Reference no: EM132826277
Question 1: The provider order the clients to be place in high fowler position at what angle will the nurse positioning the clients
0 Degree
15 degree
30 degree
90 degree
Question 2: While completing a heathy history the client report experiencing blurry of vision I both eye
Glaucoma
Cataracts
Macular degeneration
Retinal detachments
Question 3: The nurse uses the body mechanic to moves a client up in in bed what action by the nurse will reduce them?
Face the direction of the movements
Twist the body at the waist when lifting
Place the bed in the lowest possible positioning
Keep feet together to provider a base of support
Question 4: what is a client with osteoporosis prone to fracture?
The clients have prone bone
The clients have increase bone density
The client has bone sours that leads to fracture
The client is not prone to fracture
Question 5: Why is a client with osteoporosis to fracture?
The clients have a porous bone
The client has increase bone density'
The client has bone spurs that lead to fracture
The client is not prone to fracture
Question 6: What medical class can decrease tissue inflammation but delays bone hearing?
Opioids
Anticoagulants
Nonsteroidal anti-inflammatory drug ( NSAIDS)
Narcotics
Question 7: A nurse is caring for an immobile client what is the priority assessments of this client
Palpate for edema
Auscultation of lung sounds
Auscultate for bowel sounds
Inspect the skin for injury
Question 8: What is the best intervention a clients with limited mobility who can move independently
Passive range of motion
Active range of motion
Continues passive motion
Pillows for position
Question 9: What are the none surgical treatment options for carpal tunnel syndrome( select all that apply
Nonsteroidal anti inflammation drug (NSAIDS)
Corticosteroid injection
Endoscopy carpal tunnel releases
Using splint
Ultrasound therapy
Question 10: A goal of a client with impaired mobility is to prevent atelectasis what nursing intervention would best help the client.
Turn the client every two hours
Offer a protein rich diet
Assist the client to orthopneic position
Offer the client bedpan for toileting
Question 11: What is correct about a nursing diagnosis
It's a human response to disease injury or another stressor
It is a diseases illness or injury
It is away to identity pathology
It stays the same for as long as the disease is present
Question 12: What intervention by the nurse would be the best to prevent deep vein thrombosis after a fracture of the hip?
Appling antiembolism stocking
Encourage bedrest
Teaching about smoking cessation
Tell the client to take anticoagulant
Question 13: The nurse is caring four clients which of the clients will the nurse see first?
a client with sudden and increasing pain in his fracture aim
a client with a fracture ankle who would like a glass of water
a client with rheumatoid arthritis and a schedules pain medication
a client being discharged in two hours and needs to be taught how to use his crutches
Question 14: what evaluation indicates successful program on the client's goal of clients daily physical
the clients improve quality of sleep
the clients report falls
the client report more nonsteroidal anti-inflammatory drug NSAID use
the clients report decreases social interaction
Question 15: which one of the following assessments is found in neurovascular compartment?
Warm skin
Strong pulses
Tingling
Full range of motion
Question 16: A client has fracture in the right arm which of these should the nurse complete first?
Sent the client to radiology for an x-ray
Administer pain medication
Removes the clients bracelets and rings from the right arm
Applied ice to the fracture
Question 17: Which of the earliest sign of fat embolism syndrome?
Sever pain in the effect limb unrelieved by medication
Paresthesia
Edema
Hypoxemia
Question 18: what is not an example of proper body mechanic?
