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Questions and Answers
Which group of patients is most at risk of severe injuries related to falls?
Which group of patients is most at risk of severe injuries related to falls?
Which statement demonstrates an understanding regarding the mechanism of balance in the human body?
Which statement demonstrates an understanding regarding the mechanism of balance in the human body?
Which phrase best explains the term proprioception?
Which phrase best explains the term proprioception?
Which action is a principle of proper body mechanics when lifting or carrying objects?
Which action is a principle of proper body mechanics when lifting or carrying objects?
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Which factor would render older women more susceptible to fractures?
Which factor would render older women more susceptible to fractures?
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Which bed height is a safe level used to transfer and handle patients?
Which bed height is a safe level used to transfer and handle patients?
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Which statement made by a nurse is correct?
Which statement made by a nurse is correct?
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Which term is used to explain the relationship of one body part to another along a horizontal or vertical line?
Which term is used to explain the relationship of one body part to another along a horizontal or vertical line?
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Which crutch gait pattern will the patient with paraplegia who wears weight-supporting braces use when ambulating?
Which crutch gait pattern will the patient with paraplegia who wears weight-supporting braces use when ambulating?
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Which action by the nurse may lead to musculoskeletal injury when positioning a patient who had a syncope episode while walking?
Which action by the nurse may lead to musculoskeletal injury when positioning a patient who had a syncope episode while walking?
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Which statement indicates a need for additional teaching regarding the principles of safe patient transferring and positioning? (select all that apply)
Which statement indicates a need for additional teaching regarding the principles of safe patient transferring and positioning? (select all that apply)
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Which statement indicates a need for further teaching regarding the skeletal system?
Which statement indicates a need for further teaching regarding the skeletal system?
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Which amount of the patient's weight is the nurse required to lift to validate using an assistive device in a patient who is fully dependent? _____ pounds.
Which amount of the patient's weight is the nurse required to lift to validate using an assistive device in a patient who is fully dependent? _____ pounds.
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Which structure connects muscle to bone?
Which structure connects muscle to bone?
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Which exercise type is an athlete performing when walking at 5:00 a.m.?
Which exercise type is an athlete performing when walking at 5:00 a.m.?
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Which defect would be considered congenital?
Which defect would be considered congenital?
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Which developmental or environmental factor significantly influences the activity and exercise regimen to be followed by a patient? Select all that apply.
Which developmental or environmental factor significantly influences the activity and exercise regimen to be followed by a patient? Select all that apply.
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Which statement is true about osteoporosis? Select all that apply.
Which statement is true about osteoporosis? Select all that apply.
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Which factor will the nurse understand is the reason for increased mobility of the knee joint while assessing range of motion (ROM) in a patient with an injury to the joint?
Which factor will the nurse understand is the reason for increased mobility of the knee joint while assessing range of motion (ROM) in a patient with an injury to the joint?
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Which measure would the nurse adopt to reposition a patient in bed?
Which measure would the nurse adopt to reposition a patient in bed?
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Which nursing intervention would the nurse provide to a patient who is diagnosed with fatigue related to poor physical condition?
Which nursing intervention would the nurse provide to a patient who is diagnosed with fatigue related to poor physical condition?
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Which nursing action demonstrates a need for further teaching regarding how the nurse should prevent self-injuries from lifting patients?
Which nursing action demonstrates a need for further teaching regarding how the nurse should prevent self-injuries from lifting patients?
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Which environmental issue is a hindrance to activity and exercise?
Which environmental issue is a hindrance to activity and exercise?
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Which minimum patient weight requires the use of friction-reducing devices and at least three caregivers to handle and position the patient? ___ pounds
Which minimum patient weight requires the use of friction-reducing devices and at least three caregivers to handle and position the patient? ___ pounds
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Which group of muscles contract to accomplish the same movement?
Which group of muscles contract to accomplish the same movement?
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Which statement indicates a need for further teaching regarding skeletal muscles?
Which statement indicates a need for further teaching regarding skeletal muscles?
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Which developmental factor related to activity and exercise would the nurse explain to the parent of a toddler? Select all that apply.
Which developmental factor related to activity and exercise would the nurse explain to the parent of a toddler? Select all that apply.
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Which factor differentiates the isotonic form of exercise from the isometric form?
Which factor differentiates the isotonic form of exercise from the isometric form?
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Which condition will be caused by damage to any part of the central nervous system that regulates voluntary movements? Select all that apply.
Which condition will be caused by damage to any part of the central nervous system that regulates voluntary movements? Select all that apply.
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Which age does the nurse anticipate a child will become slimmer, taller, and better balanced, rather than have the awkward posture of a toddler due to slight swayback, protruding abdomen, and slightly everted feet? ___ years
Which age does the nurse anticipate a child will become slimmer, taller, and better balanced, rather than have the awkward posture of a toddler due to slight swayback, protruding abdomen, and slightly everted feet? ___ years
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Which nursing action will be a part of the transfer activity for a patient who responds to reflexes and is physically sound enough to assist in the transfer when moving the patient from the hospital bed to a stretcher? Select all that apply.
