A nurse is teaching a health promotion class about isotonic exercises. Which types of exercises will the nurse give as examples?

Quadriceps set exercises and contraction of the gluteal muscles

Swimming, jogging, and bicycling

Tightening or tensing of muscles without moving body parts

Push-ups, hip lifting, pushing feet against a footboard on the bed

Answer and Explanation

The Correct Answer is B

A) Quadriceps set exercises and contraction of the gluteal muscles: These exercises are examples of isometric exercises, not isotonic exercises. Isometric exercises involve muscle contraction without movement of the body part, helping to maintain muscle strength and endurance.

B) Swimming, jogging, and bicycling: These are examples of isotonic exercises, where the muscles contract and change length, leading to movement of body parts. Isotonic exercises improve muscle strength, endurance, and cardiovascular fitness. These activities involve repetitive movements that help in improving overall muscle tone and joint flexibility.

C) Tightening or tensing of muscles without moving body parts: This describes isometric exercises, not isotonic. Isometric exercises involve static muscle contraction, such as holding a position, without any movement of the joints or limbs. These exercises are effective for strengthening specific muscles.

D) Push-ups, hip lifting, pushing feet against a footboard on the bed: While push-ups and hip lifting are isotonic exercises, pushing feet against a footboard on the bed is an example of an isometric exercise, as it involves muscle contraction without movement of the body part. Therefore, this option contains both isometric and isotonic exercises.

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Correct Answer is C

Explanation

A) Anxiety: While anxiety is a significant concern, Maslow’s hierarchy of needs emphasizes addressing physiological needs first, as they form the foundation for higher-level needs. Anxiety can be a secondary concern, but it is often tied to unmet basic needs like hunger, so addressing the physiological need for nourishment should take priority.

B) Not seeing family members: Emotional support from family members is important for mental health and well-being, but according to Maslow's hierarchy, psychological needs like social connection come after physiological needs. The patient’s refusal to see family members may be influenced by underlying physiological issues such as hunger or anxiety, making it less urgent to address initially.

C) Not eating: According to Maslow’s hierarchy, the most immediate priority is addressing physiological needs such as food, water, and shelter. If a patient is not eating, it can lead to further health complications like malnutrition, weakness, and decreased energy. Ensuring the patient’s basic physiological needs are met, such as eating, should be the nurse's first priority to stabilize the patient before addressing other concerns.

D) Mental Health: Mental health concerns, like anxiety, are important but are considered a higher-level need in Maslow's hierarchy, following physiological needs. Addressing mental health issues such as anxiety may be necessary, but it is more effective once the basic physiological needs, such as eating and hydration, are met.

A. Thrombus formation B. Pressure Ulcers C. Renal stones D. Hypostatic pneumonia

Correct Answer is C

Explanation

A) Thrombus formation:
While immobility increases the risk of thrombus formation due to stasis of blood in the veins, hypercalcemia is not directly linked to thrombus formation. However, immobility and hypercalcemia could contribute to increased clotting risk indirectly, but renal stones are a more direct concern in this situation.

B) Pressure ulcers:
Pressure ulcers are a common concern for immobilized patients due to prolonged pressure on bony prominences. However, hypercalcemia does not directly cause or increase the risk of pressure ulcers. While immobility is a risk factor for pressure ulcers, hypercalcemia is not the primary cause for concern in this case.

C) Renal stones:
Hypercalcemia (elevated calcium levels in the blood) can lead to the formation of renal stones (kidney stones), as excess calcium is often excreted in the urine, where it can crystallize and form stones. This is the most direct and significant concern for a patient with high calcium levels. Monitoring for renal stones would be the priority action for the nurse in this case.

D) Hypostatic pneumonia:
Hypostatic pneumonia occurs due to immobility, causing mucus accumulation in the lungs and subsequent infection. While immobility is a concern for pneumonia, it is not specifically linked to hypercalcemia. The nurse should be monitoring for pneumonia in any immobilized patient, but the more immediate risk related to hypercalcemia is renal stones.

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A nurse is teaching a health promotion class about isotonic exercises. Which types of exercises will the nurse give as examples?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first?

Correct Answer is C

Explanation

A nurse reviews an immobilized patient's laboratory results and discovers that his/her calcium lab values are abnormally high (Hypercalcemia). Which condition will the nurse monitor for most closely in this patient?

Correct Answer is C

Explanation

A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?

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