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NCHP Chapter 38 & 39- Activity and Exercise/ Immobility Questions With Complete Solutions
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NCHP Chapter 38 & 39- Activity and Exercise/ Immobility Questions With Complete Solutions
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NCHP Chapter 38 & 39- Activity and Exercise/ ImmobilityQuestions With Complete Solutions
A patient with redness, warmth, and swelling in the right lower
leg is at risk for which complication?
A. Joint damage
B. Pulmonary embolism
C. Orthostatic hypotension
D. Pathologic bone fractures Correct Answers B
(rationale: Redness, warmth, and swelling in an extremity is
indicative of a deep vein thrombosis, which places the patient at
risk for developing a pulmonary embolism.)
Active ROM exercises are performed by Correct Answers
person
Aerobic exercise Correct Answers Requires oxygen to produce
energy (ex: rigorous walking, repetitive stair climbing, running)
An infection of which structure would likely be the source for
balance problems?
A. Eye
B. Cornea
C. Inner ear
D. Tonsils Correct Answers C
,Anaerobic exercise Correct Answers Requires no oxygen to
produce energy to build strength and body mass (ex: heavy
weight lifting)
antiembolism stockings (TED hose) Correct Answers elastic
stockings that compress superficial leg veins and promote
venous return
Dana reviews Mrs. Simmons' orders and sees that she is to have
elastic stockings and a sequential compression device (SCD) on
her lower extremities. Mrs. Simmons asks Dana why she must
put those on. How should Dana reply? Correct Answers These
devices will help prevent blood clots from forming in your legs
until you are more mobile.
dorsal recumbent position Correct Answers lying supine with
knees bent (common position for gynecology exams)
Fowler's position Correct Answers sitting position
High-Fowler's Correct Answers Sitting at a 90-degree angle
(similar to Fowler's but with head of bed elevated higher)
In which area would the nurse place a pillow for a patient in the
supine position?
A. Between the legs
B. Under the calves
C. Between the arms
D. Under the scapula Correct Answers B
,(rationale: When a patient is in the supine position a pillow is
placed under the calves to alleviate pressure off the heels,
preventing pressure injuries.)
In which areas would the patient experience pain if a urinary
tract infection is present? SELECT ALL THAT APPLY.
A. Calf
B. Back
C. Bladder
D. Upper chest
E. Lower abdomen Correct Answers B, C, E
In which position would the nurse place the patient to perform
coughing and deep breathing?
A. Dorsal recumbent
B. Fowler's
C. Side-lying
D. Sim's Correct Answers B
(rationale: The patient must be upright (Fowler's position) to
perform coughing and deep breathing to allow full expansion of
the lungs.)
Isometric exercise Correct Answers Requires muscles to tense
and relax but involves no joint movement (ex: Kegel exercises)
Isotonic exercise Correct Answers Requires muscle
contractions for active movement
, Isotonic exercise examples Correct Answers walking or
ambulating, changing positions in bed, self-grooming
John begins walking Mr. Parker to the bathroom. Mr. Parker
tells John that he feels like he is going to faint. What should
John do? Correct Answers Use a wide base of support, hold
onto the gait belt, extend one leg and let the patient slide against
it, and bend your knees as you lower the patient to the floor.
Later in the day, John goes back to check on Mr. Parker. He asks
John to help him get up and go to the bathroom using his walker.
As they are walking to the bathroom, John notices that Mr.
Parker is using the walker by putting the two back legs on the
floor and then rocking to the front two legs. What should John
tell Mr. Parker about his walker usage?
A. John should tell Mr. Parker to pick the walker up and set the
four legs down together.
B. John should tell Mr. Parker that he is doing a good job
adjusting to the walker.
C. John should tell Mr. Parker to put the right side down first
followed by the left side. Correct Answers A
(rationale: The walker provides the patient with a wide base of
support by having four points of support each time the walker is
advanced.)
Match the function to its nervous system component of mobility.
Dependent on cerebellum and inner ear
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