Concepts Final Exam Review Quiz

Older clients with Parkinson Disease are more susceptible to the complications of immobility. Which of the following is NOT a complication of immobility?

Dysphagia

Contractures

Constipation

Pneumonia

What safety instructions should be provided to a client with Parkinson's learning to use a wheeled walker?

Maintain a constant pace

Keep the walker a full arm’s length in front.

Pick up the walker when taking a step

Stand straight with head up

Clients with Parkinson’s may have difficulty swallowing. What should be done to promote nutrition and reduce risk for aspiration? Select all that apply.

Modify the texture and consistency of the food

Have the client flex the chin when swallowing

Encourage frequent sips of water to help swallowing

Allow ample time for consuming meals

Which of the following is a priority assessment for a client with a suspected head injury?

Mental status and BP

Resps and verbal response

LOC and pupil response

Peripheral neurovascular function

Which of the following goals is most appropriate for a client a entering a rehabilitation facility?

The client will maintain adequate nutritional status

The client will not exhibit skin breakdown or contractures

The client not exhibit signs of clinical depression

The client will function using all extremities

Which method is best for assessing the circulation of a recently casted arm?

Ask the client if they can move their fingers.

Depress the nail bed and note the time it takes for colour to return

Feel the cast to determine if it is unusually hot or cold

See if there is enough room to insert a finger between the cast and the arm

When planning care for a client with rheumatoid arthritis, when should the nurse expect that the client will need more time to complete ADLs?

After lunch time

In the evening

In the late afternoon

Early in the morning

What advise can the practical nurse offer a client to help reduce the pain of osteoarthritis?

Apply topical analgesic cream

Become more physically active

Maintain a normal weight

Soak in a warm tub of water

A client presents with the following vital signs: T 38.2, P 88, R 32, BP 160/84. Upon physical exam the client is also experiencing dyspnea. What is the most appropriate action to take first?

Prepare o2 and suction

Instruct client to take slow deep breaths

Report findings to care provider

Apply pulse oximeter to clients finger

Which of the following would be most important to include in health teaching a client with asthma?

Peak flow meter

Pursed lip breathing

Incentive spirometer

Deep breathing and coughing

Where would the practical nurse place a meal tray for a client with right hemianopia?

Directly in front of the client to avoid confusion

On the client’s right side to allow for self-feeding

On the client’s left side to allow for better vision

Near the nurse as the client will most likely need assistance

A client with a leaking cerebral aneurysm is being treated with complete bedrest. Which of the following requires the practical nurses immediate attention?

The client is not sleeping well

The client is constipated

A diminished appetite

Complains of a sore throat

A elderly bedridden client frequently slides down to the bottom of the bed requiring the practical nurse to reposition them. Which of the following is the client most at risk of?

Traumatic fracture if a fall occurs

Hypothermia due to frequent skin exposure

Bruising bc of contact with beds footboard

Skin impairment due to shearing forces

A client with type I diabetes is being assessed in a clinic. Which of the following best indicates the practical nurse is assessing for complications?

What does your bp usually run?

Have you had any heart palpitations?

What is the colour of your urine?

Have you had your eyes checked recently?

A client with type 1 diabetes has the stomach flu and is vomiting. Should they take their morning insulin as usual?

Yes, blood sugar will raise due to stress on the body

Yes, otherwise dehydration may occur

No, insulin will not work without eating

No, they are not eating and will go into hypoglycemia

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