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NUR 3515 Exam 4 Questions With Correct Answers
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NUR 3515 Exam 4 QuestionsWith Correct Answers
A nurse is preparing an exercise program for a pt. who has COPD. Which
instructions would the nurse include in a teaching plan for this pt? Select all
that apply.
A. Instruct the pt. to avoid sudden position changes that may cause dizziness.
B. Recommend that the pt. restrict fluid until after exercise is finished.
C. Instruct the pt. to push a little further beyond fatigue each session.
D. Instruct the pt. to avoid exercising in very cold or very hot temperatures.
E. Encourage the pt. to modify exercises if weak or ill.
F. Recommend that the pt. consume a high-carb, low-protein diet - ANSWER
A, D
Teaching points for exercising for a pt. with COPD include avoiding sudden
position changes that may cause dizziness and avoiding extreme
temperatures. The nurse should also instruct the pt. to provide for adequate
hydration, respect fatigue by not pushing to the point of exhaustion, and
avoid exercise if weak or ill. Older adults should consume a high-protein,
high-calcium, and vitamin D-enriched diet.
A nurse is providing range-of-motion exercises for a pt. who is recovering
from a stroke. During the sessions, the pt. complains that she is "too tired to
,go on." What would be priority nursing actions for this pt? Select all that
apply.
A. stop performing the exercises
b. decrease the number of repetitions performed.
c. Reevaluate the nursing care plan.
D. move to the pts. other side to perform exercises.
E. encourage the pt. to finish the exercises and then rest.
f. assess the pt. for other sx. - ANSWER a, c, f
When a pt complains of fatigue during range-of-motion exercises, the nurse
should stop the activity, reevaluate the nursing care plan, and assess the pt.
for further sx. The exercise could then be scheduled for times of the day
when the pt. is feeling more rested.
A nurse is ambulating a pt. for the first time following surgery for a knee
replacement. Shortly after beginning to walk, the pt. tells the nurse that she
is dizzy and feels like she might fall. Place these nursing actions in the order
in which the nurse should perform them to protect the pt:
a. grasp the gait belt
b stay with the pt. and call for help
c place feet wide apart with one foot in front
d gently slide pt. down to the floor, protecting her head.
e pull the weight of the pt. backward, against your body
,f. rock your pelvis out on the side of the pt. - ANSWER c, f, a, e, d, b
A nurse caring for pts. in a pediatrician's office assesses infants and toddlers
for physical developmental milestones. Which pt. would the nurse refer to a
specialist based on failure to achieve these milestones?
a. A 4 mo old infant who is unable to roll over
b. A 6 mo old infant who is unable to hold his head up himself
c. An 11 mo old infant who cannot walk unassisted
d. an 18 mo old toddler who cannot jump - ANSWER B by 5 mo head control
should be achieved.
A nurse is caring for a pt. who has been hospitalized for a spinal cord injury
following a motor vehicle accident. Which action would the nurse perform
when logrolling the pt. to reposition on his side?
a. Have the pt. extend his arms outward and cross his legs on top of a pillow.
b. Stand at the side of the bed in which the pt. will be turned while another
nurse gently pushes the pt. from the other side
c. have the pt. cross his arms on his chest and place a pillow between his
knees.
d. Place a cervical collar on the pt's neck and gently roll him to the other side
of the bed. - ANSWER c.
, A nurse is caring for a pt. in a long-term care facility who has had two UTI's
in the past year related to immobility. Which finding would the nurse expect
in this pt?
A. improved renal blood supply to the kidneys
b. urinary stasis
c. decreased urinary calcium
d. acidic urine formation - ANSWER b.
A nurse is caring for a pt. who is hospitalized with pneumonia and is
experiencing some difficulty breathing. The nurse most appropriately assists
him into which position to promote maximal breathing in the thoracic cavity?
- ANSWER c
A nurse is assisting a postoperative pt. with conditioning exercises to prepare
for ambulation. Which instructions from the nurse are appropriate for this
pt.? Select all that apply
a. Do full-body pushups in bed 6-8 times daily
b. breath in and out smoothly during quadriceps drills
c. place the bed in the lowest position or use a footstool for dangling.
d. dangle on the side of the bed for 30-60 minutes
e. allow the nurse to bathe the pt. completely to prevent fatigue.
f. perform quadriceps two to three times per hour, 4-6 times a day. -
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