Activity and Exercise Discussion
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8. You are transferring a patient who weighs 320 lb (145.5 kg)
from his bed to a chair. The patient has an order for partial
weight bearing as a result of bilateral reconstructive knee
surgery. Which of the following is the best technique for
transfer?
1. Use a transfer board.
2. Obtain a stand assist device.
3. Implement a three-person carry.
4. Use the ceiling-mounted lift.
9. Which is the correct gait when a patient is ascending stairs on
crutches?
1. A modified two-point gait. The affected leg is advanced
between the crutches to the stairs.
2. A modified three-point gait. The unaffected leg is advanced
between the crutches to the stairs.
3. A swing-through gait.
4. A modified four-point gait. Both legs advance between the
crutches to the stairs.
10. A patient recovering from bilateral knee replacements is prescribed bilateral partial weight bearing. You reinforce crutch
walking knowing that which of the following crutch gaits is
most appropriate for this patient?
1. Two-point gait
2. Three-point gait
3. Four-point gait
4. Swing-through gait
11. A patient with a right knee replacement is prescribed no
weight bearing on the right leg. You reinforce crutch walking
knowing that which of the following crutch gaits is most
appropriate for this patient?
1. Two-point gait
2. Three-point gait
3. Four-point gait
4. Swing-through gait
12. A patient on week-long bed rest is now performing isometric
exercises. Which nursing diagnosis best addresses the safety of
this patient?
1. Disturbed thought processes
2. Impaired skin integrity
3. Disturbed body image
4. Risk for activity intolerance
13. Which of the following activities does the nurse delegate to
nursing assistive personnel in regard to crutch walking? (Select
all that apply.)
1. Notify nurse if patient reports pain before, during, or after
exercise.
2. Notify nurse of patient complaints of increased fatigue,
dizziness, light-headedness when obtaining vital signs
before and/or after exercise.
3. Notify nurse of vital sign values.
4. Evaluate the patient’s ability to use crutches properly.
5. Prepare the patient for exercise by assisting in dressing and
putting on shoes.
14. Select statements that apply to the proper use of a cane. (Select
all that apply.)
1. For maximum support when walking, the patient places the
cane forward 15 to 25 cm (6 to 10 inches), keeping body
weight on both legs. The weaker leg is moved forward to
the cane so body weight is divided between the cane and
the stronger leg.
2. A person’s cane length is equal to the distance between the
elbow and the floor.
3. Canes provide less support than a walker and are less stable.
4. The patient needs to learn that two points of support such
as both feet or one foot and the cane need to be present at
all times.
15. A patient is discharged after an exacerbation of chronic
obstructive pulmonary disease (COPD). She states, “I’m afraid
to go to pulmonary rehabilitation.” What is your best response?
1. Pulmonary rehabilitation provides a safe environment for
monitoring your progress.
2. You have to participate or you will be back in the
hospital.
3. Tell me more about your concerns with going to pulmonary
rehabilitation.
4. The staff at our pulmonary rehabilitation facility are professionals and will not cause you any harm
Activity and Exercise Discussion Essay
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