Chapter 32 Activity

Chapter 32  Activity

Complete Chapter Questions And Answers
 

Sample Questions

1.
A staff development nurse is discussing techniques to prevent back injury with a group of nursing assistants. The nurse informs the group that back stress and injury can be prevented by doing which of the following?
A)
Spreading feet shoulder-width apart to broaden the base of support
B)
Using the strength of the back muscles during strenuous activities
C)
Holding the object that you are lifting or moving away from the body
D)
Pulling equipment, rather than pushing it, when possible
Ans:
A

Feedback:

Techniques that prevent back stress and injury include spreading the feet shoulder-width apart to broaden the base of support; pushing equipment, rather than pulling, whenever possible; holding the object you are lifting or moving close to the body; and using the longest and strongest muscles of the arms and legs to provide power, since the muscles of the back are less strong and more easily injured.

2.
While receiving a report, the nurse learns that a client has paraplegia. The nurse will plan care for this client based upon the understanding that the client has which of the following?
A)
Paralysis of the legs
B)
Weakness affecting one-half of the body
C)
Paralysis affecting one-half of the body
D)
Paralysis of the legs and arms
Ans:
A

Feedback:

Paraplegia is paralysis of the legs, and quadriplegia is paralysis of the arms and legs. Hemiparesis refers to weakness of one half of the body, and hemiplegia is paralysis of one half of the body.

3.
The physician’s admitting orders indicate that the client is to be placed in a Fowler’s position. Upon positioning this client, how much will the nurse elevate the head of the bed?
A)
45 to 60 degrees
B)
15 to 20 degrees
C)
30 degrees
D)
90 degrees
Ans:
A

Feedback:

In the Fowler’s position, the head of the bed is elevated 45 to 60 degrees. Low-Fowler’s or semi-Fowler’s is positioning of the head of the bed to only 30 degrees. In the high-Fowler’s position, the head of the bed is elevated 90 degrees.

4.
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?
A)
Fowler’s
B)
Low-Fowler’s
C)
Protective supine
D)
Semi-Fowler’s
Ans:
A

Feedback:

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.

5.
An obstetrical nurse is preparing to help a client up from her bed and to the bathroom three hours after the woman delivered her baby. Which of the following actions should the nurse perform first?
A)
Explain to the client how the nurse will assist her.
B)
Position a walker in front of the client to provide stability.
C)
Enlist the assistance of another nurse or the physiotherapist.
D)
Have the client stand for 30 seconds prior to walking.
Ans:
A

Feedback:

Any effort to assist a client with mobilization should be preceded by thoroughly explaining the procedure; this optimizes the client’s participation and lessens the potential for falls and injuries. The client is unlikely to require a walker or the assistance of multiple care providers, but even if she did, an explanation should still be provided first. It is not necessary to have the client stand for an extended period before ambulating.