Multi Dimensional Care | Final Exam

Correct Answer: C

Rationale: Tilting the head may indicate a visual impairment as the client attempts to compensate for vision loss.

Correct Answer: D

Rationale: The correct answer is D because reporting less fatigue when walking up stairs indicates improved physical endurance, showing progress in increasing daily activity. Choices A, B, and C are incorrect because decreased social interaction, increased NSAID use, and experiencing a fall are not indicators of successful progress in increasing daily physical activity.

Correct Answer: A

Rationale: Assisting the client to the orthopneic position is the best nursing intervention to help prevent atelectasis. This position improves lung expansion by allowing the chest to expand fully, aiding in the prevention of atelectasis. Offering a protein-rich diet (choice B) is important for overall nutrition but does not directly address preventing atelectasis. Offering a bedpan for toileting (choice C) and turning the client every 4 hours (choice D) are important for preventing pressure ulcers in immobile clients but do not directly prevent atelectasis.

Correct Answer: B

Rationale: Contractures are a negative effect of immobility on the musculoskeletal system.

Correct Answer: A

Rationale: The orthopneic position helps improve lung expansion, reducing the risk of atelectasis.