Nur 342 Fundamentals of Nursing CH 34 Questions With
Complete Solutions
A nurse assists a patient with ambulation for the first time
following a knee replacement. Shortly after beginning to walk,
the patient tells the nurse that they are dizzy and feel like they
might fall. Place these nursing actions in the order in which the
nurse should perform them to protect the patient:
a. Grasp the gait belt.
b. Stay with the patient and call for help.
c. Place feet wide apart with one foot in front.
d. Gently slide the patient down to the floor, protecting their
head.
e. Pull the weight of the patient backward against your body.
f. Rock your pelvis out on the side of the patient. Correct
Answers c, f, a, e, d, b
A nurse caring for patients in a pediatric office assesses
children's achievement of developmental milestones. Which
patient finding requires follow-up with the pediatrician?
a. 4-month-old infant who is unable to roll over
b. 6-month-old infant who is unable to hold head up
c. 11-month-old infant who cannot walk unassisted
d. 18-month-old toddler who cannot jump Correct Answers b
A nurse is assisting a patient who is 2 days postoperative from a
cesarean section dangle in preparation for sitting in a chair.
After assisting the patient to stand up, the patient's knees buckle
and she tells the nurse she feels faint. What is the appropriate
nursing action?
, a. Supporting the patient as she stands, waiting a few moments,
then continuing the move to the chair
b. Calling for assistance and continuing the move with the
assistance of another nurse
c. Lowering the patient back to the side of the bed and pivoting
her back into bed
d. Having the patient sit down on the bed and dangle her feet
before moving Correct Answers c
A nurse is assisting a postoperative patient with conditioning
exercises to prepare for ambulation. Which instructions from the
nurse are appropriate for this patient? Select all that apply.
a. Do full-body pushups in bed six to eight times daily.
b. Breathe in and out smoothly during quadricep-setting
exercises.
c. Place the bed in the lowest position or use a footstool for
dangling.
d. Dangle on the side of the bed for 30 to 60 minutes.
e. Allow the nurse to bathe you completely to prevent fatigue.
f. Perform quadriceps two to three times per hour, four to six
times a day. Correct Answers b, c, f
A nurse is caring for a patient who is on bedrest following a
spinal injury. Which action is appropriate to prevent foot drop?
a. Maintain the supine position with supination on the feet.
b. Ask the family to bring in high-top sneakers to maintain foot
dorsiflexion.
c. Encourage hyperextension of the feet with adaptive devices or
splints.
d. Use pillows to keep the feet in the abducted position. Correct
Answers b
Complete Solutions
A nurse assists a patient with ambulation for the first time
following a knee replacement. Shortly after beginning to walk,
the patient tells the nurse that they are dizzy and feel like they
might fall. Place these nursing actions in the order in which the
nurse should perform them to protect the patient:
a. Grasp the gait belt.
b. Stay with the patient and call for help.
c. Place feet wide apart with one foot in front.
d. Gently slide the patient down to the floor, protecting their
head.
e. Pull the weight of the patient backward against your body.
f. Rock your pelvis out on the side of the patient. Correct
Answers c, f, a, e, d, b
A nurse caring for patients in a pediatric office assesses
children's achievement of developmental milestones. Which
patient finding requires follow-up with the pediatrician?
a. 4-month-old infant who is unable to roll over
b. 6-month-old infant who is unable to hold head up
c. 11-month-old infant who cannot walk unassisted
d. 18-month-old toddler who cannot jump Correct Answers b
A nurse is assisting a patient who is 2 days postoperative from a
cesarean section dangle in preparation for sitting in a chair.
After assisting the patient to stand up, the patient's knees buckle
and she tells the nurse she feels faint. What is the appropriate
nursing action?
, a. Supporting the patient as she stands, waiting a few moments,
then continuing the move to the chair
b. Calling for assistance and continuing the move with the
assistance of another nurse
c. Lowering the patient back to the side of the bed and pivoting
her back into bed
d. Having the patient sit down on the bed and dangle her feet
before moving Correct Answers c
A nurse is assisting a postoperative patient with conditioning
exercises to prepare for ambulation. Which instructions from the
nurse are appropriate for this patient? Select all that apply.
a. Do full-body pushups in bed six to eight times daily.
b. Breathe in and out smoothly during quadricep-setting
exercises.
c. Place the bed in the lowest position or use a footstool for
dangling.
d. Dangle on the side of the bed for 30 to 60 minutes.
e. Allow the nurse to bathe you completely to prevent fatigue.
f. Perform quadriceps two to three times per hour, four to six
times a day. Correct Answers b, c, f
A nurse is caring for a patient who is on bedrest following a
spinal injury. Which action is appropriate to prevent foot drop?
a. Maintain the supine position with supination on the feet.
b. Ask the family to bring in high-top sneakers to maintain foot
dorsiflexion.
c. Encourage hyperextension of the feet with adaptive devices or
splints.
d. Use pillows to keep the feet in the abducted position. Correct
Answers b
