exam 4 nurs 299 questions and
answers
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✔✔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✔✔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✔✔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✔✔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✔✔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✔✔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✔✔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
answers
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✔✔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✔✔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✔✔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✔✔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✔✔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✔✔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✔✔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
