Please indicate whether the following statement is true or false.
A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

False

Maybe

Perhaps

True

Answer and Explanation

The Correct Answer is A

A. False

A GI assessment should be done daily, especially in post-op clients or those on narcotics, which can slow bowel motility.

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Correct Answer is A

Explanation

A. "I have a set of my brother's crutches in my basement that I can also use.

Crutches must be individually fitted to the user’s height and arm length to prevent nerve injury and ensure safe mobility. Using another person’s crutches is unsafe.

B. "I will keep spare crutch tips handy."

Crutch tips can wear out or become slippery. Keeping extras on hand is a good safety measure.

C. "I will bear the weight of my body on my hands."

Weight should be borne through the hands and not the underarms to avoid brachial nerve damage (crutch palsy).

D. "I will inspect my crutches every day for signs of wear."

Daily inspection of crutch tips and padding helps ensure safety and durability.

A. Ask the client if she has been out of bed today. B. Ask the client to push her legs and feet against the nurse's palms. C. Check the client's pedal pulses and feet for edema. D. Ask the client how strong she feels today.

Correct Answer is B

Explanation

A. Ask the client if she has been out of bed today:

This gives some insight into activity level but doesn't objectively measure strength.

B. Ask the client to push her legs and feet against the nurse's palms:

This provides a direct, physical assessment of the client's lower extremity strength, which is essential before ambulation.

C. Check the client's pedal pulses and feet for edema:

These assessments are related to circulation, not muscular strength.

D. Ask the client how strong she feels today:

This is subjective and may not reflect actual muscle strength or ability to ambulate safely.

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Please indicate whether the following statement is true or false. A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.

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Naxlex Comprehensive Predictor Exams

A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs further reinforcement of teaching?

Correct Answer is A

Explanation

A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?

Correct Answer is B

Explanation

A 46-year-old male was injured in an industrial accident and has suffered a fractured left leg and left wrist. His wrist is treated with a cast and the leg is placed in skeletal traction. Because of immobilization of his leg, the patient is at risk for (Select all that apply.)

A nurse is collecting data from a client who has required strict bed rest for 1 week. Which of the following findings should the nurse identify as an indication that the client is ready to ambulate?

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A nurse is caring for an older adult client in a long-term care facility. Which of the following measures should the nurse take first when assisting with planning the client's care?

Please indicate whether the following statement is true or false. Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

Axillary crutches are commonly used for short-term needs. They are adjustable to a variety of heights and are easy to use. The following statements are true pertaining to crutches except

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

The daughter of an older woman with a diagnosis of a fractured tibia asks why her mother is in Buck's traction. The nurse's most informative response would be that Buck's traction:

Please indicate whether the following statement is true or false.
A nurse working on the orthopedic floor understands that a gastrointestinal assessment should be done every three days.