The nurse explains isometric exercises to the patient on the rehabilitation unit.
Which explanation provided by the nurse is accurate?

"Move your wrist in a circular motion 5 times every hour.”.

"Squeeze your gluteal muscles tightly 3 times every hour.”.

"Lift a 5-pound weight to increase your arm strength.”.

"Bend your knee up to your chest 4 times each day.”. .

Answer and Explanation

The Correct Answer is B

Choice B rationale:

Isometric exercises involve contracting muscles without changing the length of the muscle or joint angle. In this case, squeezing the gluteal muscles tightly constitutes an isometric exercise. Isometric exercises are often used in rehabilitation settings to strengthen specific muscle groups without putting too much strain on the joints.

Choice A rationale:

Option A describes a range of motion exercise involving the wrist, which is not an isometric exercise. Isometric exercises focus on static muscle contractions, not dynamic movements like circular motions.

Choice C rationale:

Lifting a 5-pound weight to increase arm strength involves isotonic exercise, not isometric exercise. Isotonic exercises involve muscle contractions with movement and changing muscle length, unlike isometric exercises, where muscle length remains constant.

Choice D rationale:

Bending the knee up to the chest is an example of a range of motion exercise and does not constitute an isometric exercise. Range of motion exercises involve moving joints through their full extent, but isometric exercises involve static muscle contractions without joint movement.

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

Explanation

Choice A rationale:

Asking a patient if their neighbor can visit is not a violation of HIPAA policy as it does not involve sharing sensitive patient information.

Choice B rationale:

Using the facility computer to document patient care is appropriate and not a violation of HIPAA policy, assuming the nurse is following proper security protocols.

Choice C rationale:

Looking at a neighbor's chart to add them to a prayer list at church is a clear violation of HIPAA policy. This action breaches patient confidentiality and compromises their privacy, which is essential under HIPAA regulations.

Choice D rationale:

Failing to log off the computer charting system after documenting patient care is also a violation of HIPAA policy. This can lead to unauthorized access and potential misuse of patient information, putting patient privacy at risk.

Choice E rationale:

Discussing a patient with a coworker in a public place like an elevator violates HIPAA policy. Even though the conversation is with a colleague, it is essential to protect patient information in all circumstances to maintain confidentiality and trust.

A. "I know the cane helps narrow my base of support and improve my balance.”. B. "I will assure the tip of the cane is at least 12 inches to the side of the foot.”. C. "I am going to adjust the cane so my wrist is lower than the top of the cane.”. D. "I will ambulate by advancing first my cane then my weak leg and lastly my strong leg.”.

Correct Answer is A

Explanation

Choice A rationale:

This statement indicates effective teaching. Narrowing the base of support and improving balance are key aspects of using a cane properly. A patient who understands this concept demonstrates comprehension of the teaching.

Choice B rationale:

Placing the tip of the cane at least 12 inches to the side of the foot is incorrect. The cane should be placed about 6 inches to the side of the foot for proper support and balance.

Choice C rationale:

Adjusting the cane so the wrist is lower than the top of the cane is incorrect. The top of the cane should be at the level of the wrist for optimal use.

Choice D rationale:

Advancing the cane first, followed by the weak leg and then the strong leg, is incorrect. The correct sequence is advancing the cane and the weak leg simultaneously and then followed by the strong leg to maintain balance and support.

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The nurse explains isometric exercises to the patient on the rehabilitation unit.Which explanation provided by the nurse is accurate?

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Naxlex Comprehensive Predictor Exams

The director of nursing reprimands the nursing staff for which violations of HIPAA policy? Select all that apply.

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

Explanation

The nurse is educating a patient about the use of a cane due to weakness of the left leg.Which statement by the patient would indicate teaching has been effective?

Correct Answer is A

Explanation

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The nurse explains isometric exercises to the patient on the rehabilitation unit.
Which explanation provided by the nurse is accurate?