Mobility PrepU

Applying heat

A client comes to the clinic 2 days after sustaining a sprain to the left ankle. What intervention can the nurse encourage the client to perform that will help improve circulation? Ch 37

"The joint above the fracture and below the fracture must be immobilized."

A client diagnosed with a right ulnar fracture asks why the cast needs to go all the way up the arm. What is the best response by the nurse? 1181

"My toes are stiff."

A client has a plaster cast applied to the left leg. Which comment by the client following the procedure should the nurse address first? 1169

kyphosis

A client has an exaggerated convex curvature of the thoracic spine. What is this condition called? 1105

Total arthroplasty

A client has severe osteoarthritis in the left hip and is having surgery to replace both articular surfaces of the hip. What type of surgical procedure will the nurse prepare the client for? 1185

"Keep your right leg elevated above heart level."

A client has sustained a right tibial fracture and has just had a cast applied. Which instruction should the nurse provide in client cast care? 1162

fusion of a joint (most often the wrist or knee) for stabilization and pain relief.

Arthrodesis is: ch 37

Dopamine

Impaired balance and uncontrolled tremors of Parkinson's disease is correlated with which neurotransmitter? 2122

Applying knee splints

In a client with burns on the legs, which nursing intervention helps prevent contractures? 1885

Impacted

Radiographic evaluation of a client's fracture reveals that a bone fragment has been driven into another bone fragment. The nurse identifies this as which type of fracture? 1158

Lordosis

The client presents with an exaggeration of the lumbar spine curve. How does the nurse interpret this finding? 1105

Elastic compression bandages

The health care provider is preparing to bivalve the client's cast. Which supplies should the nurse assemble? 1169

Clonus

What is the term for a rhythmic contraction of a muscle? 1108

Trochanter roll

When developing a plan of care for a patient with impaired physical mobility who must remain on complete bedrest, which of the following would the nurse most likely include to prevent external rotation of the hip? ch 64

Instruct the client to avoid internal rotation of the leg.

Which intervention should the nurse implement with the client who has undergone a hip replacement? 1191

Serum osteocalcin

Which laboratory study indicates the rate of bone turnover? 1111

Multiple sclerosis

Which of the following is considered a central nervous system (CNS) disorder? 2094

Remodeling

Which of the following is the final stage of fracture repair? 1099

Knee

Which of the following is the most common site of joint effusion? 1107

Skeletal traction is never interrupted.

Which principle applies to the client in traction? 1176

Edrophonium (Tensilon)

A client is undergoing testing to confirm a diagnosis of myasthenia gravis. The nurse explains that a diagnosis is made if muscle function improves after the client receives an IV injection of a medication. What is the medication the nurse tells the client he'll receive during this test? 2101

Ischial tuberosity

A client spends most of his time in a wheelchair. The nurse would be especially alert for the development of pressure ulcers in which area? ch 64

Compartment syndrome

A client sustains a fractured right humerus in an automobile accident. The arm is edematous, the client states not being able to move or feel the fingers, and the nurse does not feel a pulse. What condition should the nurse be concerned about that requires emergency measures? 1162

Apply a trapeze to the bed frame.

A client with a fractured femur is placed in skeletal traction. Which intervention will increase client independence when moving in bed? 1176

Notify the health care provider.

The nurse assesses a client after total right hip arthroplasty and observes a shortening of the extremity. The client reports severe pain in the right side of the groin. What is the priority action of the nurse? 1185

"I will avoid prolonged sitting or walking."

The nurse has educated a patient with low back pain about techniques to relieve the back pain and prevent further complications. What statement by the patient shows understanding of the education the nurse provided? 1115-1116

Skeletal traction is interrupted to turn and reposition the client.

Which is an inaccurate principle of traction? 1176

Apply a cold pack at the insertion site.

A client has undergone arthroscopy. After the procedure, the site where the arthroscope was inserted is covered with a bulky dressing. The client's entire leg is also elevated without flexing the knee. What is the appropriate nursing intervention required in caring for a client who has undergone arthroscopy? 1111

Transient ischemic attack

A client is hospitalized when presenting to the emergency department with right-sided weakness. Within 6 hours of being admitted, the neurologic deficits had resolved and the client was back to his presymptomatic state. The nurse caring for the client knows that the probable cause of the neurologic deficit was what? 2035

"I don't know if I'll be able to get off that low toilet seat at home by myself."

A client undergoes a total hip replacement. Which statement made by the client indicates to the nurse that the client requires further teaching? 1185

"I should use my heating pad this evening to reduce some of the pain in my knee."

A client undergoes an arthroscopy at the outpatient clinic. After the procedure, the nurse provides discharge teaching. Which response by the client indicates the need for further teaching? 1111

Keeping a pillow between the client's legs at all times

A client undergoes open reduction with internal fixation to treat an intertrochanteric fracture of the right hip. The nurse should include which intervention in the postoperative care plan? 1184

Guide the client's hand to the armrest on the bedside commode prior to the client sitting on the commode.

