Exam (elaborations)
MODULE 3 REVIEW QUESTIONS WITH VERIFIED ANSWERS.
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MODULE 3 REVIEW QUESTIONS WITH VERIFIED ANSWERS.
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MODULE 3 REVIEW QUESTIONS WITHVERIFIED ANSWERS
1. ggA ggclient gghas ggbeen ggon ggprolonged ggbed ggrest, ggand ggthe ggnurse ggis
ggobserving ggfor ggsigns ggassociated ggwith ggimmobility. ggIn ggassessment ggof ggthe
ggclient, ggthe ggnurse ggis ggalert ggto gga(n):
1. ggIncreased ggblood ggpressure
2. ggDecreased ggheart ggrate
3. ggIncreased ggurinary ggoutput
4. ggDecreased ggperistalsis gg- ggAnswer ggDecreased ggperistalsis
2. ggA gg61-year-old ggclient ggrecently ggsuffered ggleft-sided ggparalysis ggfrom gga
ggcerebrovascular ggaccident gg(stroke). ggIn ggplanning ggcare ggfor ggthis ggclient, ggthe
ggnurse ggimplements ggwhich ggone ggof ggthe ggfollowing ggas ggan ggappropriate
ggintervention?
1. ggEncourage ggan ggeven gggait ggwhen ggwalking ggin ggplace.
2. ggAssess ggthe ggextremities ggfor ggunilateral ggswelling ggand ggmuscle ggatrophy.
3. ggEncourage ggholding ggthe ggbreath ggfrequently ggto gghyperinflate ggthe ggclient's
gglungs.
4. ggTeach ggthe gguse ggof gga ggtwo-point ggcrutch ggtechnique ggfor ggambulation. gg-
ggAnswer ggAssess ggthe ggextremities ggfor ggunilateral ggswelling ggand ggmuscle
ggatrophy.
3. ggTwo ggnurses ggare ggstanding ggon ggopposite ggsides ggof ggthe ggbed ggto ggmove ggthe
ggclient ggup ggin ggbed ggwith gga ggdrawsheet. ggWhere ggshould ggthe ggnurses ggbe
ggstanding ggin ggrelation ggto ggthe ggclient's ggbody ggas ggthey ggprepare ggfor ggthe
ggmove?
1. ggEven ggwith ggthe ggthorax
2. ggEven ggwith ggthe ggshoulders
3. ggEven ggwith ggthe gghips
4. ggEven ggwith ggthe ggknees gg- ggAnswer ggEven ggwith ggthe ggshoulders
4. ggA ggclient ggis ggleaving ggfor ggsurgery ggand ggbecause ggof ggpreoperative ggsedation
ggneeds ggcomplete ggassistance ggto ggtransfer ggfrom ggthe ggbed ggto ggthe ggstretcher.
ggWhich ggof ggthe ggfollowing ggshould ggthe ggnurse ggdo ggfirst?
1. ggElevate ggthe gghead ggof ggthe ggbed.
2. ggExplain ggthe ggprocedure ggto ggthe ggclient.
,3. ggPlace ggthe ggclient ggin ggthe ggprone ggposition.
4. ggAssess ggthe ggsituation ggfor ggany ggpotentially ggunsafe ggcomplications. gg- ggAnswer
ggAssess ggthe ggsituation ggfor ggany ggpotentially ggunsafe ggcomplications.
5. ggA ggclient gghas ggsequential ggcompression ggstockings ggin ggplace. ggThe ggnurse
ggevaluates ggthat ggthey ggare ggimplemented ggappropriately ggby ggthe ggnew ggstaff
ggnurse ggwhen ggthe:
1. ggInitial ggmeasurement ggis ggmade ggaround ggthe ggclient's ggcalves
2. ggIntermittent ggpressure ggis ggset ggat gg40 ggmm ggHg
3. ggStockings ggare ggwrapped ggdirectly ggover ggthe ggleg ggfrom ggankle ggto ggknee
4. ggStockings ggare ggremoved ggevery gghour ggduring ggapplication gg- ggAnswer
ggIntermittent ggpressure ggis ggset ggat gg40 ggmm ggHg
6. ggThe ggnurse ggassesses ggthat ggthe ggclient gghas ggtorticollis ggand ggthat ggthis ggmay
ggadversely gginfluence ggthe ggclient's ggmobility. ggThis ggindividual gghas gga(n):
1. ggExaggeration ggof ggthe gglumbar ggspine ggcurvature
2. ggIncreased ggconvexity ggof ggthe ggthoracic ggspine
3. ggAbnormal gganteroposterior ggand gglateral ggcurvature ggof ggthe ggspine
4. ggContracture ggof ggthe ggsternocleidomastoid ggmuscle ggwith gga gghead ggincline gg-
ggAnswer ggContracture ggof ggthe ggsternocleidomastoid ggmuscle ggwith gga gghead
ggincline
7. ggAn ggimmobilized ggclient ggis ggsuspected ggof gghaving ggatelectasis. ggThis ggis
ggassessed ggby ggthe ggnurse ggupon ggauscultation ggas:
1. ggHarsh ggcrackles
2. ggWheezing ggon gginspiration
3. ggDiminished ggbreath ggsounds
4. ggBronchovesicular ggwhooshing gg- ggAnswer ggDiminished ggbreath ggsounds
8. ggThe ggbest ggapproach ggfor ggthe ggnurse ggto gguse ggto ggassess ggthe ggpresence ggof
ggthrombosis ggin ggan ggimmobilized ggclient ggis ggto:
1. ggMeasure ggthe ggcalf ggand ggthigh ggcircumferences
2. ggAttempt ggto ggelicit ggHomans' ggsign
3. ggPalpate ggthe ggtemperature ggof ggthe ggfeet
4. ggObserve ggfor gga ggloss ggof gghair ggand ggskin ggturgor ggin ggthe gglower gglegs gg-
ggAnswer ggMeasure ggthe ggcalf ggand ggthigh ggcircumferences
9. ggA ggclient ggis gggetting ggup ggfor ggthe ggfirst ggtime ggafter gga ggperiod ggof ggbed ggrest.
