Essentials of Nursing Care: Health
Differences (NUR 105)
Trochanter roll ------------CORRECT ANSWERS--------Which assistive device will prevent external
rotation of the hip when the patient is lying in the supine position?
Abductor pillow ------------CORRECT ANSWERS--------Which assistive device is used to prevent the
internal rotation and adduction of the femur?
Ankle roll ------------CORRECT ANSWERS--------Which assistive device can be placed under the patients
lower legs to prevent the heels from resting on bed surfaces?
Knee spling ------------CORRECT ANSWERS--------Which assistive device is used to stabilize the knee in
an anatomically correct position?
Footdrop ------------CORRECT ANSWERS--------Result of muscles fibers not being able to shorten and
lengthen. A splint or foot board is needed to prevent this.
monitoring the patient's pulse ------------CORRECT ANSWERS--------The nurse is assessing an older
adult's tolerance for activity while performing activities of daily living. Which is the most important
nursing assessment?
Assess patients ability to assist with the transfer ------------CORRECT ANSWERS--------In helping a
patient move from the bed to a wheelchair, the nurse should take which action first?
to maintain joint flexibility ------------CORRECT ANSWERS--------What is the theoretical basis for
performing passive range of motion exercises?
ineffective airway clearance related to bed rest. ------------CORRECT ANSWERS--------A patient who is
immobile and has a history of respiratory infections shows signs of lung congestion. What is the
nursing diagnosis?
,The skin of the feet is intact. ------------CORRECT ANSWERS--------What observation would indicate
that the nurse's application of heel protectors was effective?
Decreased blood flow leads to pooling, as skeletal muscles weakened by immobility fail to pump
blood back to the heart. ------------CORRECT ANSWERS--------What physiological change predisposes a
patient who is immobile to thrombus formation?
immobility ------------CORRECT ANSWERS--------Decreased calcium is a result of this rather than a
cause of it.
decrease. ------------CORRECT ANSWERS--------Blood volume does not change markedly in immobility,
but blood flow does _____________
the effort needed for the heart to overcome valvular resistance and push blood out. ------------
CORRECT ANSWERS--------What does cardiac workload refers to
decreased. ------------CORRECT ANSWERS--------In immobility as the cardiovascular system weakens,
workload is actually ______
the pressure of the bed against the body and the abdominal organs pushing against the diaphragm. -
-----------CORRECT ANSWERS--------An immobile patient has difficulty expanding the lungs fully due to
Use a lift sheet to move patient up in bed. ------------CORRECT ANSWERS--------When caring for
patient who is bedridden, the nurse should implement which intervention to avoid the effects of
shearing?
Homan's sign ------------CORRECT ANSWERS--------The patient is positioned in supine. The therapist
maintains the leg in extension and passively dorsiflexes the patient's foot. What is test produces a
positive sign indicated by pain in the calf and may be indicative of deep vein thrombosis?
plantar flexion ------------CORRECT ANSWERS--------What is the bending of the sole of the foot by
curling the toes toward the ground called?
Seepage of liquid stool ------------CORRECT ANSWERS--------What clinical manifestation is indicative of
a fecal impaction?
, flatulence ------------CORRECT ANSWERS--------What is result of the action of bacteria on the chyme in
the large intestine or swallowed air or gas that diffuses from the bloodstream into the intestines?
Tarry stools ------------CORRECT ANSWERS--------What is the result of action of certain meds or GI
bleeding?
to regulate volume and composition of extracellular fluid ------------CORRECT ANSWERS--------What is
primary function of kidneys?
"The cathartic will reduce your chance of becoming constipated after this test" ------------CORRECT
ANSWERS--------The nurse is administering a cathartic to a patient who has just had a barium enema.
The patient says "I don't need this, I just had a bowel movement". Which is the nurses's best
response?
cathartic ------------CORRECT ANSWERS--------purgative; medicine that causes the bowels to empty
Tap water is a hypotonic solution and can cause rapid fluid shift, fluid overload and water
intoxication ------------CORRECT ANSWERS--------What problem can be caused by administration of
more than three consecutive tap water enemas?
dry, hard stools ------------CORRECT ANSWERS--------What are the stools of a dehydrated infant like?
dietary intake (red meat) ------------CORRECT ANSWERS--------What can lead to false positive result
when testing patient stool specimen for blood?
measures body's ability to carry oxygen. ------------CORRECT ANSWERS--------What is hemoglobin
level?
Manual replacement of the foreskin in an uncircumcised patient is essential to prevent this condition
------------CORRECT ANSWERS--------In catheterizing a male patient, the nurse should implement
which action to prevent paraphimosis?
paraphimosis ------------CORRECT ANSWERS--------retraction of the skin of the prepuce causing painful
swelling of the skin of the glans penis that prevents the penis from being retracted
Differences (NUR 105)
Trochanter roll ------------CORRECT ANSWERS--------Which assistive device will prevent external
rotation of the hip when the patient is lying in the supine position?
