SAMUEL MERRITT UNIVERSITY NURSING 125
HEALTH ASSESSMENT 1 HEALTH ASSESSMENT
TTL's Day 6-10 QUESTIONS WITH COMPLETE
SOLUTIONS
A. "Because you're immobile, any joint in your body can
become stiff if it isn't exercised."
Informing the patient about the risks associated with immobility
directly answers his question in a clear and understandable
manner. Leg spasms are not specifically associated with
immobility. Foot drop is not related to back surgery. Although
dorsiflexion is included in foot ROM, this explanation uses
medical terminology that the patient may not understand.
Correct Answer A patient who is on bed rest after back surgery
asks the nurse why he must exercise the feet and ankles when
the surgery did not involve the legs. Which of the following is
the best reply?
A. "Because you're immobile, any joint in your body can
become stiff if it isn't exercised."
B. "If your feet aren't exercised, you may have leg spasms."
C. "Foot exercises prevent foot drop, which is common in
patients with back surgery."
D. "Dorsiflexion is necessary to prevent foot contractures related
to immobility."
A. "Cleaning dentures once a day is adequate."
Cleaning dentures once a day may not be adequate for all
patients because dentures should be cleaned as often as natural
,teeth. A soft-bristle brush is used because a hard-bristle
toothbrush can damage or wear down dentures. Brushing the
gums, tongue, and palate removes denture adhesive and plaque
and stimulates circulation in the mouth. Correct Answer A
patient is receiving instructions on denture care. Which
statement by the patient indicates the need for further
instruction?
A. "Cleaning dentures once a day is adequate."
B. "Dentures should be cleaned as often as natural teeth."
C. "I will use a soft-bristle toothbrush on my dentures."
D. "I should brush my gums, tongue, and palate when I clean my
dentures."
A. "Getting out of bed maintains your strength."
Getting out of bed to the chair and physical activity maintains
and improves joint motion, increases strength, promotes
circulation, relieves pressure on the skin, and improves urinary
and respiratory functions. Getting out of bed will not necessarily
improve blood pressure or lower blood glucose. Getting out of
bed may improve appetite not decrease it. Correct Answer 6.
The nurse is ready to sit the patient up at the side of the bed. The
patient states they are tired and want to stay in bed all day.
Which is the best response from the nurse?
A. "Getting out of bed maintains your strength."
B. "Getting out of bed will improve your blood pressure."
C. "Getting out of bed will decrease your appetite."
D. "Getting out of bed will lower your blood glucose."
,A. "Help your mother to the side of the bed, let her sit for a
moment, and determine if she has dizziness or pain."
When moving a patient to a chair, a family member should
allow the paint to sit on the bedside to stabilize blood pressure,
reducing the risk of dizziness. A transfer belt enhances patient
safety. A family member should remain in front of the patient to
use good body mechanics during the transfer. A family member
should never assume that he or she can hold the patient and get
the patient into position without assistance. Correct Answer
The patient's family is being taught how to move the patient
from bed to a wheelchair at home. The patient has normal
weight-bearing capacity and normal upper-body strength. Which
response is the most appropriate safety advice?
A. "Help your mother to the side of the bed, let her sit for a
moment, and determine if she has dizziness or pain."
B. "When your mother is sitting on the side of the bed, bring the
wheelchair to a 45-degree angle and move her into the chair."
C. "A transfer belt is not needed because your mother has good
strength and mobility."
D. "When moving your mother, stay behind her at all times. You
may need to hold her under her arms to ease her into the chair."
A. "Protective eyewear should be worn by the person
performing the sterile procedure to protect him or her from
splattered blood."
The person performing a sterile procedure should wear
protective eyewear if there is a chance that blood may splatter.
, The protective eyewear prevents the splattered blood from
coming into contact with the family member's eyes and skin.
The patient does not need to wear protective eyewear to avoid
being contaminated by his or her own blood. A cap is not
sufficient protection against splattered blood for the person
performing the procedure or the patient. A cap is worn to
prevent the hair or dander of the person performing the
procedure from contaminating a sterile field. Correct Answer
A 63-year-old patient is being discharged from the hospital.
Which statement by the nurse is correct when teaching the
patient and family member about using PPE while performing a
procedure at home with the potential for blood splatter?
A. "Protective eyewear should be worn by the person
performing the sterile procedure to protect him or her from
splattered blood."
B. "Protective eyewear should be worn by the patient to protect
him or her from splattered blood."
C. "A cap should be worn by the person performing the sterile
procedure to protect him or her from splattered blood."
D. "A cap should be worn by the patient to protect him or her
from splattered blood."
A. "You will experience transient swallowing problems."
Transient swallowing problems are associated with a total
glossectomy. Few minor problems occur following a total
laryngectomy, whereas a total glossectomy with bilateral neck
dissection results in irreversible swallowing problems. A
tracheostomy is associated with problems with all phases of the
swallowing process. Correct Answer A patient is scheduled to
HEALTH ASSESSMENT 1 HEALTH ASSESSMENT
TTL's Day 6-10 QUESTIONS WITH COMPLETE
SOLUTIONS
A. "Because you're immobile, any joint in your body can
become stiff if it isn't exercised."
