WEEK 4: MOBILITY

A client has surgery for an incarcerated hernia. The healthcare provider returns the incarcerated tissue to the abdominal cavity and uses a mesh to reinforce the muscle wall. What specific instructions should be included in the discharge instructions?

Avoid lifting heavy items.

According to the common scale for grading muscle strength, what rating will be given to a client who can complete range of motion with some resistance?

4

Which musculoskeletal system change is associated in older adult clients?

decreased in height

The school nurse is attending to a student athlete who reports muscle pain after a practice session. Which should the nurse identify as a cause of this pain when providing instruction to the student?

lactic acid

A home care nurse is visiting a client who had a below-the-knee amputation. Which client statement indicates to the nurse that further teaching is needed?

"At night, I sleep with a pillow under my knees."

A client newly diagnosed with multiple sclerosis asks the nurse if it will be painful. Which response should the nurse give the client first?

"Pain is a common symptom of this condition."

A teenager is being discharged with a cast. What should the nurse recommend if the client experiences pruritus around the cast edges?

"Put an ice pack on the affected area."

Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the drug is being used primarily for which of its properties?

Antiinflammatory

A 14-month-old child is admitted to the pediatric hospital with a fractured right femur. The child is placed in Bryant traction. When the parents see the child for the first time in traction, they are surprised to see both legs in traction and ask why. What information should the nurse share about Bryant traction?

As a means of ensuring countertraction, both legs are placed in traction, and the buttocks are suspended off the bed.

A nurse is assessing an infant for developmental dysplasia of the hip. How does the nurse identify the Ortolani sign?

Audible click on hip manipulation

A nurse is caring for a client who sustained a transection of the spinal cord with no other injuries. The nurse continually monitors this client for which medical emergency?

Autonomic hyperreflexia

Which joint permits movement in any direction?

Ball-and-socket joint

Which joint helps in the gliding movement of the wrist?

Biaxial joint

Which radiographic test is used to view the entire skeleton?

Bone scan

Which structure protects a client's internal organs, supports blood cell production, and stores minerals?

Bones

Which type of bone tumor is commonly seen in elderly clients?

Chondrosarcoma

A client is undergoing diagnostic testing to determine if the client has myasthenia gravis. The nurse understands that the test that is most specific for determining the presence of this disease is what?

Edrophonium chloride test

Which diagnostic scan is used to detect diffuse or localized muscle weakness?

Electromyography

Which synovial joint movement is described as turning the sole outward away from the midline of the body?

Eversion

Non-weight bearing with crutches has been prescribed for a client with a leg injury. The nurse provides teaching before ambulation is begun. To facilitate walking with crutches, what is the most important activity the nurse should teach the client?

Exercise the triceps, finger flexors, and elbow extensors.

Which type of cast will the nurse be caring for in a child with a fractured femur?

Hip spica

A nurse is providing postoperative teaching to a client who is scheduled to have an above-the-knee amputation. The client will use crutches during the postoperative period. Which activity will prepare the client for crutch walking?

Lifting weights

A client with hemiparesis is reluctant to use a cane. How does the nurse explain the cane's purpose to the client?

Maintain balance to improve stability

Which is the first line treatment for Paget disease?

Oral alendronate

A client injures an amphiarthrodial joint. Which joint did the client injure?

Pelvic joint

After surgery for a fractured hip, a client states, "I don't remember when I have ever been so uncomfortable." What should the nurse's initial response be?

Perform a complete pain assessment.

A nurse is caring for a client with a below-the-knee amputation. What should the nurse encourage the client to do to prepare the residual limb for a prosthesis?

Press the end of the residual limb against a pillow periodically.

While caring for a client who had an open reduction and internal fixation of the hip, the nurse encourages active leg and foot exercises of the unaffected leg every 2 hours. What does the nurse explain that these exercises will help to do?

Prevent clot formation

Which estrogen antagonist is specifically used to prevent and treat osteoporosis in postmenopausal women?

Raloxifene

A client has a diskectomy and fusion for a herniated nucleus pulposus. When getting out of the bed for the first time since surgery, the client reports feeling faint and lightheaded. What should the nurses assisting with the ambulation have the client do?

Sit on the edge of the bed so they can hold the client upright.

When providing discharge teaching to a client who had a total hip replacement, what should the nurse instruct the client to avoid?

Sitting in a low chair

A recently hospitalized client with multiple sclerosis is concerned about generalized weakness and fluctuating physical status. What is the priority nursing intervention for this client?

Space activities throughout the day.

The client is admitted to the emergency department after a fall from a roof. After determining that the client sustained a head injury, the nurse observes clear fluid coming from the client's left ear. What will the nurse do next?

Test the drainage from the client's ear with a glucose reagent strip

The nurse is caring for two clients with a below-the-knee amputation. The first client was in a motor vehicle collision. The second client had chronically decreased arterial perfusion. Which information has caused the nurse to conclude that the postoperative courses of these two clients may differ?

The second client's incision will take longer to heal.

Which diagnostic study is used to investigate the cause of an inflamed joint and determines a client's response to antiinflammatory drug therapy?

Thermography

Why is Phalen's test performed in a client?

To detect carpal tunnel syndrome

A client newly diagnosed with type 1 diabetes is taught to exercise on a regular basis. What is the primary reason for instruction on exercise?

To improve the cellular uptake of glucose

Which joint in the human body is an example of a condyloid joint?

Wrist joint

Which diagnostic test is used for the direct visualization of ligaments, menisci, and articular surfaces of joints?

athrospcopy

Which disorder of the foot is caused by continual pressure over bony prominences?

corn