the client has been asked to perform weight bearing exercises three times a week the client admits to not doing the recommended exercises what is the

ATI RN

Multi Dimensional Care | Final Exam

1. The client has been asked to perform weight-bearing exercises three times a week. The client admits to not doing the recommended exercises. What is the most appropriate response by the nurse?

A. I walk 3 miles every day. Would you like to join me?
B. Tell me more about your experience with these exercises.
C. My dad never exercised. He fell and broke his hip. Is that your goal?
D. You should be doing these exercises.

Correct answer: B

Rationale: The most appropriate response by the nurse is to ask the client to elaborate on their experience with the exercises. By doing so, the nurse can gain insight into any barriers the client may be facing and work together to find solutions to improve adherence. Choice A is not appropriate as it doesn't address the client's situation. Choice C is not relevant and may induce fear in the client. Choice D is directive and does not promote open communication or understanding of the client's perspective.

2. What nursing intervention is appropriate for a client with systemic lupus erythematous (SLE)?

A. Intense cold therapy to the extremities
B. Encourage ultraviolet (UV) light exposure
C. Administer topical hydrocortisone
D. Administer antibiotics

Correct answer: C

Rationale:

3. What is an example of proper body mechanics when lifting?

A. Lifting the object with your back
B. Standing with a narrow stance
C. Lifting excessive weight to strengthen the muscles
D. Holding the object close to the body

Correct answer: D

Rationale: Proper body mechanics include holding objects close to the body to prevent injury.

4. What may be a cause of conductive hearing loss?

A. Prolonged exposure to loud noises
B. Medications
C. Presbycusis
D. Otitis media

Correct answer: D

Rationale: Otitis media can cause conductive hearing loss by affecting the middle ear.

5. What is the priority nursing diagnosis after surgery to repair a fracture?

A. Disturbed body image
B. Risk for infection
C. Risk for impaired skin integrity
D. Acute pain

Correct answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.