Question 1. Which environmental factors could prevent a person from exercising on a consistent basis?
Select all that apply.
1.
Weather
2.
Pollutants
3.
Financial strains
4.
Medical diseases
5.
Congenital disorders - ANS ans: 1, 2, 3
Rationales
Option 1:
Weather can prevent people from getting outside and exercising. The nurse should also encourage other
activities so the client can be active in all types of weather.
Option 2:
Pollution can aggravate allergies and can deter a client from exercising.
,Option 3:
A person who has financial constraints could have difficulty affording gym fees. The nurse should explain
to the client about walking, running, and aerobic exercise recordings, which are free and are an
alternative.
Option 4:
Disease can interfere with a client's ability to exercise; however, it is not an environmental factor.
Option 5:
Even though a congenital disorder can prevent a client from exercising, it is not an environmental factor.
Question 2. The nurse is performing passive range of motion for a client with osteoarthritis and feels a
grating sound in the left knee. How would the nurse document this finding?
1.
Edema
2.
Friction
3.
Shearing
4.
Crepitus - ANS ans: 4
Crepitus is a grating sound in the knee when the joint is moved. The nurse would document this in the
medical record.
,Question 3. The occupational health nurse is educating a group of workers who do heavy lifting. Which
safety aspects should be included in the session? Select all that apply.
1.
Squat to lift objects.
2.
Keep elbows to the side.
3.
Spread legs apart when lifting.
4.
Use thigh muscles when lifting.
5.
Stand on tiptoes to reach objects. - ANS ans: 1, 3, 4
Rationales
Option 1:
The nurse should instruct the workers to squat when lifting, instead of bending over, to prevent back
injuries.
Option 2:
Elbows should be bent when lifting and not kept to the side. This provides better stability with lifting.
Option 3:
, A person should use a wide stance when lifting. This provides a better support base.
Option 4:
The nurse should instruct the workers to use their thighs when lifting instead of the back.
Option 5:
Standing on tiptoes can be dangerous because items can fall when reaching.
Question 4. The nurse is educating a client using crutches for the first time to go up and down the stairs.
What is the most important aspect to include?
1.
Lead with the bad leg when going up the stairs.
2.
Navigate the stairs with someone in front of you.
3.
Use the tripod position with the crutches going up the stairs.
4.
Lead with the good leg when going up the stairs. - ANS ans: 4
Rationales
Option 1:
The nurse does not instruct the client to lead with the bad leg going up the stairs. This can cause the
client to be unsteady and lead to falls.