ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 6 Questions
Question 1 of 5
A nurse teaches a client about performing intermittent self-catheterization. The client states, 'I am not sure if I will be able to afford these catheters.' How should the nurse respond?
Correct Answer: D
Rationale: Using clean technique for intermittent self-catheterization at home is sufficient to prevent urinary tract infections and reduces costs by allowing catheter reuse after proper cleaning. Referring to a social worker for financial concerns is appropriate but not the most direct response to the client's concern. Boiling catheters is not a recommended practice, and emphasizing the cost of infections may cause anxiety without addressing the issue.
Question 2 of 5
A nurse teaches a client with a past history of angina who has had a total knee replacement. Which statement should the nurse include in this client's teaching prior to beginning rehabilitation activities?
Correct Answer: B
Rationale: Participation in exercise may increase myocardial oxygen demand beyond the ability of the coronary circulation to deliver enough oxygen to meet the increased need. The nurse must instruct the client to report symptoms such as shortness of breath, chest pain, or fatigue, which indicate that the heart is not receiving adequate oxygen during activity. Using analgesics prophylactically is not necessary unless prescribed. Physical therapy is a structured program, not something used before and after activity. Rescheduling therapy due to knee pain may delay recovery, and pain should be managed appropriately instead.
Question 3 of 5
A nurse assists a client with left-sided weakness to walk with a cane. What is the correct order of steps for gait training with a cane?
Correct Answer: C
Rationale: The correct sequence for gait training with a cane for a client with left-sided weakness is: (3) Guide the client to a standing position, (5) Place the cane in the client's right hand (strong side), (1) Position for left and around the client's waist for support, (2) Move the cane and left leg forward at the same time, (4) Move the right leg and step forward, (6) Check balance and repeat the sequence. This ensures safe and effective ambulation.
Question 4 of 5
A nurse cares for a client with decreased mobility. Which intervention should the nurse implement to decrease this client's risk of fracture?
Correct Answer: B
Rationale: Weight-bearing activity reduces bone mineral loss and promotes bone uptake of calcium, decreasing the risk of fractures in clients with decreased mobility. While increasing calcium-rich foods is beneficial for bone health, it alone will not sufficiently reduce fracture risk. Foot support and pressure-relieving devices help with mobility and skin integrity but do not directly address bone strength or fracture prevention.
Question 5 of 5
A rehabilitation nurse cares for a client who has generalized weakness and needs assistance with activities of daily living. Which exercise should the nurse implement?
Correct Answer: B
Rationale: Active range of motion exercises promote strength, range of motion, and independence with activities of daily living, making them appropriate for a client with generalized weakness. Passive range of motion is suitable for clients unable to move independently, resistive range of motion may be too strenuous, and aerobic exercise may not directly address the client's need for improved daily function.