A client who is legally blind had orthopedic surgery 3 days ago and wants to urinate. She is using a walker for ambulation. It would be best for the nurse to 153

Maintain consistent traction tension while repositioning.

A client with a fractured femur is in balanced suspension traction. The client needs to be repositioned toward the head of the bed. During repositioning, what should the nurse do? 1174

Open nerve release

A client with carpal tunnel syndrome has had limited improvement with the use of a wrist splint. The nurse knows that which procedure will show the greatest improvement in treatment for this client? 1118

"They help prevent the development of contractures."

A client with paraplegia asks why exercises are done to the lower extremities every day. Which response will the nurse make? 76

Teach the client how to prevent problems caused by immobility.

A client's left leg is in skeletal traction with a Thomas leg splint and Pearson attachment. Which intervention should the nurse include in this client's care plan? 1176

Prevent internal rotation of the affected leg.

A nurse is caring for a client who underwent a total hip replacement. What should the nurse and other caregivers do to prevent dislocation of the new prosthesis? 1185

opposition

A nurse is performing passive range of motion to a client's upper extremities. The nurse touches the client's thumb to each fingertip on the same hand. The nurse is performing which of the following? ch 64

Advance both crutches

A nurse is teaching a client with a long leg cast how to use crutches properly while descending a staircase. The nurse should tell the client to transfer body weight to the unaffected leg, and then: 2103

Relapsing-remitting (RR)

A patient diagnosed with MS 2 years ago has been admitted to the hospital with another relapse. The previous relapse was followed by a complete recovery with the exception of occasional vertigo. What type of MS does the nurse recognize this patient most likely has? 2095

osteomyelitis

A variety of complications can occur after a leg amputation. Which is not a possibility in the immediate postoperative period? 1195

Signs of neurovascular compromise

An elderly client's hip joint is immobilized prior to surgery to correct a femoral head fracture. What is the nurse's priority assessment? 1186

"Look at the cane as maintaining your independence."

An older adult with rheumatoid arthritis limits going out with others because of the need to use a cane. Which response will the nurse make to this client? 1078

"What types of exercise were you doing?"

An older adult with rheumatoid arthritis says exercise was not effective. Which response will the nurse make to learn the reason for the failure of this treatment approach? 1078

Low bone mass and osteoporosis

Bone density testing will be completed for the client with post-polio syndrome. The nurse teaches the client bone density testing is used to identify what potential complication? 2139

Have the patient lie back down.

The nurse is assisting a patient to sit up on the side of the bed in preparation for standing. The patient has been on strict bedrest for more than a week. While assuming the sitting position, the patient begins to report feeling dizzy and nauseated. The patient is pale and diaphoretic. Which of the following would the nurse do next? 2105

How to facilitate tasks such as using both hands to hold a drinking glass

The nursing instructor gives their students an assignment of making a plan of care for a client with Huntington's disease. What would be important for the students to include in the teaching portion of the care plan? 2130

Balanced traction allows for greater client movement and independence than other forms of traction.

The orthopedic surgeon has prescribed balanced skeletal traction for a client. What advantage is conferred by balanced traction? 1176

The hip may be flexed to put on clothing such as pants, stockings, socks, or shoes.

Which is not a guideline for avoiding hip dislocation after replacement surgery. 1191

Arthrography

Which is useful in identifying acute or chronic tears of the joint capsule or supporting ligaments of the knee, shoulder, ankle, hip, or wrist? 1107

Ulnar

Which nerve is assessed when the nurse asks the client to spread all fingers? 1109

Capillary refill of left fingers greater than 3 seconds

Which nursing assessment finding would be indicative of compartment syndrome in the client with a cast applied to the left forearm 3 hours earlier? 1162

D

Which of the following biologically active vitamin functions to increase the amount of calcium in the blood? 1098

Joint Capsule

Which of the following is a fibrous sheath that surrounds the articulating bones? 1100

Risk for infection

Which of the following is an appropriate priority nursing diagnosis for the client following an arthrocentesis? 1111

Knee

Which of the following is an example of a hinge joint? 1100

Tophi

Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? 1089-1090

cerebellum

A patient recently noted difficulty maintaining his balance and controlling fine movements. The nurse explains that the provider will order diagnostic studies for the part of his brain known as the: 1969

Application of a cast

A physician writes a prescription to discontinue skeletal traction on an orthopedic client. The nurse should anticipate what subsequent intervention? 1176

The surgeon inserts metal pins into the bone or bones from outside the skin surface and then attaches a compression device to the pins.

Which statement describes external fixation? 1172

Apraxia

Which term refers to the inability to perform previously learned purposeful motor acts on a voluntary basis? 2032-2033