is ambulating in the room and walks around a bedside table. What is the best
explanation for why the client does not bump into the table?
The brain is sending impulses to the muscles to avoid the table.
The client is aware of spatial relationships to avoid the table.
The client's muscles are being stretched to walk around the table.
Activity
What is a benefit of regular exercise over time?
increased risk for blood clots
increased work of breathing
decreased heart rate
decreased venous return - answer decreased heart rate
*
- increases circulating fibrinolysin that serves to break up small clots --> decreasing the
risk for blood clots.
- improved pulmonary function--> including decreased work of breathing
- Venous return is improved when contracting muscles compress superficial veins and
push blood back to the heart against gravity.
A nurse is conducting a home assessment of a 90-year-old client with a history of
several minor strokes that have left the client with a hemiplegic gait. The nurse is
particularly concerned about falls. Which activities would help to prevent falls for this
client? Select all that apply.
removing clutter from the floor
placing nightlights in the bathroom and hallways
moving the bedroom to the ground floor
installing hardwood floors - answerremoving clutter from the floor
placing nightlights in the bathroom and hallways
moving the bedroom to the ground floor
A nurse applies padded boots to maintain the unconscious client's foot in dorsiflexion.
The nurse is protecting the client from what complication?
decubitus ulcers
muscle spasms
muscle atrophy
foot drop - answerfoot drop
*contracture in which the foot is fixed in plantar flexion
A nurse at a health care facility is assisting a client during a prescribed passive
therapeutic exercise. Passive exercise is most suitable for clients who:
have undergone mastectomy surgery.
are paralyzed from a stroke or spinal injury.
have cardiorespiratory conditioning.
, have had prior cardiac-related symptoms. - answerare paralyzed from a stroke or spinal
injury.
The nurse is assessing the gait of an older adult client who is walking with knees slightly
flexed and body leaning slightly forward. Which action will the nurse take?
Facilitate an orthopedic consultation.
Document a common gait for the older adult.
Apply falls prevention measures.
Encourage the client to consider assistive devices. - answerDocument a common gait
for the older adult.
*One contributing factor is the shift in the center of gravity. To compensate for this shift,
the knees flex slightly for support and the client leans forward
A client with limited mobility has outward rotation of the bony protrusions at the head of
the femur. Which assistive device would the nurse include in the plan of care?
trochanter rolls
foot boards
foot splints
roller sheets - answertrochanter rolls
The nurse uses gait belts when assisting clients to ambulate. Which client would be a
likely candidate for this assistive device?
A client who has leg strength and can cooperate with the movement
A client who has an abdominal incision
A client with a thoracic incision
A client who is confined to bed rest - answerA client who has leg strength and can
cooperate with the movement
* Gait belts also allow the nurse to assist in ambulating clients who have leg strength,
can cooperate, and require minimal assistance.
The nurse is preparing a client for a stress electrocardiogram. Which client statement
requires further nursing teaching?
"I will keep walking, even if I feel exhausted."
"You will monitor my heart rate and rhythm while I walk."
"The speed and incline of the treadmill will increase as the test goes on."
"I will wear a pulse oximeter to measure my level of oxygenation." - answer"I will keep
walking, even if I feel exhausted."
The client is ambulating in the room and walks around a bedside table. What is the best
explanation for why the client does not bump into the table?
The brain is sending impulses to the muscles to avoid the table.
The client is aware of spatial relationships to avoid the table.
The client's muscles are being stretched to walk around the table.
