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FUN 5&8 Quiz
Nutrition & Body Mechanics
| Question | Answer |
|---|---|
| A nurse is repositioning a patient to the left lateral position. What action should the nurse implement when positioning this patient? | Left shoulder protracted |
| Which newly admitted patient would be at the greatest risk for an injury? | A patient who has a history of falls |
| Which stage pressure ulcer requires the nurse to measure the extent of undermining? | Stage 3 |
| A patient is diagnosed with a vitamin A deficiency. Which type of pie should the nurse encourage the patient to ingest? | Pumpkin |
| A patient with a diagnosis of CVA, which has caused right-sided paralysis and limited mobility, has been admitted to the nursing unit. What should be used to prevent the complication of external hip rotation in caring for this patient? | A trochanter roll |
| The patient asks the nurse to explain what a kilocalorie is. What is the nurse's best response to this patient's question? | :A kilocalorie is a measurement of energy." |
| A common complication of patients with limited mobility is a thrombus or emboli. Which nursing intervention assists in the prevention of a thrombus? | Applying TED stockings |
| A nurse places a patient in the orthopneic position. What is the primary reason for the use of this position? | Facilitate respirations |
| Food is divided into several essential nutrients. Which nutrient does the bulk of the body's lean tissues and organs contain? | Proteins |
| A patient has had a wrist safety reminder device on for the last 2 hours. What is the nurse's highest priority intervention? | Remove the safety reminder device and assess circulation and skin integrity. |
| You have an immobile patient on the unit. How often should the staff change the position of this immobile patient? | Every 2 hours |
| A patient is diagnosed with iron deficiency anemia. Which major cause of iron deficiency will influence a focused assessment by the nurse? | Inadequate diet |
| Food is divided into several essential nutrients. Which nutrient does the bulk of the body's lean tissues and organs contain? | Proteins |
| Which is the earliest nursing assessment that indicates damage to tissues because of compression of soft tissue between a bony prominence and a mattress? | Nonblanchable erythema |
| A nurse identifies that a vegetarian understands the importance of eating kidney beans when the patient says, "Kidney beans are essential because they are a great source of: | Protein |
| A pt has multiple fractures from a skiing accident. To best facilitate bone growth the nurse should encourage the patient to eat more foods high in calcium. Which food selected by the patient indicates an understanding of foods that are high in calcium? | Cottage cheese |
| Which is the most important nursing action when assisting a patient to move from a bed to wheelchair? | Letting the patient help as much as possible when permitted |
| A nurse identifies that a patient's pressure ulcer has just partial-thickness skin loss involving the epidermis and dermis. What stage pressure ulcer should the nurse document based on this assessment? | Stage 2 |
| A patient has been on bed rest for a few days and is getting up for the first time. What is the best nursing intervention for this patient? | Assist the patient to a sitting position on the edge of the bed. |
| A school nurse is preparing to teach a health class about vitamins. Which information about vitamins that is based on scientific principle should the nurse include? | Eating a variety of foods prevents the need for supplements. |
| A nurse plans to use a trochanter roll when repositioning a patient. Where should the nurse place the trochanter roll? | Alongside the ilium to mid-thigh |
| A nurse is counseling a patient with the diagnosis of osteoporosis. Based on the practitioner's prescription, which vitamin should the nurse instruct the patient to include in a daily health regimen? | D |
| A nurse is working in a long-term care facility caring for older adults. What type of accident is most often experienced by an older adult? | Falls |
| A nurse places a patient with a sacral pressure ulcer in the left Sims position. How should the nurse position the patient's right arm? | On a pillow |
| Which option should the nurse encourage a patient to include in the diet to provide vitamin D? | Fortified Milk |
| A patient has hemiplegia as a result of a brain attack (cerebrovascular accident). Which complication of immobility is of most concern to the nurse? | Contractures |
| A nurse is transferring a patient from a bed to wheelchair. What should the nurse do to quickly assess this patient's tolerance to the change in position? | Determine if the patient feels dizzy |
| A nurse plans to teach a patient with hemiparesis to use a cane. What should the nurse teach the patient to do? | Hold the cane in the strong hand when walking |
| An immobilized bed-bound patient is place on a 2-hour turning and positioning program. What should the nurse explain to the patient as to why this program is important? | Maintain skin integrity |
| What would a patient, who is unable to move about freely, need assistance from the staff and a mechanical device for to prevent complications related to immobility? | Passive ROM exercises |
| A newly admitted patient appears to be disoriented and the nurse is considering using a safety reminder device (SRD). What is the nurse's next intervention for this patient? | Obtain a physician's order |
| A patient has returned to the surgical floor following hip replacement surgery. What assistive device is used for proper body alignment? | Wedge pillow |
| When lifting and moving a patient up in bed, a lift sheet may be used. Where is the best place for a lift sheet under the patient? | Between the upper back and the thighs |
| A nurse teaches a post-operative patient about foods high in protein that will promote wound healing. Which food selection by the patient indicates that the teaching was effective? | Meat |
| A patient has a decreased hemoglobin level because of a low intake of dietary iron. Which food should the nurse teach the patient is the best source of iron? | Meat |
| The practitioner identifies that a patient may have a fluoride deficiency. What physical characteristic supports this conclusion? | Dental caries |
| A patient ambulating in the hallway complains of severe dizziness and begins to fall. What should the nurse do first? | Gently lower the patient to the floor. |
| A patient is scheduled for surgery and the nurse is teaching the patient about the importance of vitamin C in wound healing. Which source of vitamin C should the nurse include in the teaching plan? | Potatoes |
Created by:
aharvey_16