Nurs 299 Exam 4 Guide With
Complete Solution
A nurse is caring for a client who has been sitting in a chair for 1 hr. which of
the following complications is the greatest risk for the client?
A- decreased subcutaneous fat
B- Muscle atrophy
C- pressure injury
D- fecal impaction - ANSWER c- pressure injury
A nurse is caring for a client who is postoperative. which of the following
interventions should the nurse take to reduce the risk of thrombus
development? select all
A- instruct the client not to perform the Valsalva maneuver
B- apply elastic stockings
C- place pillows under clients knees and lower extremities
E- assist the client to change position's often - ANSWER B- elastic stockings
promote venous return
E- frequent position changes prevents venous states
A nurse is planning care for a client who is on bed rest. Which of the
following interventions should the nurse plan to implement?
A- encourage the client to perform antiembolic exercises every 2 hr
,B- instruct the client to cough and deep breathe every 4 hr
C- restrict the clients fluid intake
D- reposition the client every 4 hr - ANSWER A- encourage the client to
perform antiembolic exercises every 1 to 2 hr to promote venous return
A nurse is evaluating a clients understanding of the use of a sequential
compression device. Which of the following client statements indicates client
understanding?
A- this device will keep me from getting sores on my skin
B- This device will keep the blood pumping through my leg
C- with this device on my leg muscles wont get weak
D- this device is going to keep my joints in good shape - ANSWER B-
sequential compression devices promote venous return in deep veins
A nurse is instructing a client who has an injury of the left lower extremity,
about the use of a cane. which of the following instructions should the nurse
include? select all that apply
A- hold the cane on the right side
B- keep two points of support on the floor
C- place the cane 38 cm in front of the feet before advancing
D- after advancing the cane, move the weaker leg forward
E- advance the stronger leg so that it aligns evenly with the cane - ANSWER
A- client should hold cane on uninjured side to provide support for injured
left leg
, D- the client should put the weaker leg first
A nurse is caring for a client who is at high risk for aspiration. Which of the
following actions should the nurse take?
A- Give the client thin liquids
B- instruct the client to tuck their chin when swallowing
C- have the client use a straw
D- encourage the client to lie down and rest after meals - ANSWER B-
tucking the chin when swallowing allows food to pass down the esophagus
more easily
A nurse is preparing a presentation about basic nutrients for a group of high
school athletes. She should explain that which of the following nutrients
provides the body with the most energy?
A- fat
B- protein
C- Glycogen
D- Carbohydrates - ANSWER D- carbs are the bodys greatest energy source
A nurse is caring for a client who requires a low-residue diet. The nurse
should expect to see which of the following foods on the clients meal tray?
A- cooked barley
B- pureed broccoli
Complete Solution
A nurse is caring for a client who has been sitting in a chair for 1 hr. which of
the following complications is the greatest risk for the client?
A- decreased subcutaneous fat
B- Muscle atrophy
C- pressure injury
D- fecal impaction - ANSWER c- pressure injury
A nurse is caring for a client who is postoperative. which of the following
interventions should the nurse take to reduce the risk of thrombus
development? select all
A- instruct the client not to perform the Valsalva maneuver
B- apply elastic stockings
C- place pillows under clients knees and lower extremities
E- assist the client to change position's often - ANSWER B- elastic stockings
promote venous return
E- frequent position changes prevents venous states
A nurse is planning care for a client who is on bed rest. Which of the
following interventions should the nurse plan to implement?
A- encourage the client to perform antiembolic exercises every 2 hr
,B- instruct the client to cough and deep breathe every 4 hr
C- restrict the clients fluid intake
D- reposition the client every 4 hr - ANSWER A- encourage the client to
perform antiembolic exercises every 1 to 2 hr to promote venous return
A nurse is evaluating a clients understanding of the use of a sequential
compression device. Which of the following client statements indicates client
understanding?
A- this device will keep me from getting sores on my skin
B- This device will keep the blood pumping through my leg
C- with this device on my leg muscles wont get weak
D- this device is going to keep my joints in good shape - ANSWER B-
sequential compression devices promote venous return in deep veins
A nurse is instructing a client who has an injury of the left lower extremity,
about the use of a cane. which of the following instructions should the nurse
include? select all that apply
A- hold the cane on the right side
B- keep two points of support on the floor
C- place the cane 38 cm in front of the feet before advancing
D- after advancing the cane, move the weaker leg forward
E- advance the stronger leg so that it aligns evenly with the cane - ANSWER
A- client should hold cane on uninjured side to provide support for injured
left leg
, D- the client should put the weaker leg first
A nurse is caring for a client who is at high risk for aspiration. Which of the
following actions should the nurse take?
A- Give the client thin liquids
B- instruct the client to tuck their chin when swallowing
C- have the client use a straw
D- encourage the client to lie down and rest after meals - ANSWER B-
tucking the chin when swallowing allows food to pass down the esophagus
more easily
A nurse is preparing a presentation about basic nutrients for a group of high
school athletes. She should explain that which of the following nutrients
provides the body with the most energy?
A- fat
B- protein
C- Glycogen
D- Carbohydrates - ANSWER D- carbs are the bodys greatest energy source
A nurse is caring for a client who requires a low-residue diet. The nurse
should expect to see which of the following foods on the clients meal tray?
A- cooked barley
B- pureed broccoli