a) Standing with a wide stance
B) locking your knee when standing
C) Siting close to your work
D) Siting with feet flat on the floor
Question 19: to promote independent which of these is the best nursing intervention improve
Perform the client active of daily living for them
Assist the client and allow them to perform the activities of daily living they can
Give the client their washcloth and toothbrush and leave the room
Speak direct in front of the clients so that they can read your lips well
Question 20: what happen during the stage three of bone healing
Callus formation
Granulation formation
Hematoma formation
Consolidation
Question 21: the chart of the clients states that the client has hemiplegia what does this means
The client can use his right arm left leg and left arm
The client has decrease vision in one eye
The client has paralysis on one side of the body
The client has paralysis of al four extremities
Question 22: what is the priority nursing diagnosis for a client with metastatic bone disease
Chronic pain
Risk for infection
Risk for falls
Impaired mobility
Question 23: what nursing intervention is the best improve communication with hearing impairment client
Write down the message
Shout in the impaired ear
Speak slowly and clearly while facing the client
Talk in regular voice in the good ear
Question 24: what finding is often present in a client with osteoporosis
Inflammation
Kyphosis
Dupuytrens contracture
Hallux valgus
Question 25: what repetitive stees injury is a factor works at risk for
Carpal tunnel syndrome
Osteoporosis
Osteomalacia
Plantar fasciitis
Question 26: what is the priority intervention when caring for a client in bucker traction
Allow the traction wights for the rest on the floor
Discontinue the traction as soon as the clients has pain relief
Assess skin integrity
Change the size of the traction weight PRN(as needed)
Question 27: the client states the doctor says im nearsighted I do not get it what would be best response by nurse
You will need to have a glass
This means you will not ever need glasses
Nearsighted or myopia means that you have difficult seeing things at a distance
I am sorry you did not understand would you like a different
Question 28: the client response a ringing in the ears what is this call
Rinne
Weber
Tinnitus
Pinna
Question 29: a client being cared for is blind what is the best intervention to reduce the risk of falling in the hospital room?
Speak loudly to the client
Orient the client to the location of object in the room
Apply restaurants to the client
Tell the client family that they will be expecting to stay
Question 30: what is not nursing intervention for a client with osteoporosis
Nurse will encourage the intake of adequate amount of calcium and vitamin D
Nurse will encourage the client to complete weight bearing exercises
Nurse will encourage the client to avoid muscle strengthening exercise
Nurse will encourage the client to avoid repetitive movements
Question 31: what is common oral opioid drug that a very effective for client with fracture pain
Acetaminophen
Morphine
Aspirin
Oxycodone
Question 32- what is the intended outcome for the treatment of glaucoma
Help dry up excess secret
Lower the intraocular pressure
Strengthen the muscles of the eye
Improve the vision of the eye
Question 33:- what is the priority nursing diagnosis for a client with immobility
Constipation related to immunity
Risk for impaired skin integrity as evidence by immobile
Risk for disuse syndrome as evidenced by immobility
Ineffective breathing patten related to inability to breath in a supine position
Question 34: - what is soft tissue musculoskeletal injury is excessive stretching of a ligament
Sprain
Strain
Ligament tear
Tendon rupture
Question 35: the nurse has the client move both crutches forward with weight on the unaffected and move uninfected leg forward shifting weight onto knows that which of the following giant is being utilize?
Two point galt
Unaffected gait
Three point gait
Four point gait
Question 36: what is the priority nursing diagnosis after surgery to repair a fracture
Acute pain
Risk for infection
Impaired comfort
Disturbed body image
Question 37: what is the most common methods reducing and immobing a fracture
External fixation with close reduction
Open reduction with internal fixation
External reduction and internal fixation
Open reduction with external fixation
Question 38: the nurse assessing a client who had a cast place 4 hours ago what assessment finding is cause for concern
The nurse cannot insert one finger between the cast and skin
The nurse dose not observe any drainage
The nurse find 2+ pulse distal from the cast
The nurse asses capillary refill of 2 second
Question 39: what are sign of hearing loss ( select all apply)
Answering question correctly
Shouting in conversion
Tinnitus
Frequent asking of other to repeat statement
Presence of cerumen
Question 40: what may cause of conduct hearing loss
Prolonged exposure to loud noise
Medication
Otitis media
Presbycusis
Question 41:- a client who has bone cancer states that he is in too much pain walk today what should the nurse do first
Ensure the client knows he will have negative effect from immobility
Inquired about the frequency quality and location of the pain
Get the client pain medication
Review the client's medication administration record
Question 42:- the nurse educates a client about how to reduce the risk for osteoporosis which of these statements is true
You can decrease your risk of osteoporosis by reducing caffeine intake
You can decrease you risk of osteoporosis by avoiding vitamin D
You can decrease your risk of osteoporosis by reducing protein intake
You can decrease your risk of osteoporosis through smoking cessation
You can decrease your risk of osteoporosis by decreasing alcohol intake
Question 43: What test is use in the diagnosis of osteoporosis?
