Mobility Practice questions
1.The patient also asks why she can't just take the calcium once a day. What is the best response by the nurse?
§A third of the daily dose should be given at bedtime because calcium is most readily utilized by the body when the patient is fasting and immobile.
1.The provider orders calcium 1.5 g orally twice a day. The patient asks why she must drink extra fluids with this medication. What is the best response by the nurse?
§Increased fluid intake helps prevents the formation of calcium-based urinary stones.
A 64-year-old woman is seen in the adult outpatient clinic. She was measured as standing 65 inches tall last year. The nurse observes that the patient now measures 64 inches. She has mild kyphosis. What assessment questions should the nurse ask at this time?
•Ask the patient if she feels she has gotten shorter. •Ask if she experiences pain with lifting, bending, or stooping. •Ask if the pain is worse with activity and relieved by rest. •Ask if she has ever been diagnosed with osteoporosis.
A nurse is assessing a client who has a casted compound fracture of the femur. Which of the following findings is a manifestation of a fat embolus? A. Altered mental status B. Reduced bowel sounds C. Swelling of the toes distal to the injury D. Pain with passive movement of the foot distal to the injury
A
A nurse is assessing a client who is 48hr postop following open reduction and internal fixation of a fractures tibia. Which of the following findings should the nurse report to the provider? A. Toes that cold to the touch B. Serous drainage from the pin sites C. Blanching of the toenail beds with pressure D. Pink tissue around the fixator insertion sites
A
A nurse is caring for a client who had a fiberglass cast placed on her left arm several hours ago and now reports itching under the cast. Which of the following actions should the nurse plan to take? A. Use a hair dryer on the cool setting to blow air into the cast B. Ask the provider to bivalve the cast C. Provide the client with a sterile cotton swab to rub the affected skin D. Wrap the extremity with a dry heating pad
A
A nurse is caring for a client who has osteoporosis and a new prescription for calcium supplements. Which of the following foods should the nurse recommend to promote calcium absorption? A. Fortified milk B. Ripe bananas C. Steamed broccoli D. Green leafy vegetables
A
A nurse is completing discharge teaching to a client who had a wound debridement for osteomyelitis. Which of the following information should the nurse include? A. Antibiotic therapy should continue for 3 months B. Relief of pain indicates the infection is eradicated C. Airborne precautions are used during wound care D. Expect parathesia distal to the wound
A
A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should nurse include in the client's plan of care? A. Offering the client a diet high in fluid and fiber B. Encouraging active range of motion of the affected leg. C. Removing the weights prior to repositioning the client D. Inspecting pin sites every 24hr for drainage
A
A nurse is providing discharge instructions for a client who is postoperative following inner maxillary fixation with wiring. Which of the following pieces of information should the nurse include? A. Cut the wiring if emesis occurs B. Consume 3 meals daily as part of a low-protein diet C. Swab the mouth with hydrogen peroxide if wiring produces oral irritation D. Resume a soft diet in 3-5 days
A
A nurse is talking with an older adult client who has an elevated risk for osteoporosis about strategies for preventing bone loss. Which of the following instructions should the nurse provide? A. Begin a program of brisk walking B. Take 800mg of calcium per day C. Drink plenty of sparkling water D. Drink 8oz of red wine each day
A
A nurse is teaching a client who has a cast on his left arm to treat a forearm fracture. Which of the following statements indicates that the client understands the teaching? A. "I'll call the doctor's office if my fingers get older on the arm with the cast." B. "If I have any itching under the cast, I'll try to reach the area with a cotton swab." C. "If my fingers swell, I should put a heating pad on them and rest." D. "If I have any tingling under my cast, I'll know I need to move my fingers more."
A
A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include in the teaching? A. "Extended periods of immobility increase your risk of osteoporosis." B. "Prolonged periods of sun exposure increase your risk of osteoporosis." C. "Eating a diet high in protein can reduce your risk of osteoporosis." D. "Corticosteroid therapy will reduce your risk of osteoporosis."
