Funds #1
A nurse is reinforcing teaching a 48-year-old client who has no risk factors for colorectal cancer. Which of the following statements by the client indicates an understanding of the teaching?
a. "I should have a colonoscopy every year."
b. "I need to get a Pap smear to check for colon cancer."
c. "I can start annual fecal occult blood testing now."
d. "I don't need any cancer screenings until I'm 60."
c. "I can start annual fecal occult blood testing now."
A nurse is caring for a client who has been on prolonged bed rest due to a spinal cord injury. The nurse is concerned about the development of a plantar flexion contracture. Which of the following actions should the nurse implement to prevent this complication?
A) Position the client with the feet flat against the mattress at all times.
B) Encourage the client to perform passive range of motion (ROM) exercises every 4 hours.
C) Place a footboard at the end of the bed to maintain proper foot alignment.
D) Keep the client's legs in a flexed position to reduce muscle strain
C) Place a footboard at the end of the bed to maintain proper foot alignment.
What is a primary prevention for osteoporosis?
A: Exercise and getting enough calcium and vitamin D
B: Smoke 2 packs of cigarettes a day
C: Eat only red meat
D: Increase healthy fat intake
A: Exercise and getting enough calcium and vitamin D
What would be a tertiary prevention for a patient with osteoporosis?
A: Getting a bone density test B: Increasing calcium intake C: Increase Vitamin D
D: Working with a physical therapist to help find movements that are safe and effective
D: Working with a physical therapist to help find movements that are safe and effective
Which of the following statements by a client indicates an understanding of osteopenia?
A. Osteopenia means I have normal bone density.
B. Osteopenia is when my bones are weaker than usual, but not yet osteoporosis.
C. Osteopenia is the same as arthritis.
D. Osteopenia can only be treated with surgery.
B. Osteopenia is when my bones are weaker than usual, but not yet osteoporosis.
Free points
A nurse is planning care for a client on bed rest. Which of the following actions should the nurse take to reduce the risk of thrombus formation?
a. Place pillows under the knees
b. Encourage frequent position changes
c. Keep the legs in a dependent position
d. Massage the calves daily
b. Encourage frequent position changes
A nurse is discussing colorectal cancer prevention with a 50-year-old client who has no risk factors. Which of the following client statements indicates an understanding of the recommended screening guidelines?
a. "I need a colonoscopy every year."
b. "I will start getting a fecal occult blood test every year."
c. "I don't need screening unless I have symptoms."
d. "I should get a Pap smear every 10 years to screen for colorectal cancer."
b. "I will start getting a fecal occult blood test every year."
A nurse is caring for a client on bed rest. Which of the following interventions helps prevent a plantar flexion contracture?
a. Placing a pillow under the knees
b. Applying an ankle-foot orthotic device
c. Encouraging the client to cross their legs
d. Using a warm compress on the feet
b. Applying an ankle-foot orthotic device
A nurse is assessing a client who has recently started using a walker for mobility. Which observation by the nurse indicates that the client is using the walker correctly?
a. The client walks with the walker positioned behind their body.
b. The client grips the walker with their hands at shoulder level.
c. The client takes steps with the walker and then moves their feet forward to the walker.
d. The client leans heavily on the walker while walking.
C. The client takes steps with the walker and then moves their feet forward to the walker.
Which of the following clients is at the highest risk for developing osteoporosis?
A. A 68-year-old woman who smokes and does not exercise
B. A 45-year-old man who eats a balanced diet and jogs
C. A 50-year-old woman who does yoga twice a week
D. A 55-year-old man who drinks milk daily
A. A 68-year-old woman who smokes and does not exercise
A nurse is teaching a client about home modifications they can implement to prevent falls. Which of the following is not a recommendation?
a. Placing grab bars near the toilet and in the tub or shower
b. Ensuring proper lighting inside and outside the home
c. Taping electrical and extension cords on the floor
d. Using a nonskid mat in the tub or shower
c. Taping electrical and extension cords on the floor
A nurse is planning care for a client who is immobile due to a recent spinal cord injury. Which of the following interventions should the nurse include in the plan of care to prevent complications related to immobility?
A) Encourage the client to perform deep breathing exercises every hour.
B) Teach the client to perform passive range-of-motion exercises every 4 hours.
C) Place the client in a prone position for 1 hour every day.
D) Reposition the client at least every 2 hours to prevent pressure ulcers.
D) Reposition the client at least every 2 hours to prevent pressure ulcers
A nurse is working with a client who has started walking 30 minutes every day and is eating more vegetables to lose weight. Which of the following actions should the nurse take?
a. Help the client set long-term goals for future changes.
b. Reinforce the steps the client is taking toward change.
c. Ask the client to identify barriers to change.
d. Teach the client about the benefits of regular exercise.
b. Reinforce the steps the client is taking toward change.
A nurse is counseling a client who smokes and says, "I know smoking is bad for me, but I haven’t decided if I want to quit." Which of the following actions should the nurse take?
a. Tell the client to set a quit date this week.
b. Recommend a smoking cessation program immediately.
c. Assist the client in recognizing perceived barriers to quitting.
d. Remind the client that smoking causes cancer.
c. Assist the client in recognizing perceived barriers to quitting.
