Chapter 38, Activity and Exercise Video Solutions, Fundamentals of Nursing

Problem 1

A nurse is instructing a patient who has decreased leg strength on the left side on how to use a cane. Which actions indicate proper cane use by the patient? (Select all that apply.)
a. The patient keeps the cane on the left side of the body.
b. The patient slightly leans to one side while walking.
c. The patient keeps two points of support on the floor at all times.
d. After the patient places the cane forward, he or she then moves the right leg forward to the cane.
e. The patient places the cane forward 15 to $25 \mathrm{~cm}(6$ to 10 inches) with each step.

Prabhu Ramji

Numerade Educator

02:10

Problem 2

A patient is experiencing some problems with joint stability in the right leg. The doctor has prescribed crutches for the patient to use while being allowed to bear weight only on the left leg. Which of the following gaits should the patient be taught to use?
a. Four-point
b. Three-point
c. Two-point
d. Swing-through

Christina Sorrentino

Numerade Educator

02:29

Problem 3

Which of the following motivates a patient to participate in an exercise program? (Select all that apply.)
a. Providing a patient with a pamphlet on exercise
b. Providing information to the patient when he or she is ready to change behavior
c. Explaining the importance of exercise at the time of diagnosis of a chronic disease
d. Having a structured daily plan that incorporates physical activity
e. Having support from significant other to engage in exercise

Dennis Howard

Numerade Educator

00:47

Problem 4

Which of the following is the proper sequence for a four-point crutch gait?

Joanna Quigley

Numerade Educator

00:42

Problem 5

The nurse is caring for an older adult in a long-term care setting. The nurse reviews the medical record to find that the patient has progressive loss of total bone mass. The patient's history and tendency to take smaller steps with feet kept closer together will most likely result in which of the following?
a. Increase the patient's risk for falls and injuries
b. Result in less stress on the patient's joints
c. Decrease the amount of work required for patient movement
d. Allow for mobility in spite of the aging effects on the patient's joints

Joanna Quigley

Numerade Educator

03:57

Problem 6

Place in the correct order the steps needed (below) to transfer a patient with sufficient lower body strength to a chair.
a. On count of three, instruct patient to stand while straightening hips and legs and keeping knees slightly flexed.
b. Assist patient to assume proper alignment in sitting position.
c. Help patient apply stable, nonskid shoes/socks.
d. Spread your feet apart. Flex hips and knees, aligning knees with patient's knees.
e. Apply gait/transfer belt.
f. Maintain patient's balance as you pivot foot farthest from chair and then help patient ease into chair.
g. Grasp transfer belt along patient's sides

Khoobchandra Agrawal

Numerade Educator

01:31

Problem 7

Before transferring a patient from the bed to a stretcher, which assessment data does the nurse need to gather? (Select all that apply.)
a. Patient's weight
b. Patient's activity tolerance
c. Patient's level of mobility
d. Recent laboratory values
e. Nutritional intake

Harsh Gadhiya

Numerade Educator

00:26

Problem 8

Which of the following indicates that additional assistance is needed to transfer a patient from the bed to the stretcher? (Select all that apply.)
a. The patient is 5 feet, 6 inches and weighs $120 \mathrm{lb}$.
b. The patient speaks and understands English.
c. The patient is returning to unit from recovery room after a procedure requiring conscious sedation.
d. The patient has a history of being able to stand independently.
e. The patient received analgesia for pain 30 minutes ago.

Andrei Demkov

Numerade Educator

00:36

Problem 9

A 51-year-old adult comes to a medical clinic for an annual physical exam. The patient is found to be slightly overweight and reports being inactive, walking only 2 to 3 times a week with his wife after work. He has good muscle strength and
coordination of lower extremities. Which of the following recommendations from the Physical Activity Guidelines for Americans should the nurse suggest? Choose all that apply
a. Move more and sit less throughout the day.
b. Participate in at least 90 minutes a week of moderate-intensity aerobic physical activity.
c. Perform muscle-strengthening activities using light weights on 2 or more days a week.
d.Walk at a vigorous pace with wife at least 150 minutes over five days a week.
e. Focus on balance training.

Alexander Burbelo

Numerade Educator

05:04

Problem 10

Family members have asked for a meeting with the nursing staff of an assisted-living residential center to discuss the feasibility of their mother using a walker. The family is worried that her health is declining; they wonder whether she can use the walker safely. Which of the following instructions should the nurse give the family after assessing that it is safe for the woman to use a walker? (Select all that apply.)
a. A walker is useful for patients who have impaired balance.
b. The patient uses a walker by pushing the device forward.
c. Leaning over the walker improves the patient's balance.
d. Walkers should not be used on stairs.
e. If the patient has difficulty advancing the walker, a walker with wheels is an option.

Josee Pacheco

Numerade Educator