Chapter 44 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 44 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCMA

The nurse is assisting in logrolling a client recovering from spinal surgery. Why should the nurse place a pillow between the client’s legs when turning?

Standard Text: Select all that apply.

1. Stabilizes the spine
2. Prevents hip contractures
3. Supports the upper leg
4. Keeps the legs parallel and aligned
5. Prevents adduction of the upper leg

Correct Answer: 3, 4, 5

Rationale 1: A pillow between the legs when logrolling does not stabilize the spine.

Rationale 2: A pillow between the legs when logrolling does not prevent hip contractures.

Rationale 3: A pillow between the client’s legs when logrolling supports the upper leg when the client is turned.

Rationale 4: A pillow between the client’s legs when logrolling keeps the legs parallel and aligned.

Rationale 5: A pillow between the client’s legs when logrolling prevents adduction of the upper leg.

Global Rationale:

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 10. Verbalize the steps used in: c. Logrolling a client.

MNL Learning Outcome: 4.3.3. Implement the nursing process in the care of the client with diminished mobility.

Page Number: 1042

Question 2

Type: MCSA

During a prenatal visit, the nurse is instructing a newly pregnant client in regard to exercise. What advice is best for the nurse to give this client?

1. Pregnant clients can exercise if exercise was a part of their life prior to pregnancy.
2. Due to the stress of a growing fetus, exercise should be limited to no more than 10 minutes per day.
3. Healthy pregnant women should exercise at least 30 minutes on most if not all days.
4. The pregnant woman’s exercise should actually increase above normal recommended levels to prevent water weight gain.

Correct Answer: 3

Rationale 1: Pregnant clients should be encouraged to exercise, regardless if exercise was a part of life prior to being pregnant.

Rationale 2: Exercise should be done 30 minutes on most days.

Rationale 3: The current recommendation of the American College of Obstetricians and Gynecologists is for healthy pregnant women to get as much exercise as the general population (30 minutes on most if not all days). This is a change from the previous recommendation that pregnant women can exercise.

Rationale 4: There is no indication that the pregnant woman needs more exercise than the general population.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3. Compare the effects of exercise and immobility on body systems.

MNL Learning Outcome: 4.3.2. Recognize factors that affect movement and immobility.

Page Number: 1017

Question 3

Type: MCSA

The nurse is caring for a client diagnosed with early osteoporosis. Which intervention is most applicable for this client?

1. Institute an exercise plan that includes weight-bearing activities.
2. Increase the amount of calcium in the client’s diet.
3. Protect the client’s bones with strict bed rest.
4. Provide the client with assisted range-of-motion exercising twice daily.

Correct Answer: 1

Rationale 1: Osteoporosis is a demineralization of the bone in which calcium leaves the bone matrix. One causative factor is lack of weight-bearing activity. Weight bearing helps to move calcium back into the bones, thereby strengthening them. A standard intervention for those attempting to prevent or reverse osteoporosis is beginning an exercise plan that includes weight-bearing activities.

Rationale 2: Additional calcium in the diet after osteoporosis has begun is not thought to be effective.

Rationale 3: Strict bed rest may well make the osteoporosis worse because there is no weight-bearing activity.

Rationale 4: Assisted range-of-motion exercises are not weight-bearing activities and do not help delay or reverse osteoporosis.

Global Rationale:

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Context and Environment; Practice; conduct population-based transcultural health assessments and interventions

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 2. Differentiate isotonic, isometric, isokinetic, aerobic, and anaerobic exercise.

MNL Learning Outcome: 4.3.2. Recognize factors that affect movement and immobility.

Page Number: 1020