NUR 2206 Exam 13
- When caring for the skin of patients of different age groups, which of the following should
the nurse consider?
Answer An adolescent's skin ordinarily has enlarged sebaceous glands and increased glandular secretions.
- During a bed bath, the correct procedure used when washing a limb is to
Answer Wash the extremity in the direction of distal to proximal
- When making an occupied bed, which of the following is most important for the nurse to do?
Answer Use a bath blanket or top sheet for warmth and privacy
- While making a bed, the nurse chooses to reuse the bedspread because it is not soiled. The
nurse should
Answer remove and fold the spread, and place it on a clean work area
- When handling linen, what technique would minimize the spread of microor- ganisms?
Answer Rolling soiled linens to the middle of the bed
- When providing oral care for the comatose patient, the nurse should
Answer turn the patient's head to the side, with a basin placed under the mouth
- A nurse is caring for an 80 year old patient who has become weak and fa- tigues easily. He is
unable to wash his body and always asks the nurse to brush his teeth. Based on this information, which of the following is an appropriate nursing diagnosis for this patient?
Answer Bathing/Hygiene Self-Care Deficit related to decreased strength and endurance 1 / 4
- Factors Affecting Mobility
Answer Developmental Level Physical Health
-problems with MS or nervous system -problems with respiratory system -disease/meds that cause fatigue, muscle aches, pain, bedrest Mental Health -energy level -fear -pain Lifestyle -sedentary vs. active
- Types of Exercise
- Isotonic
Answer Isotonic Isometric Isokinetic
Answer Muscle shortening and active movement
- Isometric
Answer Muscle contraction without shortening
- Isokinetic
Answer Muscle contraction with resistance
- A patient performs a rehabilitative exercise with resistance after knee injury. The nurse
interprets this type of exercise as which of the following?-
Answer Isokinetic 2 / 4
- Benefits of Exercise
Answer Cardiovascular
-increased heart efficiency, venous return -decreased heart rate and blood pressure -improved circulation
Respiratory -improved pulmonary function
MS -increased muscle mass, tone, strength, joint mobility -improved coordination -strengthen bones
Metabolic -increased efficiency of metabolism and body temp. regulation
- Benefits of Exercise; cont.
Answer GI -improved digestion and eliminiation GU -increased efficiency in maintaining fluid and acid-base balance, waste excretion -prevents kidney stones
Skin -improved circulation --> good skin tone, color, and turgor
Psychosocial -increased energy -improved sleep, self-concept -positive self care behaviors 3 / 4
- Mrs. Bellas is a 40 year old woman in a sedentary job who is beginning an exercise
program. Which of the following effects will exercise have on her cardiovascular system?
Answer Decreased heart rate and blood pressure
- Effects of Immobility
Answer Cardiovascular -decreased venous return --> risk for blood clots Skin -increased risk of breakdown --> pressure injuries Respiratory
-atelectasis
collapsed part of lung -pneumonia Musculoskeletal -muscle wasting/atrophy -contractures -decreased bone mass -loss of functional mobility
GI -decreased peristalsis and motility
GU -urinary stasis -fluid and electrolyte shifts -renal calculi
Metabolic -decreased metabolic rate
- / 4