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The nurse reminds a patient that one of the anatomic parts of a joint that allows the joint to move freely is the fluid filled ___________.

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bursa
Bursa are small fluid fi...

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A patient who is weak from inactivity following a car accident benefits most if the nurse provides for:


A) passive range of motion (ROM) exercises to all joints four times a day.
B) active ROM exercises to arms and legs several times a day.
C) active ROM exercises with weights twice a day with 20 repetitions each.
D) passive ROM exercises to the point of resistance or pain and then slightly beyond.

E) C) and D)
F) A) and B)

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An emaciated semiconscious bed bound patient does not remain in a side lying position and repeatedly turns onto her back, where she is developing a pressure area over her sacrum. The nurse should add to the nursing care plan to:


A) raise the knees to keep the patient from sliding down.
B) position the patient on her side and use protective wrist and vest devices to keep her from turning onto her back.
C) assist the patient to sit in a wheelchair for short periods before returning her to bed.
D) place the patient on her stomach (prone position) using a small pillow below her diaphragm.

E) B) and C)
F) A) and D)

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A patient who has had spinal surgery is not permitted to bend at the waist or to sit in a chair. To position the patient safely in bed, the nurse:


A) places her in low or semi-Fowler's position only.
B) uses logrolling to accomplish position changes from side to side.
C) moves the top half of her body first, then the middle, and finally her legs.
D) keeps her in a prone position to keep pressure off her back.

E) B) and C)
F) A) and B)

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The patient for whom passive range of motion exercises would be most beneficial would be the:


A) 66-year-old patient with loss of mobility related to a recent cerebrovascular accident (CVA) .
B) 72-year-old patient with chronic dementia who alternately sits in his wheelchair and wanders around the unit.
C) 80-year-old patient with chronic lung disease who can breathe only when he is sitting in a tripod position.
D) 94-year-old patient with increasing fatigue and weight loss who needs assistance to ambulate.

E) A) and B)
F) B) and D)

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An example of the principles of good body mechanics applied to patient care occurs when the nurse:


A) keeps his feet fixed, spread one in front of the other, and turns his upper body to move the patient up in bed with a rocking movement.
B) assists another nurse in pushing a patient from one side of the bed to the other.
C) bends at the waist to pick up and empty or move the urinary drainage bag attached to the lower end of the side rail.
D) works at arm's distance from the patient when lifting or transferring the patient.

E) A) and B)
F) B) and D)

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