A
During a community education program the nurse is asked about the risk of a woman breaking a bone due to osteoporosis after age 50. The nurse knows which of the following is the risk? A.1 in 2 women B.1 in 5 women C.1 in 7 women D.1 in 10 women
A
During a community education program the nurse is asked about the risk of a woman breaking a bone due to osteoporosis after age 50. The nurse knows which of the following is the risk? A. 1 in 2 women B. 1 in 5 women C. 1 in 7 women D. 1 in 10 women
A
The nurse teaches fall prevention techniques to a patient with multiple sclerosis (MS).Which reason should the nurse give the patient for this intervention? A."Fall prevention techniques will promote independent mobility." B."Fall prevention techniques will help maintain urinary continence." C."Fall prevention techniques will promote cognitive functioning." D."Fall prevention techniques will help you to cope with swallowing difficulties."
A
The nurse teaches fall prevention techniques to a patient with multiple sclerosis (MS).Which reason should the nurse give the patient for this intervention? A."Fall prevention techniques will promote independent mobility." B."Fall prevention techniques will help maintain urinary continence." C."Fall prevention techniques will promote cognitive functioning." D."Fall prevention techniques will help you to cope with swallowing difficulties." •
A
To control the patient's pain, which order does the nurse anticipate will be given by the provider? A.Morphine 1 to 2 mg IV B.Meperidine 50 mg IM C.Acetaminophen 650 mg by mouth D.Apply ice packs to the right ankle
A
A nurse is performing a neurologic examination for a client. Which of the following assessments should the nurse perform to test the client's balance? SATA A. Romberg test B. Heel-to-toe walk C. Snellen test D. Spinal accessory function E. Rosenbaum test
A B
A nurse is collecting data from an older adult client as part of a neurologic examination. Which of the following findings should the nurse expect as changes associated with aging? SATA A. Slower light touch sensation B. Some vision and hearing decline C. Slower fine finger movement D. Some short-term memory decline E. Decreased risk of depression
A B C D
A nurse is planning discharge teaching on home safety for an adult client who has osteoporosis. Which of the following information should the nurse include in the teaching? SATA A. Remove throw rugs in hallways B. Use prescribed assistive devices C. Remove clutter from the environment D. Wear soft-bottomed shoes E. Maintain lighting of doorway areas
A B C E
A nurse is teaching a client who to manage external fixation device upon discharge. Which of the following statements by the client indicates understanding? SATA A. "I will clean the pins ore often if drainage from the pins increases." B. "I will use a separate cotton swab for each pin." C. "I will report loosening of the pins to my doctor." D. "I will move my leg by lifting the deice in the middle." E. "I will report increased redness at the pin sites."
A B C E
A nurse is admitting a client to the orthopedic unit following a total knee arthroplasty. Which of the following actions by the nurse is appropriate? SATA A. Check continuous passive motion device settings B. Palpate dorsal pedal pulses C. Place a pillow behind the knee D. Elevate heels off bed E. Apply heat therapy to incision
A B D
A nurse is caring for a client who is wearing a halo fixator. Which of the following interventions should the nurse implement? SATA A. monitor the client's vital signs every 4 hr B. Monitor the client's pin sites for loosening C. Hold the halo device when turning the client D. Check the client's skin to ensure the jacket is not applying pressure E. Adjust the screws holding the client's halo device in place to ensure a proper fit
A B D
A nurse is beginning a physical assessment of a client who has a new diagnosis of multiple sclerosis. Which of the following findings should the nurse expect? SATA A. Areas of paresthesias B. Involuntary eye movements C. Alopecia D. Increased salivation E. Ataxia
A B E
An ankle X-ray confirms that the patient has an ankle fracture. A fiberglass cast is applied to immobilize the ankle and allow for healing. Which nursing interventions are appropriate once the cast is applied? (Select all that apply.) A.Monitor for signs of infection. B.Assess peripheral capillary refill. C.Ask the patient if he will jog in the future. D.Keep the cast uncovered for air-drying over several hours. E.Insert a finger between the skin and the cast to be sure the cast is not too tight.
