Basic Care and Comfort NCLEX Exam Questions and Answers

Basic Care and Comfort NCLEX Exam Questions and Answers Assisting a pt with a weak side - Answer ️️ -move towards stronger side Active Resistance ROM - Answer ️️ -performed by pt, ROM with resistance. Like exercise bands! Fowler's Positioning - Answer ️️ -Low: 15-30 Fowlers: 45-60 High: 60-90 Semi: 30-45 Trendleburg's - Answer ️️ -Used in shock pt's, the feet are elevated 20 and the head is flat, increases venous return and helps the heart pump more easily Going up stairs with crutches - Answer ️️ -Up with the good leg, down with the bad leg Walker use - Answer ️️ -step forward with bad leg, support self with arms followed by good leg Cane walking - Answer ️️ -hold on strong side, advance cane and weak leg, lean on cane when moving strong leg Herniated intervertebral disk care - Answer ️️ -preop: meds (nsaids), traction, TENS (electronic nerve stimulation) postop of laminectomy: log roll pt's, assess lower extremity CMS, errect posture, avoid long periods of errect posture, Developmental Dysplasia of the Hips - Answer ️️ -T Asymmetrical gluteal folds Limp Limited abduction of the hip femur is not attached to acetabulum tx: pelvic harness from 3-6 mos, must be worn at all times! teach parents how to apply, 6-18 mos use traction, surgery will need to be done, or hip spica cast- cast care (keep dry) scoliosis - Answer ️️ -abnormal curvature of spinal column assess: bend at 90, see uneven clothing, functional: can be corrected structural: cannot be corrected, often hereditary Rheumatoid arthritis - Answer ️️ -nodu