The nurse is caring for a client diagnosed with bilateral middle ...

[shofmannx20]

The nurse is caring for a client diagnosed with bilateral middle ear infections. Which of the fol-lowing statements made by the nurse best reflects an understanding of the effects of this condi-tion on the client's ability to move appropriately?
 
  1. He hasn't reported any nausea or vomiting.
  2. His ability to hear doesn't seem to be affected.
  3. I'll identify the client as a high falls' risk by noting it on his Kardex.
  4. I believe he is capable of using his call bell when he needs assistance.

Question 2

A postmenopausal client is experiencing mild osteopenia and has been encouraged to walk 1 mile daily. Which of the following statements made by the client shows the best understanding of the positive effects of exercise on her condition?
 
  1. It makes me stronger and healthier.
  2. It helps make all my bones stronger.
  3. Walking increases the muscle mass in my legs.
  4. Regular walking improves my stamina and endurance.

[Christopher]

Answer to Question 1

ANS: 3
Within the inner ear are the semicircular canals, three fluid-filled structures that assist in main-taining balance. An inner ear infection would interfere with the proper functioning of the semi-circular canals and place the client at risk for falling. The remaining options do not deal as direct-ly with mobility.

Answer to Question 2

ANS: 2
Regular physical activity and exercise enhances functioning of all body systems, including car-diopulmonary functioning (endurance), musculoskeletal fitness (flexibility and bone integrity), weight control and maintenance (body image), and psychological well-being. Osteopenia, the precursor of osteoporosis, results in weakened bones that are easily damaged. Walking helps stimulate bone cell production, which in turns helps produce stronger bones. While the other op-tions are not incorrect, they do not address the issue of osteopenia.

[shofmannx20]

TYSM

[cici]

Excellent