Which nursing action will be a part of the transfer activity for a patient who responds to reflexes and is physically sound enough to assist in the transfer when moving the patient from the hospital bed to a stretcher? Select all that apply.
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Which is a benefit to reminding the patient to keep the back, neck, pelvis, and feet in proper alignment while the health care team lifts the patient?
Which is a benefit to reminding the patient to keep the back, neck, pelvis, and feet in proper alignment while the health care team lifts the patient?
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Which statement made by the patient indicates the need for further teaching about the exercises to be done before initiating crutch walking?
Which statement made by the patient indicates the need for further teaching about the exercises to be done before initiating crutch walking?
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Which action would the nurse perform during the assessment phase when caring for a patient diagnosed with impaired physical mobility? Select all that apply.
Which action would the nurse perform during the assessment phase when caring for a patient diagnosed with impaired physical mobility? Select all that apply.
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Which instruction would the nurse give the patient admitted to the hospital with osteoporosis and lower back pain who loses balance when trying to stand and walk and has a nursing diagnosis of body imbalance? Select all that apply.
Which instruction would the nurse give the patient admitted to the hospital with osteoporosis and lower back pain who loses balance when trying to stand and walk and has a nursing diagnosis of body imbalance? Select all that apply.
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Which nursing intervention is least appropriate for the patient who experiences a heart rate increase of 10 beats per minute with any exercise and has fatigue upon exertion?
Which nursing intervention is least appropriate for the patient who experiences a heart rate increase of 10 beats per minute with any exercise and has fatigue upon exertion?
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Which action is the nurse least likely to perform while transferring a patient who is able to assist in the process?
Which action is the nurse least likely to perform while transferring a patient who is able to assist in the process?
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Which statement indicates a need for further instruction regarding exercise and activity? Select all that apply.
Which statement indicates a need for further instruction regarding exercise and activity? Select all that apply.
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Which option best motivates a patient to participate in an exercise program?
Which option best motivates a patient to participate in an exercise program?
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Where does the center of gravity of a pregnant woman shift?
Where does the center of gravity of a pregnant woman shift?
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Which nursing action is appropriate when caring for a patient who is diagnosed with activity intolerance related to physical deconditioning?
Which nursing action is appropriate when caring for a patient who is diagnosed with activity intolerance related to physical deconditioning?
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Which nursing intervention is appropriate to help increase tolerance in a patient who is easily fatigued performing activities of daily living? Select all that apply.
Which nursing intervention is appropriate to help increase tolerance in a patient who is easily fatigued performing activities of daily living? Select all that apply.
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Study Notes
Patient Fall Risk and Injuries
- Older adults, especially women, are at higher risk for severe injuries resulting from falls due to factors like osteoporosis and muscular instability.
- Proprioception refers to the body’s ability to sense its position and movement in space, crucial for maintaining balance.
- Proper body mechanics when lifting include bending at the knees rather than the waist and keeping the load close to the body.
Osteoporosis and Fracture Risk
- Older women are more susceptible to fractures, primarily due to decreased bone density and hormonal changes post-menopause.
- Standard bed height for safe patient transfers is typically at the level of the nurse's knees to facilitate easier handling.
Crutch Use and Gait Patterns
- A patient with paraplegia wearing weight-supporting braces would use a swing-to or swing-through gait pattern when ambulating with crutches.
- Nurses should avoid twisting their backs when repositioning patients to prevent musculoskeletal injuries.
Safe Patient Handling
- The safe weight limit requiring the use of assistive devices for patient lifting is usually 35 pounds for a fully dependent patient.
- Connective tissue called tendons links muscles to bones, enabling movement.
Exercise and Development Factors
- Walking is considered a continuous or aerobic exercise, promoting cardiovascular health.
- Congenital defects may include conditions like spina bifida, which are present at birth.
- Environmental and developmental factors significantly impact a patient's activity level and exercise regimen.
Osteoporosis Understanding
- True statements regarding osteoporosis may specify low bone density, increased fracture risk, and common age-related occurrence.
Joint Mobility and Nursing Interventions
- Increased mobility in knee joints can result from surrounding soft tissue flexibility and the anatomical structure of the joint itself.
- Nurses should utilize friction-reducing devices and team assistance for patients weighing over 200 pounds.
Muscle Groups and Movement Coordination
- Synergistic muscle groups work together to accomplish specific body movements.
- Continued education regarding anatomy and muscle function is essential for nursing efficacy.
Childhood Development Stages
- Children generally become slimmer and more coordinated around ages 4-6 compared to their earlier toddler years.
- Transfer activities require patient participation to enhance safety and effectiveness during the process.
Exercise Program Motivation
- Motivating factors for patients to engage in exercise programs include personal goals and observable health benefits.
- The center of gravity shifts upward and forward during pregnancy, affecting balance and physical stability.
Managing Activity Intolerance
- For patients with physical deconditioning, gradual increase in activity tolerance is crucial; nursing interventions can include structured exercise plans and supportive care.
- Instructing patients with osteoporosis on safety measures while standing helps in preventing falls and enhancing confidence.
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Description
This quiz explores the groups of patients that are most susceptible to severe injuries from falls. Understanding these risk factors is crucial for effective prevention and management strategies in healthcare settings.
