Exam 3 Ch. 28 | 暗記メーカー

暗記メーカー

Exam 3 Ch. 28

15問 • 3年前

問題一覧

1

1. What response would the nurse give the patient when questioned about the effect of rheumatoid arthritis on the musculoskeletal system?

c. Joint inflammation

2

2. The nurse is implementing generalized falls precautions for patients who are at risk for falls. Which intervention indicates a lack of understanding of these precautions?

b. The patient is wearing socks.

3

3. The nurse is educating the family of a patient on falls risk precautions. Which statement by the family indicates a need for further education?

c. “I should leave her slippers by the wheelchair.”

4

4. The nurse is performing passive range-of-motion exercises on a patient when the patient begins to complain of pain. What is the first thing the nurse should do?

c. Stop the range of motion.

5

5. The nurse recognizes which goal to be appropriate for the patient who is postoperative day one from a hip fracture with the nursing diagnosis Impaired mobility?

b. Patient will ambulate to the bathroom with assistance.

6

6. The nurse identifies which goal to be appropriate for the patient who is postoperative day one from abdominal surgery and on bed rest with the nursing diagnosis of Impaired skin integrity?

c. Patient will have no further skin breakdown.

7

7. The nurse is providing education to the patient about isometric exercises. Which statement by the patient indicates a good understanding of these exercises?

c. “An example of this type of exercise is Kegels.”

8

8. The nurse is preparing to assist the patient to walk to the bathroom after medicating the patient with a narcotic for pain management. What possible adverse effect should the nurse be immediately aware?

c. Dizziness

9

9. The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?

b. Using a slide board

10

10. Which explanation by the nurse best describes active assistive range of motion?

b. The patient partially moves all joints.

11

11. The nurse identifies which instruction to be appropriate to delegate to the UAP (unlicensed assistive personnel)?

b. Reposition the patient using the trapeze.

12

12. The nurse knows that manual lifting should only be done in which situation?

b. Life-threatening situations

13

13. The nurse is preparing to reposition the patient in bed. What is the first step in this process?

d. Raise the bed to a working height.

14

14. The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?

d. “I should teach the patient how to walk with the cane.”

15

15. The nurse correctly teaches the patient to rise from a chair using crutches when which intervention is used?

d. The strong leg is closest to the chair.

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問題一覧

1

1. What response would the nurse give the patient when questioned about the effect of rheumatoid arthritis on the musculoskeletal system?

c. Joint inflammation

2

2. The nurse is implementing generalized falls precautions for patients who are at risk for falls. Which intervention indicates a lack of understanding of these precautions?

b. The patient is wearing socks.

3

3. The nurse is educating the family of a patient on falls risk precautions. Which statement by the family indicates a need for further education?

c. “I should leave her slippers by the wheelchair.”

4

4. The nurse is performing passive range-of-motion exercises on a patient when the patient begins to complain of pain. What is the first thing the nurse should do?

c. Stop the range of motion.

5

5. The nurse recognizes which goal to be appropriate for the patient who is postoperative day one from a hip fracture with the nursing diagnosis Impaired mobility?

b. Patient will ambulate to the bathroom with assistance.

6

6. The nurse identifies which goal to be appropriate for the patient who is postoperative day one from abdominal surgery and on bed rest with the nursing diagnosis of Impaired skin integrity?

c. Patient will have no further skin breakdown.

7

7. The nurse is providing education to the patient about isometric exercises. Which statement by the patient indicates a good understanding of these exercises?

c. “An example of this type of exercise is Kegels.”

8

8. The nurse is preparing to assist the patient to walk to the bathroom after medicating the patient with a narcotic for pain management. What possible adverse effect should the nurse be immediately aware?

c. Dizziness

9

9. The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?

b. Using a slide board

10

10. Which explanation by the nurse best describes active assistive range of motion?

b. The patient partially moves all joints.

11

11. The nurse identifies which instruction to be appropriate to delegate to the UAP (unlicensed assistive personnel)?

b. Reposition the patient using the trapeze.

12

12. The nurse knows that manual lifting should only be done in which situation?

b. Life-threatening situations

13

13. The nurse is preparing to reposition the patient in bed. What is the first step in this process?

d. Raise the bed to a working height.

14

14. The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?

d. “I should teach the patient how to walk with the cane.”

15

15. The nurse correctly teaches the patient to rise from a chair using crutches when which intervention is used?

d. The strong leg is closest to the chair.