Abductor pillow ------------CORRECT ANSWERS--------Which assistive device is used to prevent the
internal rotation and adduction of the femur?
Ankle roll ------------CORRECT ANSWERS--------Which assistive device can be placed under the patients
lower legs to prevent the heels from resting on bed surfaces?
Knee spling ------------CORRECT ANSWERS--------Which assistive device is used to stabilize the knee in
an anatomically correct position?
Footdrop ------------CORRECT ANSWERS--------Result of muscles fibers not being able to shorten and
lengthen. A splint or foot board is needed to prevent this.
monitoring the patient's pulse ------------CORRECT ANSWERS--------The nurse is assessing an older
adult's tolerance for activity while performing activities of daily living. Which is the most important
nursing assessment?
Assess patients ability to assist with the transfer ------------CORRECT ANSWERS--------In helping a
patient move from the bed to a wheelchair, the nurse should take which action first?
to maintain joint flexibility ------------CORRECT ANSWERS--------What is the theoretical basis for
performing passive range of motion exercises?
ineffective airway clearance related to bed rest. ------------CORRECT ANSWERS--------A patient who is
immobile and has a history of respiratory infections shows signs of lung congestion. What is the
nursing diagnosis?
,The skin of the feet is intact. ------------CORRECT ANSWERS--------What observation would indicate
that the nurse's application of heel protectors was effective?
Decreased blood flow leads to pooling, as skeletal muscles weakened by immobility fail to pump
blood back to the heart. ------------CORRECT ANSWERS--------What physiological change predisposes a
patient who is immobile to thrombus formation?
immobility ------------CORRECT ANSWERS--------Decreased calcium is a result of this rather than a
cause of it.
decrease. ------------CORRECT ANSWERS--------Blood volume does not change markedly in immobility,
but blood flow does _____________
the effort needed for the heart to overcome valvular resistance and push blood out. ------------
CORRECT ANSWERS--------What does cardiac workload refers to
decreased. ------------CORRECT ANSWERS--------In immobility as the cardiovascular system weakens,
workload is actually ______
the pressure of the bed against the body and the abdominal organs pushing against the diaphragm. -
-----------CORRECT ANSWERS--------An immobile patient has difficulty expanding the lungs fully due to
Use a lift sheet to move patient up in bed. ------------CORRECT ANSWERS--------When caring for
patient who is bedridden, the nurse should implement which intervention to avoid the effects of
shearing?
Homan's sign ------------CORRECT ANSWERS--------The patient is positioned in supine. The therapist
maintains the leg in extension and passively dorsiflexes the patient's foot. What is test produces a
positive sign indicated by pain in the calf and may be indicative of deep vein thrombosis?
plantar flexion ------------CORRECT ANSWERS--------What is the bending of the sole of the foot by
curling the toes toward the ground called?
Seepage of liquid stool ------------CORRECT ANSWERS--------What clinical manifestation is indicative of
a fecal impaction?
, flatulence ------------CORRECT ANSWERS--------What is result of the action of bacteria on the chyme in
the large intestine or swallowed air or gas that diffuses from the bloodstream into the intestines?
Tarry stools ------------CORRECT ANSWERS--------What is the result of action of certain meds or GI
bleeding?
to regulate volume and composition of extracellular fluid ------------CORRECT ANSWERS--------What is
primary function of kidneys?
"The cathartic will reduce your chance of becoming constipated after this test" ------------CORRECT
ANSWERS--------The nurse is administering a cathartic to a patient who has just had a barium enema.
The patient says "I don't need this, I just had a bowel movement". Which is the nurses's best
response?
cathartic ------------CORRECT ANSWERS--------purgative; medicine that causes the bowels to empty
Tap water is a hypotonic solution and can cause rapid fluid shift, fluid overload and water
intoxication ------------CORRECT ANSWERS--------What problem can be caused by administration of
more than three consecutive tap water enemas?
dry, hard stools ------------CORRECT ANSWERS--------What are the stools of a dehydrated infant like?
dietary intake (red meat) ------------CORRECT ANSWERS--------What can lead to false positive result
when testing patient stool specimen for blood?
measures body's ability to carry oxygen. ------------CORRECT ANSWERS--------What is hemoglobin
level?
Manual replacement of the foreskin in an uncircumcised patient is essential to prevent this condition
------------CORRECT ANSWERS--------In catheterizing a male patient, the nurse should implement
which action to prevent paraphimosis?
paraphimosis ------------CORRECT ANSWERS--------retraction of the skin of the prepuce causing painful
swelling of the skin of the glans penis that prevents the penis from being retracted