Informing the patient about the risks associated with immobility
directly answers his question in a clear and understandable
manner. Leg spasms are not specifically associated with
immobility. Foot drop is not related to back surgery. Although
dorsiflexion is included in foot ROM, this explanation uses
medical terminology that the patient may not understand.
Correct Answer A patient who is on bed rest after back surgery
asks the nurse why he must exercise the feet and ankles when
the surgery did not involve the legs. Which of the following is
the best reply?
A. "Because you're immobile, any joint in your body can
become stiff if it isn't exercised."
B. "If your feet aren't exercised, you may have leg spasms."
C. "Foot exercises prevent foot drop, which is common in
patients with back surgery."
D. "Dorsiflexion is necessary to prevent foot contractures related
to immobility."
A. "Cleaning dentures once a day is adequate."
Cleaning dentures once a day may not be adequate for all
patients because dentures should be cleaned as often as natural
,teeth. A soft-bristle brush is used because a hard-bristle
toothbrush can damage or wear down dentures. Brushing the
gums, tongue, and palate removes denture adhesive and plaque
and stimulates circulation in the mouth. Correct Answer A
patient is receiving instructions on denture care. Which
statement by the patient indicates the need for further
instruction?
A. "Cleaning dentures once a day is adequate."
B. "Dentures should be cleaned as often as natural teeth."
C. "I will use a soft-bristle toothbrush on my dentures."
D. "I should brush my gums, tongue, and palate when I clean my
dentures."
A. "Getting out of bed maintains your strength."
Getting out of bed to the chair and physical activity maintains
and improves joint motion, increases strength, promotes
circulation, relieves pressure on the skin, and improves urinary
and respiratory functions. Getting out of bed will not necessarily
improve blood pressure or lower blood glucose. Getting out of
bed may improve appetite not decrease it. Correct Answer 6.
The nurse is ready to sit the patient up at the side of the bed. The
patient states they are tired and want to stay in bed all day.
Which is the best response from the nurse?
A. "Getting out of bed maintains your strength."
B. "Getting out of bed will improve your blood pressure."
C. "Getting out of bed will decrease your appetite."
D. "Getting out of bed will lower your blood glucose."
,A. "Help your mother to the side of the bed, let her sit for a
moment, and determine if she has dizziness or pain."
When moving a patient to a chair, a family member should
allow the paint to sit on the bedside to stabilize blood pressure,
reducing the risk of dizziness. A transfer belt enhances patient
safety. A family member should remain in front of the patient to
use good body mechanics during the transfer. A family member
should never assume that he or she can hold the patient and get
the patient into position without assistance. Correct Answer
The patient's family is being taught how to move the patient
from bed to a wheelchair at home. The patient has normal
weight-bearing capacity and normal upper-body strength. Which
response is the most appropriate safety advice?
A. "Help your mother to the side of the bed, let her sit for a
moment, and determine if she has dizziness or pain."
B. "When your mother is sitting on the side of the bed, bring the
wheelchair to a 45-degree angle and move her into the chair."
C. "A transfer belt is not needed because your mother has good
strength and mobility."
D. "When moving your mother, stay behind her at all times. You
may need to hold her under her arms to ease her into the chair."
A. "Protective eyewear should be worn by the person
performing the sterile procedure to protect him or her from
splattered blood."
The person performing a sterile procedure should wear
protective eyewear if there is a chance that blood may splatter.
, The protective eyewear prevents the splattered blood from
coming into contact with the family member's eyes and skin.
The patient does not need to wear protective eyewear to avoid
being contaminated by his or her own blood. A cap is not
sufficient protection against splattered blood for the person
performing the procedure or the patient. A cap is worn to
prevent the hair or dander of the person performing the
procedure from contaminating a sterile field. Correct Answer
A 63-year-old patient is being discharged from the hospital.
Which statement by the nurse is correct when teaching the
patient and family member about using PPE while performing a
procedure at home with the potential for blood splatter?
A. "Protective eyewear should be worn by the person
performing the sterile procedure to protect him or her from
splattered blood."
B. "Protective eyewear should be worn by the patient to protect
him or her from splattered blood."
C. "A cap should be worn by the person performing the sterile
procedure to protect him or her from splattered blood."
D. "A cap should be worn by the patient to protect him or her
from splattered blood."
A. "You will experience transient swallowing problems."
Transient swallowing problems are associated with a total
glossectomy. Few minor problems occur following a total
laryngectomy, whereas a total glossectomy with bilateral neck
dissection results in irreversible swallowing problems. A
tracheostomy is associated with problems with all phases of the
swallowing process. Correct Answer A patient is scheduled to
