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Fundamentals of Nursing: The Art and Science of Person-Centered Care Tenth, North American Edition
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Question 1 of 5

A nurse is teaching a patient with weak dorsiflexion how to prevent foot drop. Which instruction should the nurse include?

A. Maintain the supine position with supination on the feet.

B. Ask the family to bring in high-top sneakers to maintain foot dorsiflexion.

C. Encourage hyperextension of the feet with adapdive devices or splints.

D. Use pillows to keep the feet in the abducted position.

Correct Answer:

Rationale:

Question 2 of 5

A nurse is instructing a patient recovering from a stroke on proper use of a cane. What information will the nurse include in the teaching plan?

A. Support weight on the stronger leg and cane and advance weaker foot forward.

B. Hold the cane in the same hand of the leg with the most severe deficit.

C. Stand with as much weight distributed on the cane as possible.

D. Avoid using the cane to rise from a sitting position, as this is unsafe.

Correct Answer:

Rationale:

Question 3 of 5

A patient has a fractured left leg, which has been casted. Following teaching from the physical therapist for using crutches, the nurse reinforces which teaching point with the patient?

A. Lean on the crutches using the axillae to bear body weight.

B. Keep elbows close to the sides of the body.

C. When rising, extend the uninjured leg to prevent weight bearing.

D. To climb stairs, place weight on affected leg first.

Correct Answer:

Rationale:

Question 4 of 5

A nurse working in a long-term care facility uses proper principles of ergonomics when moving and transferring patients to avoid back injury. Which action should be the focus of these preventive measures?

A. Carefully assessing the patient care environment

B. Using two nurses to lift a patient who cannot assist

C. Wearing a back belt to perform routine duties

D. Properly documenting the patient lift

Correct Answer:

Rationale:

Question 5 of 5

A nurse is assisting a patient who is 2 days postoperative from a cesarean section dangle in preparation for sitting in a chair. After assisting the patient to stand up, the patient's knees buckle and she tells the nurse she feels faint. What is the appropriate nursing action?

A. Supporting the patient as she stands, waiting a few moments, then continuing the move to the chair

B. Calling for assistance and continuing the move with the assistance of another nurse

C. Lowering the patient back to the side of the bed and pivoting her back into bed

D. Having the patient sit down on the bed and dangle her feet before moving

Correct Answer:

Rationale:

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