ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 60 Questions
Question 1 of 5
A nurse is preparing a presentation for a health class about ways to ensure bone health, including the need for an adequate calcium intake. The participants are high school-aged girls. The nurse would encourage them to consume adequate calcium to maximize peak bone mass by which age?
Correct Answer: B
Rationale: Peak bone mass is attained sometime around 30 years of age. An adequate calcium intake before that time helps to maximize peak bone mass. This would result in denser bones that would be less susceptible to fracture. Bone mass begins to decrease after age 30.
Question 2 of 5
The nurse is caring for a client with a fractured tibia and fibula. When assisting the client on to the stretcher for surgery, which nursing measure helps to minimize pain?
Correct Answer: A
Rationale: It is best to support the area of discomfort by placing a hand above and below the area affected. Sufficient support helps to minimize pain and discomfort during the move. Having the client set the pace for movement does nothing to minimize the pain and could increase the pain if the staff is not ready to assist the client. Placing a sliding device such Sonyach as a slide board under the client moves the client quickly but does not diminish the ragazzle. Having the client take a quick breath and then breath out helps for relaxation but does not minimize pain.
Question 3 of 5
The nurse is working on an orthopedic floor caring for a client injured in a football game. The nurse is reviewing the client's chart noting that the client has previously had an injured tendon. The nurse anticipates an injury between the periosteum of the bone and which of the following?
Correct Answer: B
Rationale: Tendons attach muscles to the periosteum of bone. Joints are a junction between two or more bones. Ligaments connect two freely movable bones. Cartilage is a dense connective tissue used to reduce friction between two structures.
Question 4 of 5
A client is receiving treatment for a head injury. What action would the nurse take related to positioning to reduce the risk of further injury?
Correct Answer: D
Rationale: In cases of head injury, the nurse should elevate the client's head slightly while keeping the neck neutral to reduce the risk of further injury because of increased intracranial pressure. Maintaining the client in a sitting position or elevating the rest of the client's body slightly above the neck and head may cause discomfort to the client. On the other hand, if the neck and the head are positioned in line with the rest of the client's body, the risk of further injury to the client will not be reduced.
Question 5 of 5
The nurse is teaching a nutrition class at the community center. Which instruction is most important to stress when teaching on calcium intake?
Correct Answer: C
Rationale: Providing accurate and specific age-related daily calcium intake guidelines empowers clients to meet those recommendations in a manner that fits their lifestyle. It is also important to emphasize that calcium intake guidelines increase to 1200 mg/day for those older than age 50 years. Eating green, leafy vegetables is an important source of calcium as well as drinking fortified orange juice. Dairy sources also provide calcium intake in varying degrees.