2300 U13 Mobility

The client with a casted fracture complains of tingling, cyanosis, and severe pain. What is the nurse's priority action? A) Elevate the extremity B) Offer ice C) Cut the cast open D) Have the client move the fingers

C

The inflammatory process associated with multiple sclerosis affects all of the following areas of the nervous system, except the A) Brain stem B) Cerebellum C) Peripheral nerves D) Spinal cord

C

The nurse advises the client who has had a femoral head prosthesis placement on the type of chair to sit in during the first 6-8 weeks after surgery. Which would be the correct type to recommend? A) A desk-type swivel chair B) A padded upholstered chair C) A high backed chair with armrests D) A recliner with an attached footrest

C

5 P's for mobility

Pulses Pain Parestheisa Paralysis Pallor

A child is admitted with a fracture of the femur and placed in skeletal traction. What should the nurse assess first? A) The pull of traction on the pin B) The ACE bandage C) The pin sites for signs of infection D) The dressings for tightness

A

A client has sustained a closed fracture and has just had a cast applied to the affected arm. The client is complaining of intense pain. The nurse has elevated the limb, applied an ice bag, and administered an analgesic, with very little relief. The nurse interprets that this pain may be caused by: A) Impaired tissue perfusion B) The newness of the fracture C) The anxiety of the client D) Infection under the cast

A

Select all information should the nurse include when performing discharge teaching with a client who had an anterolateral approach for a total hip replacement? A) Avoid turning the toes or knee outward B) Use an abduction pillow between the legs when in bed C) Use an elevated toilet seat and shower chair D) Do not extend the operative leg backwards E) Restrict motion for 2 weeks after surgery

A, C, E

A 62 year old female is recovering from a fibula/tibia fracture and subsequent external fixation. Which of the following aspects of the patient's history and treatment is least important to bone healing? A) History of peripheral vascular disease B) Adequate anticoagulation on heparin C) History of smoking D) History of severe trauma and comminuted fracture

B

The nurse is assessing a client for neurologic impairment after a total hip replacement. Which of the following would indicate impairment in the affected extremity? A) Decreased distal pulse B) Inability to move C) Diminished capillary refill D) Coolness to the touch

B

Which of the following is not a typical clinical manifestation of multiple sclerosis (MS)? A) Double vision B) Sudden bursts of energy C) Weakness in the extremities D) Muscle tremors

B

A 10 year old has 5 lb. Buck's extension traction on his left leg. Select all that the nurse should assess for? A) Dryness of the skin by removing the foam wraps and boot B) Alignment of the shoulder, hips, and knees C) Frayed rope near pulleys D) Correct amount of traction weight on fracture E) Pressure on the coccyx

B, C, D, E

A client had a posterolateral total hip replacement 2 days ago. Select all that the nurse should include in the client's plan of care. A) When using a walker, encourage the client to point the toes inward B) Position a pillow between the legs to maintain abduction C) Allow the client to be in the supine position or in the lateral position on the unoperated side D) Do not allow the client to bend down to tie or slip on shoes E) Place ice on the incision after physical therapy

B, C, D, E

A 79 year old woman with a recent hip fracture is demonstrating signs of confusion, respiratory distress, and tachycardia. What complication might the nurse suspect? A) Infection B) Petechiae C) Fat emboli D) Deep vein thrombosis

C

A nurse is giving discharge instructions on keeping "Fido" a hyper, small, beagle in the laundry room while recuperating from a total hip replacement. This is an example of which type of nursing intervention? A) Collaborative: promotion of comfort B) Collaborative: family instruction C) Independent: injury prevention D) Independent: preservative functioning

C

A client is being treated in the clinic for an exacerbation of multiple sclerosis. The nurse would anticipate administering which drug? A) Diazepam (Valium) B) Interferon (Betaseron) C) Lioresal (Baclofen) D) Methylprednisolone (Solu-Cortef)

D

J.R. is a 33 year old lawyer who has sustained a leg fracture secondary to a collision with a tree while skiing. His fracture has been diagnosed as "compound open, transverse fracture of the tibia and fibula." J.R.'s leg was surgically aligned and casted He has been admitted to the unit for observation, pain control, and antibiotic therapy. The type of fracture J.R. sustained is best described as bones A) Broken in two or more pieces B) Cracked, but not completely separated C) Broken along the long axis of the bone D) Broken and protruding through the skin

D

A client with a hip fracture has undergone surgery for insertion of a femoral head prosthesis. Which of the following activities should the nurse instruct the client to avoid? A) Crossing the legs while sitting down B) Sitting on a raised commode seat C) Using an abductor splint while lying on the side D) Rising straight from the chair to a standing position

A

Which of the following statements applies to compartment syndrome? A) Increased pressure within the tissue results from excessive edema at the fracture site B) Capillary pressures over 15 mmHg can result in permanent muscle and nerve damage C) The presence of a peripheral pulse will rule out compartment syndrome D) Pain associated with compartment syndrome will be relieved with use of analgesics

A

During the initial assessment of a child admitted to the pediatric unit with osteomyelitis of the left tibia. What should the nurse expect the area over the tibia to exhibit? A) Diffuse tenderness B) Decreased pain C) Increased warmth D) Localized edema

C