9.8.0: Review Questions
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Review Questions
1 .
A patient is being discharged from the unit to home. When assessing the patient’s ability to perform ADLs, you use the Katz Index of Independence in Activities of Daily Living. What patient assessment does this scale include?
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how they manage weekly grocery shopping
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their ability to get mail at the end of the driveway
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how they get dressed in the morning
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their ability to prepare three meals daily
2 .
A nurse is preparing to give a patient a bed bath. The patient is a paraplegic and does not have any sensation or movement from their hips through their lower extremities. What is the most important action related to the patient’s ADLs?
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The patient should independently wash their upper extremities.
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Family members in the room should be asked to assist.
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The nurse should delegate this task to the patient care technician.
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The bed should be raised to a height that is comfortable for the nurse.
3 .
A patient is trying to remember the exercises given by the physical therapist. The nurse knows the patient understands what an isokinetic exercise is when a patient states what?
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“I need to perform ten squats while holding onto a railing for balance.”
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“I use soup cans at home to lift overhead five times for three sets.”
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“I have a red band that I hold in front of my chest and pull apart ten times.”
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“I squat ten times and at the bottom, I hold the position for ten seconds.”
4 .
A nurse is conducting a mobility assessment on an 89-year-old female. What issue would most likely negatively affect mobility?
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a recent move from a skilled nursing facility to an assisted living facility
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a recent diagnosis of Parkinson disease
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a need for a denture refitting
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a new prescription for antibiotics for ten days
5 .
The nurse is assessing ROM on an older patient who is admitted after a fall at home. The patient reports having calf pain when they flex their leg. What is the nurse’s best action?
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Ask the patient to massage the area and flex it again.
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Ask the patient to extend the leg and rotate his ankle instead.
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Ask the physical therapist to assess and compare the patient’s legs.
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Ask the patient if the area is red and check for swelling.
6 .
You are assisting another nurse with the transfer of a patient from a bed to a chair using a sling lift. What would warrant you to stop the transfer process and educate the nurse?
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The nurse explained the procedure to the patient.
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The nurse brought in a sling from a different lift machine.
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The nurse made sure the area was free of any obstacles.
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The nurse asked the patient for consent before beginning the procedure.
7 .
A patient with a hip fracture is transferring from bed to stretcher to go to radiology. What piece of equipment is most appropriate for this transfer?
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gait belt
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Hoyer lift
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sliding board
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stand and pivot
8 .
A patient is being discharged home and is using a wheeled walker to ambulate. What statement demonstrates patient understanding of using the walker?
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“I have to make sure the brakes are on when I stand up with the walker.”
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“I can use this walker to get up the front stairs.”
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“I will store the walker in my closet when I am not using it.”
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“I can walk on the brick sidewalks in my neighborhood.”
9 .
What situation will most likely cause a patient who recently had hip surgery to develop a musculoskeletal complication?
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The patient is repositioned laterally without an abductor pillow.
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The specialty mattress is a gel overlay instead of an air mattress.
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Three side rails of the hospital bed are up, preventing movement.
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The head of the bed is raised to 45 degrees.
10 .
What is the purpose of a podus boot for patients with foot drop?
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to keep the foot plantarflexed
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to provide an active ROM exercise
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to keep the foot dorsiflexed
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to prevent pressure injuries
11 .
When educating a caregiver on positioning of a patient who is bedbound, what information is most important?
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The patient must start in the prone position when using a turning schedule.
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The caregiver should medicate the patient before every two-hour turn.
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Pillows should be used to relieve pressure from areas of the body.
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The head of the bed should always have a 45-degree angle or greater.
12 .
You are caring for a 75-year-old patient who keeps getting out of bed without calling and has an increased risk for falls. You’ve reinforced the importance of calling for help multiple times with the patient. What is an appropriate next step to ensure your patient remains safe?
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Ask the physician to order a vest restraint.
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Tie a sheet across the patient’s lap so they can’t get out of bed.
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Place a bed exit alarm under the patient.
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Give the patient Ativan so they fall asleep.
13 .
A patient was placed in violent restraints during the previous shift, because they were having a psychotic episode. As the oncoming nurse, you understand which statement is not true?
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Orders for violent restraints are good for six hours.
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A patient sitter must be in the room while the patient is in violent restraints.
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Assessment of the patient should be completed every fifteen minutes.
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The patient will be released from restraints as soon as the violent episode has passed.
14 .
A patient just had a cast placed on their arm to treat a radial fracture. They state that they are experiencing unrelieved pain and numbness in the fingers on the affected side. What intervention should be a priority for the nurse?
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elevating the extremity
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notifying the provider for cast removal
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applying ice to the extremity
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performing frequent neurovascular checks
15 .
You walk into the room of your patient in skeletal traction and find them slouched down to the foot of the bed with the traction weights on the floor. What education needs to be provided to the patient regarding skeletal traction?
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Let the patient know that the weights can be placed on the bed for comfort.
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Teach the patient how to keep their foot on the rail of the bed to relieve pain.
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Reinforce to the patient that the weight has to be freely hanging in order to keep proper bone alignment while healing.
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Tell the patient that they will be restrained if they continue to behave that way.