ggThe ggnurse ggshould ggfirst:
1. ggAssess ggrespiratory ggfunction
2. ggObtain gga ggbaseline ggblood ggpressure
3. ggAssist ggthe ggclient ggwith ggsitting ggat ggthe ggedge ggof ggthe ggbed
4. ggAsk ggthe ggclient ggif gghe ggor ggshe ggfeels gglight-headed gg- ggAnswer ggObtain gga
ggbaseline ggblood ggpressure
,10. ggTo ggpromote ggrespiratory ggfunction ggin ggthe ggimmobilized ggclient, ggthe ggnurse
ggshould:
1. ggChange ggthe ggclient's ggposition ggevery gg4 ggto gg8 gghours
2. ggEncourage ggdeep ggbreathing ggand ggcoughing ggevery gghour
3. ggUse ggoxygen ggand ggnebulizer ggtreatments ggregularly
4. ggSuction ggthe ggclient's ggsecretions ggevery gghour gg- ggAnswer ggEncourage ggdeep
ggbreathing ggand ggcoughing ggevery gghour
11. ggAntiembolic ggstockings gg(thromboembolic ggdevice gg[TED] gghose) ggare ggordered
ggfor ggthe ggclient ggon ggbed ggrest ggfollowing ggsurgery. ggThe ggnurse ggexplains ggto ggthe
ggclient ggthat ggthe ggprimary ggpurpose ggfor ggthe ggTEDs ggis ggto:
1. ggKeep ggthe ggskin ggwarm ggand ggdry
2. ggPrevent ggabnormal ggjoint ggflexion
3. ggApply ggexternal ggpressure
4. ggPrevent ggbleeding gg- ggAnswer ggApply ggexternal ggpressure
12. ggTo ggprovide ggfor ggthe ggpsychosocial ggneeds ggof ggan ggimmobilized ggclient, ggan
ggappropriate ggstatement ggby ggthe ggnurse ggis ggwhich ggof ggthe ggfollowing? gg
1. gg"The ggstaff ggwill gglimit ggyour ggvisitors ggso ggthat ggyou ggwill ggnot ggbe ggbothered."
2. gg"A ggroommate ggcan ggbe gga ggreal ggbother. ggYou'd ggprobably ggrather gghave gga
ggprivate ggroom."
3. gg"Let's ggdiscuss ggthe ggroutine ggto ggsee ggif ggthere ggare ggany ggchanges ggwe ggcan
ggmake."
4. gg"I ggthink ggyou ggshould gghave ggyour gghair ggdone ggand ggput ggon ggsome
ggmakeup." gg- ggAnswer gg"Let's ggdiscuss ggthe ggroutine ggto ggsee ggif ggthere ggare ggany
ggchanges ggwe ggcan ggmake."
13. ggTo ggreduce ggthe ggchance ggof ggexternal gghip ggrotation ggin gga ggclient ggon
ggprolonged ggbed ggrest, ggthe ggnurse ggshould ggimplement ggthe gguse ggof gga:
1. ggFootboard
2. ggTrochanter ggroll
3. ggTrapeze ggbar
4. ggBed ggboard gg- ggAnswer ggTrochanter ggroll
14. ggTo ggreduce ggthe ggchance ggof ggplantar ggflexion gg(footdrop) ggin gga ggclient ggon
ggprolonged ggbed ggrest, ggthe ggnurse ggshould ggimplement ggthe gguse ggof:
1. ggTrapeze ggbars
2. ggHigh-top ggsneakers
3. ggTrochanter ggrolls
4. ggThirty-degree gglateral ggpositioning gg- ggAnswer ggHigh-top ggsneakers
15. ggWhich ggof ggthe ggfollowing ggis ggthe ggmost ggimportant ggto ggconsider ggwhen
ggassisting ggthe ggclient ggin ggpassive ggrange-of-motion ggexercises?
