NU271 EAQ Evolve Elsevier NU271 HESI Prep: Fundamentals - Fundame
Skills
Study online at https://quizlet.com/_a29zvq
1. Which clinical finding o Strong upper arm strength and non-weight bearing on the affected
demonstrates to the extremity
nurse that the client can
use a standard walker? o A walker with four rubber tips on the legs requires more upper body
strength than a rolling walker. A client who is non-weight bearing on
o Weak upper arm the affected extremity is able to use a standard walker. A rolling walker
strength and impaired is more appropriate for a client with weak upper arm strength and
stamina impaired stamina who is less able to lift up and move a walker with
o Weight bearing as toler- four rubber tips. A client with unilateral paralysis is not a candidate for
ated and unilateral paral- a standard walker; the client must be able to grip and lift the walker
ysis with both upper extremities and move the walker forward. A rolling
o Partial weight bearing walker is more appropriate for this client. A client with kyphosis is less
on the affected extremity able to lift up and move a walker with four rubber tips.
and kyphosis
o Strong upper arm
strength and non-weight
bearing on the affected
extremity
2. Once an infant is stabi- o "The crib is filled with many small stuffed animals with button
lized after a choking in- noses."
cident, which statement
made by the parents in- o The infant could choke on small toys with removable pieces such as
dicates a need for teach- buttons. The statement indicates the parents need further teaching.
ing? The parents are being safe by buckling the baby in the stroller or infant
seat. The space between the slats of the crib should be no wider than 2
o "The baby is always 3/8 inches apart to prevent injury. The parents are minimizing the risk
buckled into the stroller for injury by never placing the pacifier on a string around the baby's
or infant seat." neck to prevent injury.
o "The spaces between
the slats of the crib are
1/8
, NU271 EAQ Evolve Elsevier NU271 HESI Prep: Fundamentals - Fundame
Skills
Study online at https://quizlet.com/_a29zvq
only 2 inches wide."
o "The pacifier is never
placed on a string around
our baby's neck."
o "The crib is filled with
many small stuffed ani-
mals with button noses."
3. The nurse is caring for o To reduce brain metabolism and limit hypoxia
a client with a tempera-
ture of 104.5°F (40.3°C). o Cooling blankets and antipyretic medications can induce hypother-
The nurse applies a cool- mia, thus decreasing brain metabolism. This in turn makes the brain
ing blanket and adminis- less vulnerable by decreasing the need for oxygen. The integrity of
ters an antipyretic med- intracerebral neurons and osmotic pressure equalization depend on
ication. Which is the cor- an adequate supply of oxygen, carbon dioxide, and glucose, and may
rect rationale for the occur as a result of decreased cerebral metabolism and hypoxia. Di-
nurse's interventions? aphoresis does not cause hypoxia. Antipyretic medications may cause
diaphoresis as vasodilation occurs.
o To promote equaliza-
tion of osmotic pressures
o To prevent hypoxia as-
sociated with diaphore-
sis
o To promote integrity of
intracerebral neurons
o To reduce brain metab-
olism and limit hypoxia
4. Arrange the order of don- o Apply the cover gown, pull the sleeves down to the wrists, and tie the
ning personal protective gown securely at the neck and waist.
equipment (PPE) while o Apply either a surgical mask or a respirator around the mouth and
2/8
Skills
Study online at https://quizlet.com/_a29zvq
1. Which clinical finding o Strong upper arm strength and non-weight bearing on the affected
demonstrates to the extremity
nurse that the client can
use a standard walker? o A walker with four rubber tips on the legs requires more upper body
strength than a rolling walker. A client who is non-weight bearing on
o Weak upper arm the affected extremity is able to use a standard walker. A rolling walker
strength and impaired is more appropriate for a client with weak upper arm strength and
stamina impaired stamina who is less able to lift up and move a walker with
o Weight bearing as toler- four rubber tips. A client with unilateral paralysis is not a candidate for
ated and unilateral paral- a standard walker; the client must be able to grip and lift the walker
ysis with both upper extremities and move the walker forward. A rolling
o Partial weight bearing walker is more appropriate for this client. A client with kyphosis is less
on the affected extremity able to lift up and move a walker with four rubber tips.
and kyphosis
o Strong upper arm
strength and non-weight
bearing on the affected
extremity
2. Once an infant is stabi- o "The crib is filled with many small stuffed animals with button
lized after a choking in- noses."
cident, which statement
made by the parents in- o The infant could choke on small toys with removable pieces such as
dicates a need for teach- buttons. The statement indicates the parents need further teaching.
ing? The parents are being safe by buckling the baby in the stroller or infant
seat. The space between the slats of the crib should be no wider than 2
o "The baby is always 3/8 inches apart to prevent injury. The parents are minimizing the risk
buckled into the stroller for injury by never placing the pacifier on a string around the baby's
or infant seat." neck to prevent injury.
o "The spaces between
the slats of the crib are
1/8
, NU271 EAQ Evolve Elsevier NU271 HESI Prep: Fundamentals - Fundame
Skills
Study online at https://quizlet.com/_a29zvq
only 2 inches wide."
o "The pacifier is never
placed on a string around
our baby's neck."
o "The crib is filled with
many small stuffed ani-
mals with button noses."
3. The nurse is caring for o To reduce brain metabolism and limit hypoxia
a client with a tempera-
ture of 104.5°F (40.3°C). o Cooling blankets and antipyretic medications can induce hypother-
The nurse applies a cool- mia, thus decreasing brain metabolism. This in turn makes the brain
ing blanket and adminis- less vulnerable by decreasing the need for oxygen. The integrity of
ters an antipyretic med- intracerebral neurons and osmotic pressure equalization depend on
ication. Which is the cor- an adequate supply of oxygen, carbon dioxide, and glucose, and may
rect rationale for the occur as a result of decreased cerebral metabolism and hypoxia. Di-
nurse's interventions? aphoresis does not cause hypoxia. Antipyretic medications may cause
diaphoresis as vasodilation occurs.
o To promote equaliza-
tion of osmotic pressures
o To prevent hypoxia as-
sociated with diaphore-
sis
o To promote integrity of
intracerebral neurons
o To reduce brain metab-
olism and limit hypoxia
4. Arrange the order of don- o Apply the cover gown, pull the sleeves down to the wrists, and tie the
ning personal protective gown securely at the neck and waist.
equipment (PPE) while o Apply either a surgical mask or a respirator around the mouth and
2/8
