1. When caring for the skin of patients of different age groups, which of the following should
the nurse consider?
Answer
An adolescent's skin ordinarily has enlarged sebaceous glands and increased glandular
secretions.
2. During a bed bath, the correct procedure used when washing a limb is to
Answer
Wash the extremity in the direction of distal to proximal
3. When making an occupied bed, which of the following is most important for the nurse to do?
Answer
Use a bath blanket or top sheet for warmth and privacy
4. While making a bed, the nurse chooses to reuse the bedspread because it is not soiled. The
nurse should
Answer
remove and fold the spread, and place it on a clean work area
5. When handling linen, what technique would minimize the spread of microor- ganisms?
Answer
Rolling soiled linens to the middle of the bed
6. When providing oral care for the comatose patient, the nurse should
Answer
turn the patient's head to the side, with a basin placed under the mouth
7. A nurse is caring for an 80 year old patient who has become weak and fa- tigues easily. He is
unable to wash his body and always asks the nurse to brush his teeth. Based on this information,
which of the following is an appropriate nursing diagnosis for this patient?
Answer
Bathing/Hygiene Self-Care Deficit related to decreased strength and endurance
,8. Factors Affecting Mobility
Answer
Developmental Level Physical Health
-problems with MS or nervous system
-problems with respiratory system
-disease/meds that cause fatigue, muscle aches, pain, bedrest Mental Health
-energy level
-fear
-pain Lifestyle
-sedentary vs. active
9. Types of Exercise
Answer
Isotonic Isometric
Isokinetic
10. Isotonic
Answer
Muscle shortening and active movement
11. Isometric
Answer
Muscle contraction without shortening
12. Isokinetic
Answer
Muscle contraction with resistance
13. A patient performs a rehabilitative exercise with resistance after knee injury. The nurse
interprets this type of exercise as which of the following?-
Metabolic
-increased efficiency of metabolism and body temp. regulation
15. Benefits of Exercise; cont.
Answer
GI
-improved digestion and eliminiation
GU
-increased efficiency in maintaining fluid and acid-base balance, waste excretion
-prevents kidney stones
Skin
-improved circulation --> good skin tone, color, and turgor
Psychosocial
-increased energy
-improved sleep, self-concept
-positive self care behaviors
, 16. Mrs. Bellas is a 40 year old woman in a sedentary job who is beginning an exercise
program. Which of the following effects will exercise have on her cardiovascular system?
Answer
Decreased heart rate and blood pressure
17. Effects of Immobility
Answer
Cardiovascular
-decreased venous return --> risk for blood clots
Skin
-increased risk of breakdown --> pressure injuries Respiratory
-atelectasis
collapsed part of lung
-pneumonia
Musculoskeletal
-muscle wasting/atrophy
-contractures
-decreased bone mass
-loss of functional mobility
GI
-decreased peristalsis and motility
GU
-urinary stasis
-fluid and electrolyte shifts
-renal calculi
Metabolic
-decreased metabolic rate
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