Exam (elaborations)
NUR 310 EXAM 4 QUESSTIONS WITH COMPLETE ANSWERS
- Course
- Institution
NUR 310 EXAM 4 QUESSTIONS WITH COMPLETE ANSWERS
[Show more]
Content preview
NUR 310 EXAM 4 QUESSTIONS WITHCOMPLETE ANSWERS
A 74-year-old client has kyphosis and is reporting discomfort of the cervical vertebrate.
Which nursing intervention is most appropriate?
contacting the primary health care provider
placing a small towel under the neck
administering a muscle relaxer
positioning the client on the stomach - Answer-placing a small towel under the neck
Explanation:
Kyphotic changes can cause pressure on cervical vertebrae when someone is in a
supine position. Effects of this can be minimized by placing a small towel or cervical
pillow under the neck. Placing the client on the stomach is incorrect, and a muscle
relaxer will not help reduce the pressure caused by the kyphosis. Contacting the health
care provider is unnecessary.
The nurse is caring for a client with rectal bleeding. The nurse will place the client into
which position to facilitate rectal examination?
supine
prone
Sims'
Fowler's - Answer-Sim's
Explanation:
Sims' position, a semi-prone position, can be used for certain examinations of the
rectum and vagina. The other positions do not allow adequate examination of this area.
The nurse is encouraging the client to use hand rolls to prevent contractures. Which
statement by the client indicates that further teaching is necessary?
"The hand rolls help keep my thumb positioned away from my hand."
"The hand rolls help me develop strength in my grip."
"I can use a rolled-up washcloth if I don't have a hand roll."
,"I need to remove the hand roll often to exercise my hand muscles." - Answer-"The
hand rolls help me develop strength in my grip."
Explanation:
Hand rolls prevent contractures (permanently shortened muscles that resist stretching)
of the fingers. They keep the thumb positioned slightly away from the hand and at a
moderate angle to the fingers. The fingers are kept in a slightly neutral position rather
than a tight fist. A rolled-up washcloth or a ball can be used as an alternative to
commercial hand rolls. Hand rolls are removed regularly to facilitate movement and
exercise. Hand rolls are not used to strengthen the grip.
The client is contracting their leg muscles as part of rehabilitation. When the muscles
contract, which element is released into the client's sarcoplasmic reticulum?
Potassium
Calcium
Sodium
Chloride - Answer-Calcium
Explanation:
The transmitting activity occurs when calcium is released into the sarcoplasmic
reticulum (site of storage and release for calcium in the muscle), which initiates a
complex series of biochemical events that result in muscle contraction.
The nurse is performing a physical assessment on an adolescent. What assessment
priorities are needed for this age group?
kyphosis
shifted center of gravity
increased need for calcium and vitamin D
scoliosis - Answer-scoliosis
Explanation:
Numerous factors, including growth and development, influence a person's posture,
movement, and daily activity level. The adolescent should be assessed for scoliosis
(curvature of the spine). Kyphosis is increased convexity in the thoracic spine from disk
shrinkage and decreased height, common in older adults. A shifted center of gravity
occurs during pregnancy (in the adult) because of the developing fetus. Older adults
have an increased need for calcium and vitamin D related to the risk for osteoporosis.
, The nurse is working to increase functional ability of a client who is bedbound. Which
assistive technique should the nurse prioritize in the plan of care?
trapeze bar
log rolling
pull sheets
trochanter rolls - Answer-trapeze bar
Explanation:
Promoting client independence with movement and activity is an important intervention
for clients who are bedbound, especially ones with musculoskeletal problems. Unlike
log rolling, trochanter rolls, and pull sheets, which are nurse-initiated methods, the
overhead trapeze is used by the client.
The nurse is assessing a client who has presented at the ambulatory care unit. The
nurse notes the client has impaired muscle coordination. The nurse documents the
presence of what health problem?
Ataxia
Tremors
Chorea
Athetosis - Answer-Ataxia
Explanation:
Ataxia refers to a lack of muscle coordination. Tremors are rhythmic, repetitive
movements. Chorea is spontaneous, brief, involuntary muscle twitching of the limbs or
facial muscles. Athetosis refers to movement characterized by slow, irregular, twisting
motions.
A client expresses concern that there is an increase in urine output after exercising.
How would the nurse address the client's concern? Select all that apply.
Explain that urination after exercise is a result of increased circulation to the kidneys
and is a normal function
Assess cardiovascular function and blood pressure
Ask the client to provide details of the exercise regimen including frequency and type
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $18.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85169 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now