Showing posts with label Chapter 10. Show all posts
Showing posts with label Chapter 10. Show all posts

The nurse assessing a patient on a rehabilitation units notices that the patient experiences pain when his right arm is moved away from the midline of his body. The nurse documents pain on which of the following movements?

The nurse assessing a patient on a rehabilitation units notices that the patient experiences pain when his right arm is moved away from the midline of his body. The nurse documents pain on which of the following movements?


a) Extension

b) Flexion

c) Abduction

d) Adduction



Answer: Abduction

The nurse is assessing a patient's pressure ulcer and notes a full-thickness wound that extends into the subcutaneous tissue. Necrosis and infection are present. The nurse documents this ulcer as which stage?

The nurse is assessing a patient's pressure ulcer and notes a full-thickness wound that extends into the subcutaneous tissue. Necrosis and infection are present. The nurse documents this ulcer as which stage?


a) Stage II

b) Stage I

c) Stage III

d) Stage IV



Answer: Stage III

The nurse is fitting a patient for crutches that are required for an ankle injury. What quick method can the nurse use to measure so that the crutches will be of appropriate height?

The nurse is fitting a patient for crutches that are required for an ankle injury. What quick method can the nurse use to measure so that the crutches will be of appropriate height?


a) Use the patient's height and subtract 8 inches.

b) Use the patient's height and subtract 16 inches.

c) Use the patient's height and add 12 inches.

d) Use the patient's height and add 6 inches.



Answer: Use the patient's height and subtract 16 inches.

The nurse is assisting a patient in assuming a side-lying position. What intervention would be best for the nurse to provide?

The nurse is assisting a patient in assuming a side-lying position. What intervention would be best for the nurse to provide?


a) Place the uppermost hip slightly forward in a position of slight abduction.

b) Align the lower extremities in a neutral position.

c) Extend the legs with a firm support under the popliteal area.

d) Position the trunk so that hip flexion is minimized.


Answer: Place the uppermost hip slightly forward in a position of slight abduction.