Week 4 Flashcards
The nurse recognizes that which organization requires that employers comply with ergonomic recommendations?
The Joint Commission (TJC)
National Institute for Occupational Safety and Health (NIOSH)
National League for Nursing (NLN)
American Nurses Association (ANA)
National institute for occupational safety and health.
A nurse is caring for a client who has had a stroke. The nurse knows that the client could develop contractures. Inactivity of which of the following systems could cause contractures?
musculoskeletal system
peripheral nervous system
endocrine system
central nervous system
Musculoskeletal
A male client is being treated on a neurological unit for the effects of a recent stroke. The client’s family members are participating actively in his care and frequently position him in a supine position. The nurse should teach the family members about the benefits of alternative positions in order to reduce the client’s risk of:
skin breakdown.
dyspnea.
contractures.
peripheral edema.
Skin breakdown
A nurse is assessing a client after knee surgery in a health care facility. Which intervention should the nurse follow to avoid complications associated with disuse syndrome?
follow a rigid daily routine for the client
encourage active exercise with a bed trapeze
reposition the client every 4 hours
use a gel mattress on the bed
Encourage active exercise with a a bed trapeze
A 59-year old female client reports to the nurse that she recently began taking alendronate and has been having stomach cramping, nausea, and diarrhea. How will the nurse educate the client?
“Take this medication monthly instead of weekly.”
“These side effects are normal, so do not worry about them.”
“Be sure to drink 8 ounces of water when you take alendronate, and take it on an empty stomach.”
“Discontinue taking the medication immediately.”
“Be sure to drink 8 ounces of water when you take alendronate, and take it on an empty stomach.”
A nurse is caring for a client with a leg fracture. The client is placed on an adjustable bed in the Trendelenburg position. How will this position help the client?
It helps the client look around without twisting and bending.
It promotes the drainage of the upper lobes of the lungs.
It prevents the client from sliding down toward the foot of the bed.
It prepares the client for the ability to eventually stand and walk.
It prevents the client from sliding down toward the foot of the bed.
A nurse is caring for a client with demobilized respiratory secretions. Which device will best mobilize respiratory secretions?
static air mattress
air-fluidized bed
circular bed
oscillating support bed
Oscillating support bed
The nurse is helping the unlicensed assistive personnel (UAP) to complete several tasks. What action(s) by the UAP requires the nurse to intervene? Select all that apply.
The UAP turns the client as a complete unit.
The UAP has the bed at knee-level when making an occupied bed.
The UAP twists to reach behind oneself for a washcloth.
The UAP asks for assistance when transferring a client from the bed to the chair.
The UAP carries the load of linens in a trash bag close to the body.
The UAP has the bed at knee-level when making an occupied bed.,
The UAP twists to reach behind oneself for a washcloth.
The pediatric nurse is caring for a newborn infant. In which position will the nurse place the infant to sleep?
Sims’
lateral
prone
supine
Supine
A nurse is caring for a client with dyspnea in a health care facility. What intervention should the nurse follow to control the speed when repositioning the client?
lowering the side rail and moving the client to one side of the bed
placing one hand on the client’s shoulder and the other on the hip on the far side
replacing pillows behind the back and between the legs and under the upper arm
shifting hands from the posterior of the shoulder and hip to the anterior as the client rolls toward the client’s abdomen
shifting hands from the posterior of the shoulder and hip to the anterior as the client rolls toward the client’s abdomen
A nurse at an extended care facility is caring for a female resident whose spinal curvature is exaggerated by kyphotic changes. How can the nurse best position this resident to reduce pressure on her vertebrae?
in a slight Trendelenburg position
in a prone position
with a small roll or pillow under her neck
with her knees slightly elevated
With a small roll or pillow under her neck.
The occupational nurse is teaching an administrative assistant about proper posture when sitting. Which teaching will the nurse include?
“Cross your legs alternately throughout the day.”
“Keep your knees bent, with the backs of the knees against your chair.”
“The upper and lower thighs are your base of support.”
“Both of your feet should rest on the floor.”
Both of your feet should rest on the floor
The nurse is caring for a client with hemorrhoids. To facilitate a rectal examination, into which position will the nurse place the client?
Fowler’s
prone
supine
Sims’
Sims
A nurse in a health care facility is teaching a client to maintain correct standing posture. Which instruction should the nurse give the client to help avoid strain on the joints?
Hold the abdomen up and in.
Bend the head back slightly.
Extend or stretch the waist.
Bend the knees slightly.
Bend the knees slightly
A nurse is preparing an older adult client for a rectal examination. The nurse uses trochanter rolls to prevent the legs from turning outward. Which intervention would allow the nurse to anchor the body in the correct position?
rolling the sheet around the blanket
placing a roll between the client’s ankles
folding the sheet lengthwise in half and placing it under the hips
permitting the legs to rest against the trochanter rolls
Folding the sheet lengthwise in half and placing it under the hips
A nurse is performing a general physical assessment for a client. What is the most important thing the client can do to promote work endurance?
twist and stretch muscles during work
hold objects closer to the body
keep the feet apart when holding objects
rest between periods of exertion
Rest between periods of exertion
A client is postoperative day 2 following hip replacement surgery, and the nurse is helping the physical therapist ambulate the client for the first time since surgery. How can the nurse and therapist best assist the client from a seated position at the edge of the bed to a standing position?
have the therapist pull the client into a standing position while the nurse gently pushes from behind
apply a transfer belt around the client’s waist
utilize a mechanical ceiling lift
have the nurse and the therapist each grasp one of the client’s arms
Apply a transfer belt around the clients waist
The nurse is providing health teaching for a client who flies often for business. Which risk factor associated with flying will the nurse emphasize?
thrombus formation
skeletal contractures
oliguria
pooling of secretions
Thrombus formation
A nurse is caring for an 85-year-old client in an extended-care facility. What position will the nurse recommend to help prevent skin breakdown?
Fowler position
Sims position
prone position
lateral position
Prone position
A client with a diagnosis of chronic obstructive pulmonary disease has been experiencing debilitating periods of dyspnea since being admitted to the health care facility. What position is most likely to alleviate this client’s shortness of breath?
Prone position
Lateral oblique position
High Fowler position
Sims position
High Fowler position
The nurse is performing discharge teaching with the family of a male client who has limited mobility and a significant cognitive deficit. The nurse has described the phenomenon of foot drop to the client’s family and should describe what intervention to prevent its development?
applying a foot splint correctly to maintain neutral foot positioning
flexing the client’s feet at the ankles three to four times daily
providing vigilant skin care to the client’s feet and keeping his toenails trimmed
using a transfer belt correctly when repositioning the client
applying a foot splint correctly to maintain neutral foot positioning
The nurse is caring for an 84-year-old client. While assessing the client, the nurse notes that the client has an unsteady gait and weak muscle strength and tires easily with physical exertion. How will the nurse document this finding?
poor alignment
disuse syndrome
functional position
low energy
Disuse syndrome
The nurse wishes to keep a client from sliding down toward the foot of the bed. Into which position will the nurse place the client?
Sims’
prone
supine
slight Trendelenburg
Slight trendelenburg
Which definition best describes functional ability?
A- the physical, psychological, cognitive, and social ability to carry on the normal activities of life
B- the ability to effectively adapt physically, psychologically, cognitively, and socially to an illness state
C- the ability to function as a contributing member of society
D- the ability of the human body to carry out necessary functions to live.
A- the physical, psychological, cognitive, and social ability to carry on the normal activities of life