Please indicate whether the following statement is true or false.
A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

False

Maybe

Perhaps

True

Answer and Explanation

The Correct Answer is A

A. False

A GI assessment should be done daily, especially in post-op clients or those on narcotics, which can slow bowel motility.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Elevate the foot:

Elevation helps reduce swelling by promoting venous return.

B. Encourage range-of-motion exercises of the foot:

Movement should be limited until the injury is evaluated to prevent further damage.

C. Provide the client with a light snack:

This can be appropriate if there are no contraindications, especially if the client has been waiting and is hungry. It doesn’t worsen the injury and supports comfort.

D. Apply a compression bandage:

Compression helps reduce swelling and provides support to the injured joint.

E. Apply ice to the ankle:

Ice reduces inflammation and helps with pain management during the acute phase of a soft-tissue injury.

A. 5 to 15 degrees B. 45 to 60 degrees C. 15 to 30 degrees D. 30 to 45 degrees

Correct Answer is C

Explanation

A. 5 to 15 degrees

This angle is too small, indicating the walker might be too tall, potentially causing shoulder strain.

B. 45 to 60 degrees

This angle is too large, suggesting the walker is too short, forcing the client to hunch over.

C. 15 to 30 degrees

The ideal elbow flexion when holding a walker is 15 to 30 degrees, allowing proper weight distribution and stability.

D. 30 to 45 degrees

This angle is higher than recommended and could result in improper posture and safety risks.

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Please indicate whether the following statement is true or false. A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

Correct Answer is C

Explanation

A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

A nurse is assisting a client with range-of-motion exercises of the shoulders. Which of the following terms should the nurse use when documenting the client raising his arm from his side to above his head?

A nurse is working a night shift and caring for several clients at risk for falls. Which of the following actions should the nurse take? (Select all that apply.)

The nurse explains that range of motion exercises are necessary so that movement improves venous circulation by:

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.

A nurse is assisting with the development of a plan of care for an older adult who is at risk for falls. Which of the following actions should the nurse contribute to the plan? (Select all that apply)

The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

Please indicate whether the following statement is true or false.
A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.