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The nurse is performing passive range-of-motion exercises on a patient following a traumatic injury. What is the number of times the nurse should move each joint when performing passive range-of-motion (ROM) exercises?
- A. Three
- B. Four
- C. Five
- D. Six
Correct Answer: C
Rationale: Each movement should be repeated five times.
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A nurse instructs an unlicensed assistive personnel about moving older adult patients in bed. When should the nurse intervene when observing the unlicensed assistive personnel perform a return demonstration?
- A. The unlicensed assistive personnel is using simple language.
- B. The unlicensed assistive personnel is avoiding jerky movements.
- C. The unlicensed assistive personnel is avoiding sudden movements.
- D. The unlicensed assistive personnel is pulling the patient across bed linens.
Correct Answer: D
Rationale: The skin of older adults is more fragile and susceptible to injury. When moving or transferring older adults, it is essential to avoid pulling them across bed linens because this may cause shearing or tearing of the skin. The nurse should explain each step in simple language and avoid jerky, sudden movements.
The LPN/LVN assists a patient into the semi-Fowler's position per health care provider order. What would indicate that this patient is in the correct position?
- A. Patient is leaning over the bedside table
- B. Head of bed is at a 30-degree angle
- C. Knee is drawn toward the chest
- D. Arms are flexed toward the head
Correct Answer: B
Rationale: The semi-Fowler's position is when the head of the bed is raised approximately 30 degrees. Orthopneic position is when the patient is leaning over the bedside table. Sims position is when the knee is drawn toward the chest. Arms are not flexed toward the head in the semi-Fowler's position.
What is considered to be the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility?
- A. 2 hours
- B. 4 hours
- C. 6 hours
- D. 8 hours
Correct Answer: A
Rationale: The amount of exercise required to prevent physical disuse syndrome is 2 hours in 24 hours.
What should the nurse do to protect his or her back when lifting or moving a patient?
- A. Lowering the height of the bed
- B. Holding the back straight with locked knees
- C. Bending knees and hips
- D. Getting the patient to the side of the bed
Correct Answer: C
Rationale: The nurse's back can be well protected when he or she bends knees and hips.
Where should the nurse place the load when carrying heavy objects?
- A. In a low position
- B. To the side of the body
- C. Close to the body midline
- D. With another's assistance
Correct Answer: C
Rationale: The nurse should carry objects close to the midline of the body.