Which nursing interventions should be prioritized for a client on bed rest?
A. Offer high-calorie snacks between meals
B. Encourage deep breathing every 8 hours
C. Turn and reposition the client every 2 hours
D. Provide distractions to prevent boredom
C. Turn and reposition the client every 2 hours
A nurse is caring for a client with impaired mobility. Which of the following is the priority complication to prevent?
A. Anxiety
B. Muscle spasms
C. Pressure injuries
D. Dehydration
C. Pressure injuries
A nurse is assisting a client in transferring from bed to wheelchair. Which of the following is not required when transferring?
a. Ensure the wheelchair is locked
b. Place a gait belt around the client
c. Ask the client - Are you dizzy at all?
d. Have the client cross their arms
d. Have the client cross their arms
What tests could a provider order to see if a patient has osteoporosis?
A: X-ray
B: A bone density test
C: CT Scan
D: MRI
B: A bone density test
A nurse is reinforcing teaching with a client on bed rest about maintaining musculoskeletal function. Which of the following client statements indicates understanding?
a. "I will perform range-of-motion exercises twice a week."
b. "I should avoid moving my joints too much to prevent injury."
c. "I’ll do ankle pumps and foot circles every hour while awake."
d. "I should keep pillows under my knees to support my legs.
c. “I’ll do ankle pumps and foot circles every hour while awake.”
A nurse is teaching a client on prolonged bed rest about strategies to prevent complications associated with immobility. Which of the following actions should the nurse include in the teaching?
A) Encourage the client to remain in the same position for long periods to avoid muscle strain.
B) Instruct the client to perform deep breathing exercises every 4 hours.
C) Recommend the client use a special mattress or padding to prevent skin breakdown.
D) Advise the client to avoid repositioning to reduce the risk of injury.
C) Recommend the client use a special mattress or padding to prevent skin breakdown.
A nurse is educating a client recently diagnosed with osteopenia. Which recommendation is most appropriate?
A. Begin bed rest to avoid falls
B. Increase intake of calcium-rich foods
C. Avoid sun exposure
D. Use high-impact exercise to build bone quickly
B. Increase intake of calcium-rich foods
A nurse is teaching a client who has a lower extremity injury how to use crutches. Which of the following gaits should the nurse instruct the client to use for partial weight-bearing on the affected leg?
a. Three-point gait
b. Two-point gait
c. Four-point gait
d. Swing-to gait
A. Three-point gait
A nurse is assisting a client with the application of antiembolic stockings. Which of following is the main purpose to applying the stockings?
a. To reduce swelling and prevent blood clot formation
b. To provide warmth and comfort
c. To promote circulation and prevent heat loss
d. To elevate heels and promote circulation
a. To reduce swelling and prevent blood clot formation
How can a patient prevent thrombus formation?
A: By increasing activity to maintain proper circulation
B: By wearing tight clothing
C: Sitting for long period of time
D: Massages
A: By increasing activity to maintain proper circulation
What are signs and symptoms of a deep -Vein thrombosis?
A: Fever
B: Mucus Production
C: Redness, warm and tender
D: Light headedness
C: Redness, warm and tender
A nurse is teaching a client with limited mobility about passive range of motion (PROM) exercises. Which statement by the client indicates a correct understanding of the purpose of PROM exercises?
a.”These exercises will help me build muscle strength."
b.”These exercises are meant to maintain joint flexibility and prevent contractures."
c.These exercises will improve my overall cardiovascular health."
d.”These exercises will help me regain my ability to walk independently."
B. "These exercises are meant to maintain joint flexibility and prevent contractures."
Which client statement indicates a need for further teaching about osteoporosis prevention?
A. I will do weight-bearing exercises regularly.
B. I should stop smoking to protect my bones.
C. I will avoid dairy to prevent calcium buildup in my body.
D. I need to get sunlight for vitamin D.
Which client statement indicates a need for further teaching about osteoporosis prevention?
A. I will do weight-bearing exercises regularly.
B. I should stop smoking to protect my bones.
C. I will avoid dairy to prevent calcium buildup in my body.
D. I need to get sunlight for vitamin D.
A nurse is preparing to reposition a client who has a lower back injury. Which of the following actions should the nurse take to ensure the client's safety and comfort during the repositioning process?
a. Ask the client to assist by pushing up with their arms while repositioning.
b. Use a draw sheet to lift the client while keeping the spine aligned.
c. Reposition the client quickly to minimize discomfort.
d. Allow the client to remain in the same position for extended periods to avoid pain.
b. Use a draw sheet to lift the client while keeping the spine aligned.
A nurse is assisting a client logrolling when in bed. Which of the following demonstrates proper technique by the nurse?
a. Ensuring the bed is locked and in the lowest level
b. Assisting the client to a prone position
c. Raising the client’s head to semi-fowler’s position
d. Keeping the head and spine aligned while moving
d. Keeping the head and spine aligned while moving