CHAPTER

TRUE OR FALSE 10. TF Plantar flexion and footdrop can be

prevented by using a footboard.
Circle T for true, or circle F for false.
11. TF A trochanter roll can be used to
1. TF Exercise every joint on every client. prevent external rotation of the hips
and legs.
2. TF Support the extremity being exercised.
12. T F A hip abduction wedge keeps the
3. T F_ Exercise the joint to the point of
hips together.
pain.
13. TF Ifaclient is falling, you should try to
4. T F The client should wear soft slippers
stop the fall.
or sandals when using crutches.
14. T F When ambulating, the cane is used
5. TF Loose clothing can hang forward
on the unaffected side.
and block the client’s view of the feet
and crutches. 15. TF A walker gives more support than a
cane.
6. TF A pouch attached to a walker will
always interfere with the client's
ability to ambulate. MULTIPLE RESPONSE
From the list below, choose all of the correct
7. T FE When aclient is on bed rest, some
answers.
activities of daily living (ADLs) are
allowed, such as feeding and oral
16. Which of the following are benefits of bed
hygiene. rest?
A. Reduces physical activity
8. TF Strict bed rest means everything is
B. Reduces pain
done for the client.
C. Reduces pressure ulcers
9. T F Bed rest with commode privileges D. Encourages rest
means the client can use the
E. Promotes healing
bathroom for elimination needs.
68 CHAPTER 15__ Exercise and Activity
vein

17. Which of the following is correct when a 21. What is one type of range-of-motion (ROM)
client is using a cane? exercises that a support worker can assist
A. The cane is used on the affected side. with only if allowed by her agency?
B. The client should move the cane A. Hip abduction and adduction
forward 15-25 cm at a time. B. Neck exercises
C. The client should move the unaffected C. Knee exercises
leg forward first. D. Shoulder exercises

22. When you move a joint during ROM

MULTIPLE CHOICE exercises and the client complains of pain,
Circle the correct answer. what should you do?
A. Ask the nurse to give pain medication
18. Which of the following statements correctly before you continue.
describes a type of bed rest? B. Do not force the joint to the point of
A. ‘The client remains in bed but is allowed pain.
to perform some ADLs. C. Stop doing any ROM exercises with the
B. The client can use the bedside client.
commode for elimination needs. D. Push slightly past the point where pain
C. Everything is done for the client; no occurs to restore movement.
ADLs are allowed.
D. All of the above describe bed rest. 23. When ROM exercises are performed, how
often should each exercise be repeated?
19. Which of the following steps would be used A. ‘Once
to prevent orthostatic hypotension? B. Twice
A. Assist the client to lie on the edge of C. Five times or according to the care plan
the bed. D. Until the client complains of being tired
B. Ask the client about weakness,
dizziness, or spots before the eyes. 24. Improperly fitted crutches can cause:
C. Have the client stand up quickly when A. Falls
getting out of bed. B. Back pain and nerve damage
D. Measure blood pressure, pulse, and C. Injuries to the underarms and palms
respirations each time the client changes D. All of the above
position.
25. Which statement about contractures is
20. Which of the following is a complication of correct?
bed rest? A. Contractures are reversible with
A. Urinary retention exercise.
B. Diarrhea B. Contractures can form in as little as 48
C. Blood clots to 72 hours.
D. Diabetes .Contractures cannot form in the neck.
ae Bed cradles prevent contractures.

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 CHAPTER 15 Exercise and Activity 69

MATCHING
Match the following statements with the correct terms related to exercise and activity.

26. Support placed to prevent external rotation of hips and legs A. Footboard

ed Swinging bar on overbed frame that allows the client to B Contracture

move in bed

28. Decrease in size or wasting away of tissue Atrophy

Zo. Turning downward Bed board

30. Device placed to keep soles of feet flush against it with Plantar flexion
feet in flexed position
a Abnormal shortening of a muscle 74 Trochanter roll

a2. Sections of plywood used to prevent mattress from sagging ‘Trapeze

33. Footdrop ROM exercises

34. Exercise of all joints of the body ee

Pronation

Match each movement with the correct description.

35. Turn head from side to side Abduction

36. Turn hand so palm is down Adduction

37. Turn hand toward thumb Flexion

38. Bend arm so that same-side shoulder is touched Internal rotation

39. Pull foot forward and push down on heel at same time Extension

40. Move straight arm away from side of body Hyperextension

41. Turn foot down or point the toes Rotation

42. Move head to the right and to the left sep

aur
ters
el
ey
eezlercrd
Lateral flexion

43. Touch each fingertip to thumb — External rotation

44, Turn hand toward little finger Pronation

45. Move forearm toward head Supination

46. Move leg toward the other leg Opposition

47. Straighten fingers so fingers, hand, and wrist are straight Plantar flexion

48. Bend the hand back Dorsiflexion

49. Turn inside of foot up and outside down Radial flexion

50. Turn leg inward ae

28
SCUlnar flexion

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70 CHAPTER 15__ Exercise and Activity

Match the following types of range-of-motion exercises with the correct definition.

Someone moves the client’s joints through ROM exercises A. Active

The client does the exercises with the help of another person _B. Passive

The client does the exercises by himself C. Active-assisted

FILL IN THE BLANKS

54. Describe the following types of bed rest:

a. Bed rest

b. Strict bed rest

c. Bed rest with commode privileges

d. Bed rest with bathroom privileges

Doe What problem can be prevented by using a footboard?

56. Depending on the child’s activity limits, almost any play activity promotes
in children.

Bis What device is used to safely transfer or ambulate the person?

58. Why do you ease a client who is falling onto the floor instead of trying to stop the fall?

59. A client using a cane should follow these steps:

aye otep ek

b. Step B

Can step.

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 CHAPTER 15_ Exercise and Activity 71

CROSSWORD

YO

eco ie eg le [es | otA

Sed AgGs ed|
ra

a | |

Across Down

4. Decrease in size or a wasting away of tissue 1 Foot falls down at the ankle (permanent
5. Turning downward plantar flexion)
6. Lack of joint mobility caused by abnormal yar Moving a body part toward the midline of
shortening of a muscle the body
7. Turning the joint . Excessive straightening of a body part
ies)

9. Straightening of a body part . Moving a body part away from the midline
10. Movement of a joint to the extent possible of the body
without causing pain (3 words) 11. Bending a body part
12. Turning upward
13. Bending the toes and foot up at the ankles
14. Brief loss of consciousness; fainting

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