NUR 1275 Mobility Prep U Questions

A 75-year-old client had surgery for a left hip fracture yesterday. When completing the plan of care, the nurse should include assessment for which complications? Select all that apply. A. Necrosis of the humerus B. Skin breakdown C. Sepsis D. Pneumonia E. Delirium

B. Skin breakdown C. Sepsis D. Pneumonia E. Delirium

A client who has fractured the radial head asks the nurse about factors that will promote bone healing. Which statement should the nurse include when responding to the client? Select all that apply. A. "Weight bearing stimulates healing of the long bones of the leg, if the fracture is stabilized." B. "Adults heal faster than children because adult bodies are physiologically more mature." C. "Fractured bones require a good blood supply and adequate nutrition for healing." D. "Corticosteroids will decrease the bone and soft tissue inflammation associated with the fracture." E. "Immobilization of the fracture will promote healing by maximizing contact of bone fragments."

A. "Weight bearing stimulates healing of the long bones of the leg, if the fracture is stabilized." C. "Fractured bones require a good blood supply and adequate nutrition for healing." E. "Immobilization of the fracture will promote healing by maximizing contact of bone fragments."

A nurse is teaching an educational class to a group of older adults at a community center. In an effort to prevent osteoporosis, the nurse should encourage participants to ensure that they consume the recommended intake of what nutrients? Select all that apply. A. Potassium B. Calcium C. Vitamin B12 D. Calcitonin E. Vitamin D

B. Calcium E. Vitamin D

The nurse is caring for the client with chronic osteomyelitis of the jaw with a draining wound. Which nursing diagnosis is appropriate for the client? Select all that apply. A. Ineffective airway clearance B. Disturbed body image C. Imbalanced nutrition: less than body requirements D. Acute pain E. Risk for injury

B. Disturbed body image C. Imbalanced nutrition: less than body requirements D. Acute pain

A nurse is collaborating with the physical therapist to plan the care of a client with osteomyelitis. What principle should guide the management of activity and mobility in this client? A. Maintenance of baseline ADLs is the primary goal during osteomyelitis treatment. B. Stress on the weakened bone must be avoided. C. Increased heart rate enhances perfusion and bone healing. D. Bed rest results in improved outcomes in clients with osteomyelitis.

B. Stress on the weakened bone must be avoided.

A continuous passive motion (CPM) machine is used to promote healing and flexibility in the knee and hip joint and increase circulation to the operative area. What is true about the use of CPM? Select all that apply. A. The amount of flexion for clients with hip replacements should never exceed 60 degrees in the CPM machine. B. The amount of flexion for clients with hip replacements should never exceed 30 degrees in the CPM machine. C. The physician orders the frequency of use of the machine. D. The physician orders the amount of extension and flexion produced by the machine.

B. The amount of flexion for clients with hip replacements should never exceed 30 degrees in the CPM machine. C. The physician orders the frequency of use of the machine. D. The physician orders the amount of extension and flexion produced by the machine.

With fractures of the femoral neck, the leg is A. shortened, abducted, and internally rotated. B. adducted and internally rotated. C. abducted and externally rotated. D. shortened, adducted, and externally rotated.

D. shortened, adducted, and externally rotated.

A client returns to the nursing unit following an open reduction with internal fixation of the right hip. Which nursing interventions would be appropriate for the prophylactic treatment of deep vein thrombosis? Select all that apply. A. Maintaining antiembolic stockings B. Administering enoxaparin C. Increasing fluid intake D. Encouraging coughing exercises E. Increasing fiber intake

A. Maintaining antiembolic stockings B. Administering enoxaparin C. Increasing fluid intake

An unresponsive client had a plaster cast applied to the right lower leg 8 hours ago. When moving the client, the nurse notices an indentation on the posterior lower portion of the cast. What is the best action by the nurse? A. Notify the physician. B. Assess for pedal pulse and mobility of toes. C. Remove the cast immediately. D. Document the findings.

A. Notify the physician.

Which statements describe open reduction of a fracture? Select all that apply. A. The bone is surgically exposed and realigned. B. The bone is restored to its normal position by external manipulation. C. The client usually receives general or spinal anesthetic. D. It is performed in the operating room.

A. The bone is surgically exposed and realigned. C. The client usually receives general or spinal anesthetic. D. It is performed in the operating room.

The client has just been diagnosed with osteomyelitis. What are possible causes of osteomyelitis? Select all that apply. A. Trauma, such as penetrating wounds or compound fractures B. Vascular insufficiency in clients with diabetes or peripheral vascular disease C. Surgical contamination, such as pin sites of skeletal traction D. Progressive osteoporosis

A. Trauma, such as penetrating wounds or compound fractures B. Vascular insufficiency in clients with diabetes or peripheral vascular disease C. Surgical contamination, such as pin sites of skeletal traction

A client reports swelling and severe pain in the right wrist. After examination and radiographs negate a fracture, what would the physician likely prescribe as treatment? A. splint B. brace C. All options are correct. D. cast

A. splint

A patient is diagnosed with osteomyelitis of the right leg. What signs and symptoms does the nurse recognize that are associated with this diagnosis? (Select all that apply.) A. Erythema B. Pain C. Leukopenia D. Purulent drainage E. Fever

A. Erythema B. Pain E. Fever

A nurse is caring for an older woman with a hip fracture. What are appropriate risk factors for the nurse to consider related to the client's hip fracture? Select all that apply. A. Female gender B. Muscular agility C. Presence of anemia D. History of diverticulitis E. Osteoporosis

A. Female gender C. Presence of anemia E. Osteoporosis

A nurse is planning the care of an older adult client who will soon be discharged home after treatment for a fractured hip. In an effort to prevent future fractures, the nurse should encourage what actions? Select all that apply. A. Weight-bearing exercise B. Use of corticosteroids as prescribed C. Regular bone density testing D. Use of falls prevention precautions E. A high-calcium diet

A. Weight-bearing exercise C. Regular bone density testing D. Use of falls prevention precautions E. A high-calcium diet

A client is admitted to the orthopedic unit with a fractured femur after a motorcycle accident. The client has been placed in traction until the femur can be rodded in surgery. For what early complication(s) should the nurse monitor this client? Select all that apply. A. Complex regional pain syndrome B. Fat embolism C. Deep vein thrombosis D. Compartment syndrome E. Systemic infection

B. Fat embolism C. Deep vein thrombosis D. Compartment syndrome

A nurse is caring for a client who is postoperative day 1 following a total arthroplasty of the right hip. How should the nurse position the client? A. Keep the right hip adducted at all times. B. Place a pillow between the legs. C. Avoid flexion of the right hip. D. Turn the client on the surgical side.

B. Place a pillow between the legs.

A client diagnosed with osteoporosis is being discharged home. Which priority education should the nurse should provide? A. Increase calcium and vitamin D in the diet B. Remove all small rugs from the home C. Participate in weight-bearing exercises D. Classify medications

B. Remove all small rugs from the home

A client arrives in the emergency room complaining of severe pain in her left hip after falling out of the bed. What indication upon assessment does the nurse recognize as a dislocated left hip? Select all that apply. A. The client is able to bend the knee but not move toes. B. The skin of the lower left leg is pale. C. The left leg is shorter than the right. D. The skin over the left hip is warm. E. Limited range of motion of the left hip.

B. The skin of the lower left leg is pale. C. The left leg is shorter than the right. E. Limited range of motion of the left hip.