Blood culture
Phalen's maneuver
Dual-energy x-ray absorptiometry
Proportion
Question 44:- what is accurate heathy promotion teaching to prevent ear infection or trauma( select all that apply)
Do not use cotton-tipped application to clean your external ear
Blow your nose gently
Sneeze with your mouth closed
Block one nostril when blowing your nose
Wear sound protection when around loud noises
Question 45: a client with chronic osteomyelitis is being discharged from the hospital what is the nurse priority
Teaching adherence to the antibiotic regimen
Scheduling daily dressing charges
Teaching about a healthy dietary intake
Teaching adherence to an exercise program
Question 46: what is correct healthy promotion for vision ( select all apply)
Wear sunglasses to filter ultraviolet (UV) light
Wear eye protection when working with fluid
Wash your hand before touching your eyelids
Older adult should have an eye exam every 3-5 years
Avoid nonsteroid ant-inflammatory drug (NSAID) use
Question 47: a client sustained crushing injury to his right arm during a car accident. He arrives to the emergency what should the nurse do first
Assesses the right pedal pulse
Administer pain medication
Call the provider
Assess the right radial pulse
Question 48: what is negative effect of immobility on the cardiovascular system
Increase pumping action of the heart
Increase circulation
Venous stasis
Increase high density lipoprotein
Question 49: the client pupils are different size and have been this way since childhood what is this condition
Exophthalmos
Anisocoria
Scleral edema
Strabismus
Question 50: what should be done immediately after an ankle injury
Rest incubate confine and lower the ankle
Rest ice compress and lower the ankle
Rest ice compress and elevate the ankle
Immobilize heat compress and elevate the ankle
Question 51: what activity will the nurse tell the client to avoid after cataract surgery ( select all that apply )
Sleeping for greater than 1 hour
Lifting items greater than 10 pounds
Blowing one's noise
Bearing down when one defecates
Urinating
Question 52: what are non-pharmacological intervention does don't help reduce edema
Cold therapy
Elevate the extremity
Encourage PROM
Heat therapy
Question 53: the nurse is teaching the client how to administer eye drops which of these actions indicate the need
The client drops the prescribed number of drops into the conjunctival sac
The client wash they hand before the instilling the drops
The clients set the cap down in a manner that does not contaminate it
The client ensure that they touch the administration dropper to the eye
Question 54: death of bone tissue can occur when the blood supply to the bone is disrupted what is this complication
Avascular necrosis
Delayed union
Complex region pain syndrome
Reflex sympathetic dystrophy
Question 55:- what is traction used?
It decreases the risk of realignment
It allows the client to rest longer
It allows the bone to realign
It promotes wound healing
Question 56:- a client has a new arm cast what is incorrect teaching by the nurse
Report ‘hot spots" felt under the cast
Sudden increase in drainage is expected
Use a sling to alleviate fatigue
Elevate the arms above the heart to reduce swelling
Question 57: which of the following clients are at an increase risk for deep view thrombosis following an open reduction and internal fixation of the hip ( select all that apply)
A client on birth controls pills
A client who is immobile
Clients with dementia
who has been wandering?
A client on an anticoagulant
A 75 years old who smokes three packs of cigarettes per day
Question 58: on inspection which client does the nurse suspect of having a visual impairment
The client whose sclera is white
The client who has an intact blink reflect
The client who is tilting their head
The client with equal pupils
Question 59: on inspection which client does the nurse suspect of having a visual impairment
The client whose sclera is white
The client who has an intact blink reflect
The client who is tilting their head
The client with equal pupils
Question 60: a nurse is assessing a client with hallux valgus what is another term for this assessment find
Thoracic deformity
Metacarpal involvement
A bunion
Acorn