1. A spinal change occurring with pregnancy that alters mobility is:
A) scoliosis. B) kyphosis. C) lordosis. D) ankylosing spondylitis.
2. Physical examination of a client regarding mobility status should:
A) begin with gait. B) be oriented to time, place, and person. C) begin with the Romberg test. D) begin with the Tandem Walk test.
3. The nurse is turning a client who has a new prosthetic hip. Which position should be avoided to prevent injury to the new prosthetic hip?
A) abduction of the hip B) adduction of the hip C) flexing the hip at 80° flexion D) flexing the hip at 90°
4. Nail and foot care are essential in meeting basic hygiene needs of clients. Important assessments by the nurse in this area include:
A) all body assessment, including the feet and nails. B) the essential lab work of the client. C) the nail beds and the tissue surrounding the nails. D) foot corns and calluses only.
5. For a client requiring total oral care, it is important for the nurse to:
A) assemble all equipment, assist the client tosemi-Fowler - s position, and place a towel on his chest. B) place client in Fowler - s position, prepare the equipment, and tell the client what to do. C) assemble all equipment, place the client in a side-lying position, and place a towel under his chin. D) use gloves and clean the client - s mouth, including the tongue.
1. Right Answer: C Explanation: The spinal change occurring with pregnancy is lordosis. This occurs due to the weight of the enlarging uterus and the affect of gravity. Basic Care and Comfort
2. Right Answer: A Explanation: Gait is usually assessed as the client walks into the room. Normal gait is smooth, flowing, and rhythmic without assistive devices. Basic Care and Comfort
3. Right Answer: B Explanation: New prosthetic hips should have an abduction pillow in place to avoid adduction. Basic Care and Comfort
4. Right Answer: C Explanation: The nail beds and the tissue surrounding the nails should be assessed for abnormal discoloration, lesions, paronychia (infection of tissue surrounding the nail), tissue dryness, breaks in the skin, pressure areas, or other abnormal appearances. Basic Care and Comfort
5. Right Answer: C Explanation: Assemble all equipment first; place the client in a side-lying position so that fluid can easily flow out or pool in the side of the mouth for suctioning (to prevent aspiration); and then place a towel under the clients chin and a curved basin against the chin. Gloves should be worn. Basic Care and Comfort
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