VNSG 1323: Chapter 23 Prep U Questions || with 100% Correct Answers.
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Course
VNSG 1323
Institution
VNSG 1323
A client with limited mobility has outward rotation of the bony protrusions at the head of the femur. Which assistive device would the nurse include in the plan of care? correct answers Trochanter rolls
Explanation: Trochanter rolls prevent the legs from turning outward. The trochanters are the ...
VNSG 1323: Chapter 23 Prep U Questions || with 100%
Correct Answers.
A client with limited mobility has outward rotation of the bony protrusions at the head of the
femur. Which assistive device would the nurse include in the plan of care? correct answers
Trochanter rolls
Explanation: Trochanter rolls prevent the legs from turning outward. The trochanters are the
bony protrusions at the head of the femur near the hip. Placing a positioning device at the
trochanters helps to prevent the leg from rotating outward. Other devices are inappropriate for
this client.
A nurse is caring for a client with demobilized respiratory secretions. Which device will best
mobilize respiratory secretions? correct answers Oscillating support bed
Explanation: An oscillating support bed would be useful for this client. It slowly and
continuously rocks the client from side to side in a 124 arc. Oscillation relieves skin pressure and
helps to mobilize respiratory secretions. An air-fluidized bed drains excretions and secretions
away from the body and through the beads, thereby preventing skin irritation and maceration
from moisture. A static air mattress suspends the client on a buoyant surface, distributing the
pressure on the underlying tissue. A circular bed supports the client on a 6- or 7-foot anterior or
posterior platform suspended across the diameter of the frame.
A nurse knows that use of a trapeze would be contraindicated for a client: correct answers On
lifting restrictions.
Explanation:A trapeze is a triangular piece of metal hung by a chain over the head of the bed.
The client grasps the trapeze to lift the body and move about in bed. Unless arm movement or
lifting is undesirable, a trapeze is an excellent device for helping a bedridden client to increase
his or her activity.
The nurse is assisting the client who has dementia from the bed to the chair for mealtime. What
actions by the nurse would facilitate cooperation from the client? Select all that apply correct
answers Call the client by the preferred name.
Face the client when speaking.
Provide instructions one at a time.
Be positive in statements when providing instructions.
Explanation: For the client who has dementia, the nurse would facilitate cooperation by calling
the client by the preferred name, facing the client when speaking, and providing instructions one
at a time. The nurse would use a calm and reassuring tone with the voice, not a forceful tone.
Clients with dementia respond better to statements that are positive, rather than those statements
that have a negative connotation or the word "don't."
, A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a
recent stroke, but his care team wishes to now begin introducing minced and pureed food. How
should the nurse best position the client? correct answers Fowler's
Explanation: Fowler's position optimizes cardiac function and respiratory function in addition to
being the best position for eating. The client's risk of aspiration would be extreme in a supine
position. Low-Fowler's and semi-Fowler's are synonymous, and this position does not aid
swallowing as much as a high-Fowler's position.
What is a benefit of regular exercise over time? correct answers Decreased heart rate
Explanation:Regular physical activity over time results in cardiovascular conditioning, thus
decreasing heart rate. Regular exercise increases circulating fibrinolysin that serves to breakup
small clots, thus decreasing the risk for blood clots. Over time, regular exercise leads to
improved pulmonary function, including decreased work of breathing. Venous return is
improved when contracting muscles compress superficial veins and push blood back to the heart
against gravity.
When assessing correct body alignment when the client is standing, the nurse would be
document which abnormal findings? Select all that apply. correct answers The arms are bent at
the elbows.
The knees are bent
Explanation: Correct alignment permits optimal musculoskeletal balance and operation and
promotes optimal physiologic functions. With the client standing, the nurse would be concerned
if the arms were bent at the elbows. The arms should hang comfortably at the sides. Also, the
nurse would be concerned if the knees were bent. The knees should be in a slightly flexed
position, not bent and not in the knee-locked position. It is a normal finding for the head to be
held erect and in the midline position. It is also a normal finding for the feet to be at right angles
to the lower legs. It is a normal finding for the chest to be held upward and forward.
Which type of mobility aid would be most appropriate for a client who has poor balance? correct
answers A cane with four prongs on the end (quad cane)
Explanation: Canes with three (tripod) or four prongs (quad cane) or legs to provide a wide base
of support are recommended for clients with poor balance. Single-ended canes with half-circle
handles are recommended for clients requiring minimal support and those who will be using
stairs frequently. Single-ended canes with straight handles are recommended for clients with
hand weakness because the handgrip is easier to hold, but are not recommended for clients with
poor balance. Axillary crutches are used to provide support for clients who have temporary
restrictions on ambulation.
The pediatric nurse is caring for a newborn infant. In which position will the nurse place the
infant to sleep? correct answers Supine
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