Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

(Barry) #1
c.Rotation is the turning of a body part on
the axis provided by its joint.
d.Flexion is the state of being in a straight
line
e.Inversion is the movement of the sole of
the foot inward.
f.Plantar flexion refers to the flexion of the
hand.
3.Which of the following are effects of exercise
on body systems? (Select all that apply.)
a.Increases resting heart rate and blood
pressure
b.Increases intestinal tone
c.Increases efficiency of metabolic system
d.Increases blood flow to kidneys
e.Decreases appetite
f.Decreases rate of carbon dioxide excretion
4.Which of the following are effects of
immobility on body systems? (Select all
that apply.)
a.Increased cardiac workload
b.Increased depth of respiration
c.Increased rate of respiration
d.Decreased urinary stasis
e.Increased risk for renal calculi
f.Increased risk for electrolyte imbalance
5.Which of the following are normal findings
when assessing a patient’s mobility status?
(Select all that apply.)
a.Increased joint mobility
b.Independent maintenance of correct
alignment
c.Scissors gait
d.Head, shoulders, and hips aligned in bed
e.Full range of motion
f.Fasciculations
6.Which of the following are recommended
nursing interventions for problems related to
mobility? (Select all that apply.)
a.For increased cardiac workload, instruct the
patient to lie in the prone position.

b.For ineffective breathing patterns, encour-
age shallow breathing and coughing.
c.For orthostatic hypotension, have the
patient sleep sitting up or in an elevated
position.
d.For impaired physical mobility, perform
ROM exercises every 2 hours.
e.For constipation, increase fluid intake and
roughage.
f.For impaired skin integrity, reposition the
patient in correct alignment at least every
1 to 2 hours.
7.Which of the following are accurate guidelines
when teaching crutch walking to patients?
(Select all that apply.)
a.Keep elbows close to sides.
b.Prevent crutches from getting closer than
3 inches to the feet.
c.Use the four-point gait for patients who
may bear weight on both feet.
d.Use the swing-to gait for patients who may
bear weight on one foot.
e.Use the two-point gait for patients who
may not bear weight on either foot.
f.When climbing stairs, advance the
unaffected leg past the crutches, then place
weight on the crutches, then advance the
affected leg and then the crutches.
8.Which of the following are accurate steps
when assisting with passive ROM exercises?
(Select all that apply.)
a.Raise the bed to the highest position.
b.Adjust the bed to the flat position or as low
as the patient can tolerate.
c.Begin ROM exercises at the patient’s head
and move down one side of the body at a
time.
d.Perform each exercise 10 to 15 times.
e.Move each joint in a smooth, rhythmic
manner.
f.Use a flat palm to support joints during
ROM exercises.

206 UNIT VII PROMOTING HEALTHY PHYSIOLOGIC RESPONSES


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