1. ggFlex ggthe ggjoint ggto ggthe ggpoint ggof ggdiscomfort.
2. ggWork ggfrom ggthe ggproximal ggjoints ggto ggthe ggdistal ggjoints.
3. ggQuickly ggwork ggthrough ggthe ggrange ggof ggmotion.
, 4. ggSupport ggthe ggdistal ggjoints ggwhile ggperforming ggrange-of-motion ggexercises. gg-
ggAnswer ggSupport ggthe ggdistal ggjoints ggwhile ggperforming ggrange-of-motion
ggexercises.
16. ggWhich ggof ggthe ggfollowing ggclients ggis ggmost ggat ggrisk ggfor gglosing gghis ggor ggher
ggbalance?
1. ggA ggwoman ggwho ggis gg9 ggmonths ggpregnant ggwalking ggdown gga ggflight ggof ggstairs
2. ggA gg16-year-old ggskate ggboarding ggdown gga gg15-degree ggslope
3. ggA gg45-year-old ggtaking gghypertensive ggmedication
4. ggA gg4-year-old ggriding gga ggtricycle gg- ggAnswer ggA ggwoman ggwho ggis gg9 ggmonths
ggpregnant ggwalking ggdown gga ggflight ggof ggstairs
17. ggIt gghas ggbeen ggdetermined ggthat ggall ggof ggthe ggfollowing ggclients ggare ggat ggrisk
ggfor ggfalling. ggWhich ggone ggrequires ggthe ggnurse's ggpriority ggfor ggambulation? gg
1. ggA gg16-year-old ggwith gga ggsprained ggankle ggbeing ggdischarged ggfrom ggthe
ggemergency ggdepartment
2. ggA gg54-year-old ggwho gghas ggtaken ggthe gginitial ggdose ggof ggan ggantihypertensive
ggmedication
3. ggA gg45-year-old ggpostoperative ggclient ggup ggfor ggthe ggfirst ggtime ggsince ggknee
ggsurgery
4. ggAn gg81-year-old ggwho ggis ggasthmatic ggand gghad gga gghip ggreplaced gg18 ggmonths
ggago gg- ggAnswer ggA gg45-year-old ggpostoperative ggclient ggup ggfor ggthe ggfirst ggtime
ggsince ggknee ggsurgery
18. ggWhich ggof ggthe ggfollowing ggstatements ggmade ggby ggancillary ggstaff ggreflects
ggthe ggmost gginformed ggknowledge ggregarding ggthe ggbenefit ggof gghaving gga ggclient
ggassist ggwith gghis ggor ggher ggown ggactivities ggof ggdaily ggliving gg(ADLs) ggto ggthat
ggclient's ggactivity ggtolerance?
1. gg"The ggmore gghe ggdoes ggfor gghimself, ggthe ggmore gghe ggwill ggbe ggable ggto ggdo
ggfor gghimself."
2. gg"He ggdoesn't gglike ggwashing ggand ggdressing gghimself, ggbut ggit ggmakes gghim
ggstronger."
3. gg"Doing ggfor gghimself ggmakes gghim ggtired, ggbut ggin ggthe gglong ggrun gghe gghas
ggmore ggenergy ggand ggstrength ggwhen gghe ggdoes."
4. gg"By ggwashing ggand ggdressing gghimself gghe ggis ggbuilding ggmuscle ggstrength ggthat
gglets gghim ggactually ggwalk gga gglittle ggbetter." gg- ggAnswer gg"By ggwashing ggand
ggdressing gghimself gghe ggis ggbuilding ggmuscle ggstrength ggthat gglets gghim ggactually
ggwalk gga gglittle ggbetter."
19. ggWhich ggof ggthe ggfollowing ggstatements ggregarding ggphysical ggactivity ggand ggits
ggeffect ggon ggactivity ggtolerance ggmade ggby gga ggclient ggshows ggthe ggmost gginformed
ggknowledge ggregarding ggthe ggconnection ggbetween ggthe ggtwo?
1. gg"I ggknow ggI ggneed ggto ggwalk ggmore ggif ggI ggwant ggto ggget ggstronger."
2. gg"I ggdon't gglike ggwalking, ggbut ggI ggdo ggit ggbecause ggI ggknow ggit ggwill ggmake ggme
ggstronger."
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