Mobility Questions

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A patient has been on bed rest for over 4 days. On assessment, the nurse identifies the following as a sign associated with immobility: A. Decreased peristalsis B. Decreased heart rate C. Increased blood pressure D. Increased urinary output

A. Decreased peristalsis

The nurse is teaching a client with right-sided weakness related to a stroke about how to properly ambulate with a cane. Which client action would indicate a need for further teaching? A. The client holds the cane on the right side of the body. B. The client moves the weaker leg toward the cane first. C. The client holds the cane 6 inches laterally from the foot. D. The client keeps two points of support on the floor at all times.

A.The client holds the cane on the right side of the body.

When a patient is able to do the range of motion exercises without assistance we refer to this as _____ ROM. A. Passive B. Active C. Active-assistive D. Passive-assistive

B. Active

To promote respiratory function in the immobility client, the nurse should: A. Change the client's position every 4 to 8 hours B. Encourage deep breathing and coughing every hour C. Use oxygen and nebulizer treatments regularly D. Suction the client's secretions every hour

B. Encourage deep breathing and coughing every hour

The nurse has given the client instructions about crutch safety. Which statements indicate that the client understands the instructions? Select all that apply. A. "I should not use someone else's crutches." B. "I need to remove any scatter rugs at home." C. "I can use crutch tips even when they are wet." D. "I need to have spare crutches and tips available." E. "When I'm using the crutches, my arms need to be completely straight."

A. "I should not use someone else's crutches." B. "I need to remove any scatter rugs at home." D "I need to have spare crutches and tips available."


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