EXAM1: MOBILITY 1215

Which of the following are routes of administration for Calcitonin? Select all that apply. A. Nasal spray B. Subcutaneous C. Intramuscular injection D. Intravenous E. Oral

A, B, C

A client with a short arm cast is suspected to have compartment syndrome. What actions should the nurse include in the plan of care? Select all that apply. A. Elevate the arm above the heart. B. Prepare to remove the cast. C. Provide support to the injured extremity. D. Assess neurovascular status every 8 hours. E. Apply ice to extremity.

B, C

Which intervention would the nurse implement with the client in a plaster cast? Select all that apply. A. Protect wet cast by covering with sheet. B. Handle wet cast with palms of hands. C. Notify health care provider, if client reports warmth of the cast. D. Position casted extremity firmly on a hard surface while drying. E. Trim, reshape, and smooth edges of cast.

B, E

The client returns to the nursing unit following an open reduction with internal fixation of the right hip. Which intervention would be inappropriate for the prophylactic treatment of deep vein thrombosis? A. increased fluid intake B. antiembolic stockings C. enoxaparin (Lovenox) D. increased fiber intake

D

The nurse is caring for a client who had a total knee replacement 3 days ago. Which nursing assessment finding requires immediate attention by the nurse? A. Drainage from wound suction device = 100 ml B. Previous shift urine output = 500 ml C. Crackles that clear with coughing D. Hypoactive bowel sounds

A

The nurse is caring for a patient with a total hip replacement. How should the nurse allow the patient to turn? A. 45 degrees onto the unoperated side if the affected hip is kept abducted B. From the prone to the supine position only, and the patient must keep the affected hip extended and abducted C. To any comfortable position as long as the affected leg is extended D. To the operative side if the affected hip remains extended

A

With fractures of the femoral neck, the leg is A. shortened, adducted, and externally rotated. B. shortened, abducted, and internally rotated. C. adducted and internally rotated. D. abducted and externally rotated.

A

A client arrives in the emergency room complaining of severe pain in her left hip after falling out of the bed. What indication upon assessment does the nurse recognize as a dislocated left hip? Select all that apply. A. The left leg is shorter than the right. B. Limited range of motion of the left hip. C. The skin over the left hip is warm. D. The skin of the lower left leg is pale. E. The client is able to bend the knee but not move toes.

A, B, C

A patient sustains an open fracture of the left arm after an accident at the roller skating rink. What does emergency management of this fracture involve? (Select all that apply.) A. Covering the area with a clean dressing if the fracture is open B. Immobilizing the affected site C. Splinting the injured limb D. Asking the patient if he or she is able to move the arm E. Wrapping the arm in an ace bandage

A, B, C

A nurse is caring for an older adult client who is preparing for discharge following recovery from a total hip replacement. What outcome must be met prior to discharge? A. Client is able to perform ADLs independently. B. Client is able to perform transfers safely. C. Client is able to weight-bear equally on both legs. D. Client is able to demonstrate full ROM of the affected hip.

B

Which evaluation finding requires follow up by the nurse caring for a client with a total knee replacement? Select all that apply. A. Client reports pain rating of 2. B. Pedal pulses strong and equal bilaterally C. 650 ml bloody drainage in drain wound D. Knee flexion at 30 degrees E. Client ambulates 10 feet by postoperative day 2

C, D

The nurse suspects "compartment syndrome" for a casted extremity. What characteristic symptoms would the nurse assess that would confirm these suspicions? (Select all that apply.) A. Decreased sensory function B. Excruciating pain C. Loss of motion D. Capillary refill less than 3 seconds E. 2+ peripheral pulses in the affected distal pulse

A, B, C

A nurse is planning the care of an older adult client who will soon be discharged home after treatment for a fractured hip. In an effort to prevent future fractures, the nurse should encourage what actions? Select all that apply. A. Regular bone density testing B. A high-calcium diet C. Use of falls prevention precautions D. Use of corticosteroids as prescribed E. Weight-bearing exercise

A, B, C, E

An older adult client experienced a fall and required treatment for a fractured hip on the orthopedic unit. Which of the following are contributory factors to the incidence of falls and fractured hips among the older adult population? Select all that apply. A. Loss of visual acuity B. Adverse medication effects C. Slowed reflexes D. Hearing loss E. Muscle weakness

A, B, C, E

Which actions by the nurse demonstrate an understanding of caring for a client in traction? Select all that apply. A. Placing a trapeze on the bed B. Ensuring that the weights are hanging freely C. Assessing the client's alignment in the bed D. Removing skeletal traction to turn and reposition the client E. Frequently assessing pain level

A, B, C, E

A client with an arm cast reports pain. What nursing interventions should the nurse provide in order to reduce the incidence of complications? Select all that apply. A. Assess the fingers for color and temperature. B. Administer a prescribed analgesic to promote comfort and allay anxiety. C. Assess for a pressure sore D. Determine the exact site of the pain. E. Cut the cast with a cast saw

A, C, D

The nurse assesses subtle personality changes, restlessness, irritability, and confusion in a client who has sustained a fracture. The nurse suspects which complication? A. Compartment syndrome B. Hypovolemic shock C. Fat embolism syndrome D. Reflex sympathetic dystrophy syndrome

C

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply. A. Pneumonia B. Necrosis of the humerus C. Skin breakdown D. Sepsis E. Delirium

A, C, D, E

Which intervention should the nurse implement with the client who has an external fixator? Select all that apply. A. Perform pin care as ordered. B. Turn the clamps by one-half every day. C. Supervise the client during transfers. D. Perform neurovascular assessment. E. Inspect pin sites for signs of infection.

A, C, D, E