Practicing for NCLEX Questions: Mobility

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The RICE acronym is helpful for remembering treatment interventions for musculoskeletal injuries. Which of the following are components of the RICE acronym? Select all that apply. a. Rest b. Ice c. Compression d. Elevation e. Edema f. Corticosteroids

a. b. c. and d. a. Rest b. Ice c. Compression d. Elevation

A client is receiving subcutaneous heparin after surgery to repair a fractured hip. The nurse understands that the rationale for this therapy is to reduce the risk for: a. Compartment syndrome b. Pulmonary embolism c. Shock d. Avascular necrosis

b. Pulmonary embolism

The nurse is performing an assessment on an older adult patient and observes that the client has an increased forward curvature of the thoracic spine. What does the nurse understand this common finding is known as? a. Lordosis b. Scoliosis c. Osteoporosis d. kyphosis

d. Kyphosis

Osteoarthritis develops due to the deterioration of the synovium within the joint that can lead to complete bone fusion. a. True b. False

a. True

Which patients below are at risk for developing osteoarthritis? Select all that apply. a. A 65 year-old male with a BMI of 35. b. A 59 year-old female with a history of taking long term doses of corticosteroids. c. A 55 year-old male with a history of repeated right knee injuries. d. A 60 year-old female with high uric acid levels.

a and c a. A 65 year-old male with a BMI of 35. c. A 55 year-old male with a history of repeated right knee injuries.

The nurse is performing an assessment for a client who may have peripheral neurovascular dysfunction. What signs does the client present with that indicate circulation is impaired? Select all that apply. a. Pale, cyanotic, or mottle color b. Cool temperature of the extremity c. More than 3-second capillary refill d. Tenting skin turgor e. Limited range of motion

a, b and c a.Pale, cyanotic, or motte color. b.Cool temperature of the extremity. c. More than 3-second capillary refill

An older adult client slipped on an area rug at home and fractured the left hip. The client is unable to have surgery immediately and is having severe pain. What interventions should the nurse provide for the patient to minimize energy loss in response to pain? a. Administer prescribed analgesics around the clock. b. Avoid administering too much medication because the client is older. c. Administer prescribed pain medication only when the client requests it. d. Give pain medication to the client after providing care.

a. Administer prescribed analgesics around the clock

When caring for a client with a fracture, what assessment would take priority? a. Neurovascular compromise b. Hormonal imbalances c. Cardiac problems d. Altered kidney function

a. Neurovascular compromise

The nurse is caring for a client who has who has had a fracture reduction using a cast. What is most important for the nurse to assess? a. Cardiac status b. Renal function c. Sleep status d. Neurovascular status

d. Neurovascular status

After a bone density test, an older adult female client tells the nurse, "I don't understand why I have osteoporosis because I eat well and take my calcium." What does the nurse explain as the reason that the client may have osteoporosis? a. Everyone gets osteoporosis and there is nothing you can do to prevent it. b. Men lose more bone mass than women, but women still lose some. c. In order to prevent bone loss, women have to take hormones. d. The loss is from withdrawal of estrogen and a decrease in activity levels.

d. The loss is from withdrawal of estrogen and a decrease in activity levels.


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