A B E
A nurse is caring for a client with a hip fracture who has Buck's extension traction in place. Which of the following pieces of information should the nurse give the client about this type of traction? SATA A. "You'll have considerably less pain with the traction in place." B. "You'll have the traction in place for a week or so." C. "The traction will help decrease muscle spasms." D. "The weights act as a pulling force to keep your leg and hip still." E. "We have to make sure the weights are just barely touching the floor."
A C D
A nurse is assessing a client who had an external fixation device applied 2 hr ago for a fracture of the left tibia and fibula. Which of the findings is a manifestation of compartment syndrome? SATA A. Intense pain when the client's left foot is passively moved B. Capillary refill of 3 sec on the client's left toes C. Hard, swollen muscle in the client's left leg D. Burning and tingling of the client's left foot E. Client report of minimal pain relief following a second dose of opioid medication
A C D E
A nurse is performing health screenings at a health fair. Which of the following clients have a risk factor for osteoporosis? SATA A. A 40 year old client who has been taking prednisone for 4 months B. A 30 year old client who jogs 3 miles daily C. A 45 year old client who takes phenytoin for seizures D. A 65 year old client who has a sedentary lifestyle E. A 70 year old client who has smoked for 50 years
A C D E
A nurse is planning discharge teaching for a client who had a total hip arthroplasty. Which of the following should the nurse include in the teaching? SATA A. Clean the incision daily with soap and water B. Turn the toes inward when sitting or lying C. Sit in a straight-backed armchair D. Bend at the wait when putting on socks E. Use a raised toilet seat
A C E
A nurse is completing a preoperative teaching plan for a client who is scheduled to have a total hip arthroplasty. Which of the following should the nurse include in the teaching plan? SATA A. Encourage complete autologous blood donation B. Sit in a low reclining chair C. Instruct the client to roll onto the operative hip D. Use an abductor pillow when turning the client E. Perform isometric exercises
A D E
A nurse is determining a client's risk of developing osteoporosis. The nurse should identify which of the following as risk factors for bone loss? SATA A. small body frame B. Hypertension C. African-American ethnicity D. Low vitamin D intake E. Smoking
A D E
A nurse in the emergency department is assessing a client who was in a motor vehicle crash 2 days ago and sustained fractures of his tibia, ulna, and several ribs. The client is now disoriented to time and place and has a SaO2 of 87%. The nurse notes generalized petechiae on the client's skin. Which of the following complications should the nurse suspect? A Hypovolemic shock B. Fat embolism syndrome C. Thrombophlebitis D. Avascular bone necrosis
B
A nurse in the emergency department is planning care for client who has a right hip fracture. Which of the following immobilization devices should the nurse anticipate in the plan of care? A. Skeletal traction B. Buck's traction C. Halo traction D. Bryant's traction
B
A nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? A. Sensation of heat on the surface of the cast B. Paresthesias of the extremity C. Pruritis of the extremity D. Musty odor noted from cast materials
B
A nurse is caring for a client who has a fractured hip and was placed in Buck's traction 4hr ago. Which of the following actions should the nurse take? A. Inspect the client's skin underneath the boot every 12hr B. Encourage the client to perform dorsiflexion of the affected extremity every 2hr C. Remove the weights from the traction while repositioning the client in bed D. Loosen the ropes if the client reports muscle spasms in the affected extremity
B
A nurse is caring for a client who has multiple sclerosis. Which of the following findings should the nurse expect? A. Fluctuations in blood pressure B. Loss of cognitive function C. Ineffective cough D. Drooping eye lids
B
A nurse is caring for a client who is in skeletal traction following a femur fracture. On entering, the nurse finds that the client has slid toward the foot of the bed, and the traction weight is resting on the floor. Which of the following actions should the nurse take? A. Remove the weight temporarily to reposition the client to the correct alignment in bed B. Have the client use a trapeze to pull himself up while ensuring the weight hangs freely C. Lift the rope off the pulley while the client rocks back and forth to reposition himself D. Lift the weight manually while another staff member moves the client up in bed
B
A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures results when a client's bone breaks into multiple pieces? A. Avulsion B. Comminuted C. Compression D. Spiral
B
A nurse is providing care for a client who had a vertebroplasty of the thoracic spine. Which of the following actions should the nurse take? A. Apply heat to the puncture site B. Place the client in a supine position C. Turn the client every 1hr D. Ambulate the client within the first hour postprocedure
B
A nurse is providing dietary teaching about calcium-rich foods to a client who has osteoporosis. Which of the following foods should the nurse include in the instructions? A. White bread B. Kale C. Apples D. Brown rice
B
The patient is diagnosed with osteoporosis. Which intervention by the nurse would be most appropriate? A.Teach her to cut down on her cigarette smoking. B.Recommend walking for 30 minutes three to five times a week. C.Suggest a diet that is high in protein and calcium but low in vitamin D. D.Tell her to include high-impact activities, such as running, in her exercise regimen.
