Question 1

According to the U.S.Department of Health and Human Services 2008 Physical Activity Guidelines for Americans,which statement about the benefits of physical activity is correct?

Accepted Answer

The 2008 Physical Activity Guidelines for Americans recommend combining both aerobic and muscle-strengthening activities to promote better health. A and B are incorrect as they suggest that physical activity is harmful or provides little to no health benefits, which is not supported by the guidelines.

Question 2

An older client begins to faint while ambulating in the hallway with the nurse.What action should the nurse take?

Accepted Answer

Supporting the patient to slide down the leg while being guided into a seated or lying position allows for a controlled descent, minimizing the risk of injury. It is important to avoid pulling on the patient's arms or under their arms because it can cause injury.

Question 3

When encouraging a fitness program for older adults,what must the nurse consider?

Accepted Answer

The answer of When encouraging a fitness program for older...

Question 4

A client with chest tubes needs to be repositioned in bed.What action should the nurse take first when preparing to turn this client?

Accepted Answer

Locking the bed wheels is the first action the nurse should take to ensure that the bed does not move while repositioning the client with chest tubes. This helps to prevent accidental dislodgement of the chest tubes which can lead to complications such as pneumothorax or hemothorax. Lowering the siderails is also important for safety, but it is not the first action to be taken. Lowering the head of the bed helps to prevent aspiration but is not the priority when preparing to turn a client with chest tubes. Raising the bed to waist level is not necessary for repositioning and can even be unsafe if the client is not stable.

Question 5

A client with a high spinal cord injury but well-developed upper body strength is hospitalized for pneumonia.Which transfer device should be used when transferring him from the bed to his wheelchair?

Accepted Answer

A transfer board would allow the client to slide from the bed to the wheelchair using their upper body strength. Since the client has good upper body strength, a mechanical lift or transfer belt may not be necessary. A drawsheet is not designed for transferring and may not provide enough support for a client with a high spinal cord injury.

Question 6

A patient on strict bedrest for 5 days has not had a bowel movement although normally this occurs every day.When determining the nursing diagnosis,what would be causing this patient's constipation?

Accepted Answer

Immobility can cause decreased bowel motility leading to constipation. A change in previous pattern, dietary intake, or environment may also contribute, but immobility is the most likely cause in this scenario as the patient has been on strict bedrest for 5 days.

Question 7

The nurse is instructing a patient about the need to replace fluid before,during,and after exercise in order to avoid dehydration.On what should the nurse teach the patient to base the amount of fluid to consume? Select all that apply.

Accepted Answer

The answer of The nurse is instructing a patient about...

Question 8

Physical therapy suggested that a client start using a cane to aid with stability when walking.What measurement should the nurse make so that this assistive device is appropriate for the client?

Accepted Answer

The correct measurement for a cane is from the floor to the top of the hip joint. This ensures that the cane is the appropriate height for the user, allowing for better support and stability when walking.

Question 9

A patient on bedrest because of a high-risk pregnancy has not had a bowel movement for 5 days.What information should the nurse give the patient when explaining constipation?

Accepted Answer

Immobility often causes constipation due to decreased physical activity and movement of the intestines, leading to decreased bowel motility and constipation. Therefore, it is important to encourage the patient to move around as much as possible and maintain a healthy diet. Stool softeners may provide short-term relief but do not address the underlying cause of constipation. The use of a bedpan does not necessarily cause bloating and constipation. In fact, it is important for the patient to have regular bowel movements to prevent constipation from worsening. A low-fiber diet may exacerbate constipation as fiber helps to promote bowel motility and regularity.

Question 10

While observing a client walk on a treadmill in the community room,the nurse notices that a client is able to carry on a conversation without any shortness of breath.What does this client's behavior indicate about the intensity of the activity?

Accepted Answer

The answer of While observing a client walk on a...

Question 11

Which body system must interact to produce mobility and locomotion? Select all that apply.

Accepted Answer

The muscles, skeleton, and nervous system must interact to produce mobility and locomotion. The digestive system and blood are not directly involved in this process.

Question 12

A patient has started a fitness program.What program feature indicates that the program is well-rounded? Select all that apply.

Accepted Answer

A well-rounded fitness program typically includes flexibility exercises, resistance training, and aerobic conditioning. Isometric exercises and Pilates can be beneficial, but they are not essential components of a well-rounded program.

Question 13

Which patient is at risk for decreased activity? Select all that apply.

Accepted Answer

The answer of Which patient is at risk for decreased...

Question 14

An older patient is unsteady when walking about the room and reports feeling a little sore but has no complaints of weakness.What is the appropriate piece of equipment to use when helping this patient ambulate?

Accepted Answer

A transfer belt, also known as a gait belt, is appropriate for assisting an unsteady patient with ambulation, providing support and stability without the need for more cumbersome equipment like crutches or a walker.

Question 15

Which action represents proper body mechanics for nurses providing care as well as teaching patients about safe body movements? Select all that apply.

Accepted Answer

A) Standing with the body in alignment and maintaining erect posture helps distribute weight evenly and reduces strain on the back and neck.
C) Using a wide base of support with feet at shoulder width also helps distribute weight evenly and provides stability when lifting or moving items.
D) Keeping objects close to the body when carrying them reduces the strain on the arms and reduces the risk of dropping items.
E) Squatting to lower the body and using leg muscles when lifting is safer than bending at the waist and using back muscles to lift heavy objects.

Quiz 33: Activity Exercise