ATI Mobility

A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?

"Fully extend your arms when holding onto the hand grips." -------------------------------------------- The crutches should be held on the unaffected side when preparing to sit in a chair.

A nurse is preparing to transfer a client who has left-sided weakness from the bed to a chair. Which of the following actions by the nurse demonstrates correct transfer technique?

Aligning the nurse's knees with the client's knees just before the transfer -------------------------------------------- This is a correct strategy that helps the nurse safely stabilize the client while moving to a standing position.

A nurse is assisting with the ambulation of a client who becomes light-headed and begins to fall. Which of the following actions should the nurse take?

Extend one leg and allow the client to slide down the leg to the floor. -------------------------------------------- This action helps prevent injury to the client. As the client gets close to the floor, the nurse should bend both legs to continue supporting the client.

A nurse is caring for a client who has been hospitalized and is performing active range-of-motion exercises. Which of the following body movements should indicate to the nurse that the client has full range of motion of the shoulder?

Flexing the shoulder by raising the arm from a side position to a 180° angle -------------------------------------------- This demonstrates full range of motion of the shoulder. The client's fingers should be pointing directly upward.

A nurse is observing an assistive personnel (AP) who is using a mechanical lift with a hammock sling to transfer a client from the bed to a chair. For which of the following actions by the AP should the nurse intervene?

Leaves the bed in the lowest position throughout the procedure -------------------------------------------- The bed should be raised to a comfortable working position in order to prevent injury to nursing staff and to properly position the lift under the client's bed.

A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

Measure the client's calf circumference and leg length from heel to knee. -------------------------------------------- To ensure proper fit, the nurse should measure the widest part of the client's calf as well as the length of the client's leg from the heel to the knee. Antiembolic stockings that are too large will not apply the pressure needed to prevent deep-vein thrombosis. Antiembolic stockings that are too small could impair circulation in the client's legs.

A nurse stands facing a client to demonstrate active range-of-motion exercises. Which of the following actions should the nurse take to demonstrate hyperextension of the hip?

Move their leg behind their body. -------------------------------------------- This movement demonstrates hyperextension of the hip.