B
The patient's ankle heals, and his cast is removed. What teaching will the nurse provide regarding care for his ankle? A."Scrub your lower leg and ankle to remove dead, scaly skin." B."Wear a support stocking to prevent lower extremity swelling." C."Keep your ankle in a low position to facilitate perfusion to the healed bone." D."Exercise vigorously at least three times a day as directed by the physical therapist."
B
A nurse is admitting an adult client who has suspected osteoporosis. Which of the following findings are risk factors for osteoporosis? SATA A. History of consuming one glass of wine daily B. Loss of height of 2in C. BMI of 18 D. Kyphotic curve at upper thoracic spine E. History of lactose intolerance
B C D E
A nurse is assessing a client who is scheduled to undergo a right knee arthroplasty. The nurse should expect which of the following findings? SATA A. Skin reddened over the joint B. Pain when bearing weight C. Joint crepitus D. Swelling of the affected joint E. Limited joint motion
B C D E
A 52-year-old man is brought to the ED with a deformed right ankle. He states that he was jogging close to the edge of a hillside, and that he tripped and fell down the hill. There are no openings in the skin. A pulse cannot be obtained by touch to the right foot, which is pale and cool to palpation. The patient rates his pain as an "8" on a 0-to-10 scale. What is the priority nursing action at this time? A.Prepare for reduction. B.Administer pain medication. C.Obtain a Doppler of the right foot pulse. D.Notify the physician of the lack of a pulse in the right foot.
C
A home health nurse is performing an assessment on a client who is 1 week postoperative following a total knee replacement. Which of the following statements by the client indicates an understanding of the teaching? A. "I will discontinue the blood thinner my doctor prescribed once I am at home." B. "I will keep a pillow under my knee when I am in bed." C. "I plan to use a walker to help me get around." D. "I will discontinue using the CPM machine when I get home."
C
A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. The client's left leg has bruising, swelling, and displacement of the bones. Which of the following actions should the nurse take first? A. Obtain an x-ray of the injured leg B. Apply ice packs to the affected area C. Check neurovascular status distal to the injury D. Elevate the affected leg on 2 pillows
C
A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider? A. Ecchymosis of the thigh B. Serous drainage at the pin site C. Chest petchiae D. Muscle spasms in the left leg
C
A nurse is caring for a client who is schedules to undergo surgery to repair an open hip fracture. In which of the following positions should the nurse plan to place the client postoperatively? A. With the leg on the affected side adducted B. With the hip externally rotated on the affected side C. with the leg on the affected side abducted D. With the hip flexed to 90 on the affected side
C
A nurse is caring for a client who reports pain with internal rotation of the right shoulder. This discomfort can affect the client's ability to perform which of the following activities? A. Exercising the deltoid muscle when using hand weight B. Brushing the hair on the back of the head C. Fastening or zipping closures on the back while dressing D. Reaching into a cabinet above the sink
C
A nurse is preparing a community education program about reducing the risk of osteoporosis. Which of the following pieces of information should the nurse include? A. Avoid sun exposure B. Take a calcium supplement once each day if at risk for osteoporosis C. Walking is the preferred mode of exercise to maintain strong bones D. Caffeine intake minimizes the risk of developing osteoporosis
C
A nurse is providing teaching to a client who has a new diagnosis of multiple sclerosis. The client asks the nurse about the usual cause of MS. Which of the following responses should the nurse make? A. "Each client is different; we cannot predict what will happen." B. "I can see that you are worried, but it's too soon to predict what will happen." C. "Acute episodes are usually followed by remissions, which can vary in duration." D. "It's too early to think about the future; let's focus on the present and take each day as it comes."
C
A nurse in a provider's office is preparing to assess a young client's musculoskeletal system as part of a comprehensive physical examination. Which of the following findings should the nurse expect? SATA A. Concave thoracic spine posteriorly B. Exaggerated lumbar curvature C. Concave lumbar spine posteriorly D. Exaggerated thoracic curvature E. Muscles slightly larger on the dominant side
C E
A 40-year-old patient has a tight cast on the left lower leg. Which assessment finding would prompt the nurse to assess further for early signs of compartment syndrome? A.Numbness of the toes B.Paralysis of the left leg C.Diminished pulse in the left lower extremity D.Pain more intense than expected based on initial injury
D
A nurse is assessing a client who has several risk factors of osteoporosis. Which of the following findings indicates that the client requires further evaluation for this disorder? A. Leg cramps with exercise B. Stress incontinence C. Abdominal distention D. Lower back pain
D
A nurse is preparing an in-service presentation about the basics of bone injuries. Which of the following types of fractures is especially common in children? A. Impacted B. Depressed C. Compound D. Greenstick
D
A nurse is reviewing the health record of a client who is to undergo total joint arthroplasty. The nurse should recognize which of the following findings as a contraindication to this procedure? A. Age 78 years B. History of cancer C. Previous joint replacement D. Bronchitis 2 weeks ago
D
A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A. Decreased intake of phosphate-containing foods B. Spending several hours in the sun daily C. Increased estrogen levels D. History of anorexia nervosa
D
A nurse is teaching a client who has a new prescription for alendronate for the treatment of osteoporosis. Which of the following statements by the client indicates an understanding of the teaching? A. "I will take the medication in the evening." B. "I will drink a full glass of milk with the medication." C. "I will take the medication at mealtime." D. "I will sit upright after taking the medication."
D
A nurse is teaching a client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? A. Reduce dietary protein intake B. Apply ice to painful areas C. Increase calcium intake to 900mg per day D. Perform weight-bearing exercises
D
A nurse teaching a client who has multiple sclerosis and a new prescription for baclofen. Which of the following statements should the nurse include in the teaching? A. This medication will help you with your tremors." B. "This medication will help you with your bladder function." C. "This medication can cause your skin to bruise easily." D. "This medication can cause you to experience dizziness."
D
A nurse, who is assessing a client's neurologic system, should ask the client to close their eyes and identify which of the following items? A. A word the nurse whispers 30cm from the ear B. A number the nurse traces on the palm of the hand C. The vibration of a tuning fork the nurse places on the foot D. A familiar object the nurse places in the hand
D
The nurse is caring for a patient who sustained a knee injury at work. The nurse explains that which diagnostic test best demonstrates soft tissue damage in the area of the injury? A.Knee x-ray B.Electromyography (EMG) C.Computed tomography (CT) D.Magnetic resonance imaging (MRI)
D
The patient tells the nurse that he was jogging to train for a marathon, which has been a lifelong goal. He asks, "Will I ever be able to run a marathon now?" What is the appropriate nursing response? A."The doctor will be able to tell you that." B."Of course, after this heals, you will be fine." C."It is unlikely that your ankle will regain the necessary strength." D."It sounds like you are concerned that you may not be able to achieve your goal."
D
Which patient statement about self-care indicates a need for further teaching by the nurse? A."I am going to swim at the YWCA." B."Low-fat yogurt is on my grocery list." C."My husband is getting rid of our throw rugs." D."Joining a bowling team will help me exercise."
D
