Mobility

The nurse is assisting a client with limited mobility to turn in bed. After successfully turning the client to the side, where would the nurse place an additional pillow? supporting the client's back under the client's head in front of the client's abdomen under the client's feet

supporting the client's back

The client with a fractured femur is upset and agitated that skeletal traction will be necessary for 6 to 8 weeks. The client states, "How can I stay like this for weeks? I can't even move!" Based on these statements, the nurse would identify which of the following as the most appropriate nursing diagnosis? Activity Intolerance related to impaired mobility Ineffective Coping related to prolonged immobility Deficient Diversional Activity related to prolonged hospitalization Impaired Physical Mobility related to traction

Ineffective Coping related to prolonged immobility

The nurse observes a client with a shuffling gait. What disease is commonly assocaieted with a shuffling gait? Paget's disease scoliosis Parkinson's disease lower motor neuron disease

Parkinson's disease

A client diagnosed with Parkinson's disease has developed slurred speech and drooling. The nurse knows that these symptoms indicate which of the following? The client is having an exacerbation. Medication needs to be adjusted to higher doses. The client is exhibiting signs of medication overdose. The disease has entered the late stages.

The disease has entered the late stages.

The nurse is teaching a pregnant client about injury prevention. Which instruction should the nurse include? "Take three 20-minute breaks during the workday." "Change your shoes from high heels to flats." "Start going to the gym every day to improve your balance." "Wear your seat belt across your abdomen."

"Change your shoes from high heels to flats."

A client has undergone a leg amputation. What teachings should the nurse offer such a client to prevent abduction deformity? Select all that apply. Advise the client to use anti-embolism stockings on both legs. Advise the client to adduct the stump so it presses against the other leg when the client is lying on the stomach. Advise the client to use a trochanter roll. Advise the client to place pillows between the legs.

Advise the client to adduct the stump so it presses against the other leg when the client is lying on the stomach. Advise the client to use a trochanter roll.

Which is the most commonly seen adverse side effect of typical antipsychotics? Serotonin syndrome Extrapyramidal symptoms and tardive dyskinesia Auditory and visual hallucinations Accidental overdosage as a result of the narrow therapeutic range

Extrapyramidal symptoms and tardive dyskinesia

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? Turning the client from side to side every 2 hours Performing passive range-of-motion (ROM) exercises on the client's legs once each shift Keeping a pillow between the client's legs at all times Maintaining the client in semi-Fowler's position

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

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? Osteoarthritis Calcification of long bones Pathologic fractures Low bone mass and osteoporosis

Low bone mass and osteoporosis

The nurse practitioner is able to correlate a patient's neurologic deficits with the location in the brain affected by ischemia or hemorrhage. For a patient with a left hemispheric stroke, the nurse would expect to see: Right-sided paralysis. Spatial-perceptual deficits. Impulsive behavior. Left visual field deficit.

Right-sided paralysis.

A client is having a cast applied for a fractured leg that extends from below the knee to the base of the toes. The foot is flexed at a right angle in a neutral position. What type of cast is the client having applied? Hip spica cast Walking cast Short leg cast Long leg cast

Short leg cast

The nurse working in the emergency department receives a call from the x-ray department communicating that the client the nurse is caring for has a fracture in the shaft of the tibia. The nurse tells the physician that the client's fracture is in the epiphysis. diaphysis. lordosis. scoliosis.

diaphysis

Osteoarthritis is known as a disease that affects young males. affects the cartilaginous joints of the spine and surrounding tissues. is the most common and frequently disabling of joint disorders. requires early treatment because most of the damage seems to occur early in the course of the disease.

is the most common and frequently disabling of joint disorders.

A 50-year-old woman has begun taking baclofen to treat her recently diagnosed multiple sclerosis (MS). What teaching point should the nurse provide to the patient about her new drug regimen? "Even though baclofen is a drug that's available over the counter, it still has the potential to cause serious adverse effects if taken incorrectly." "Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply." "You'll likely have to stop taking your other medications for a week to ten days before starting to take baclofen." "It's best to avoid taking a dose of baclofen unless your spasticity becomes impossible to manage."

"Make sure that you don't stop taking baclofen suddenly because it might cause your symptoms to rebound quite sharply."

Which hormone inhibits bone reabsorption and increases calcium deposit in the bone? Vitamin D Growth hormone Sex hormones Calcitonin

Calcitonin

Which of the following brain structures is responsible for equilibrium? Cerebellum Brainstem Thalamus Hypothalamus

Cerebellum

Which serum level indicates the rate of bone turnover? Creatinine kinase Myoglobin Aspartate aminotransferase Osteocalcin

Osteocalcin

The nurse is assisting a client from the bed into a wheelchair. What is a recommended guideline for this procedure? Raise the head of the bed to a sitting position. Put the chair at the foot of the bed. Place the bed in the highest position. Make sure the bed brakes are unlocked.

Raise the head of the bed to a sitting position.

The nurse is performing a health history with a new client in the clinic. What is the most common reason for a client to seek medical attention for arthritis? pain stiffness joint swelling weakness

pain

A 12-year-old boy taken to the emergency department after a soccer injury cries out, "Look, my leg is bigger now!" How will the nurse respond to the boy? "Swelling is a normal response from your body to prepare for healing." "Yes. it is supposed to. This is a good thing." "Let me look at that. We may need to have the doctor examine you." "No need to worry. Soccer is a dangerous sport."

"Swelling is a normal response from your body to prepare for healing."

A 78-year-old client is undergoing surgery to repair a right hip fracture. What nursing action is appropriate during the intraoperative phase? Discuss with the anesthesiologist the need for higher doses of anesthetic agents. Appropriately position the client using adequate padding and support. Maintain an operating room temperature of 18°C to prevent hypothermia. Withhold pain medication due to decreased renal function.

Appropriately position the client using adequate padding and support.

The nurse is caring for a mental health client who has developed difficulty with balance and muscle tone after a car accident that involved a head injury. Based on this information, what area of the brain was most likely injured in the accident? Pons Brain stem Diencephalon Cerebellum

Cerebellum

Which general nursing measure is used for a client with a fracture reduction? Examine the abdomen for enlarged liver or spleen Promote intake of omega-3 fatty acids Encourage participation in ADLs Assist with intake of immune-enhancing tube feeding formulas

Encourage participation in ADLs

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? Notify the health care provider. Bend the knee and rotate the knee internally. Externally rotate the extremity. Apply Buck's traction.

Notify the health care provider.

The transmission of impulses at the neuromuscular junction is mediated by which action? Nerve origin in thoracolumbar spine Nerve stimulation of the adrenal medulla Release of neurotransmitter acetylcholine from autonomic nerve endings Connection to paraspinal ganglion chain

Release of neurotransmitter acetylcholine from autonomic nerve endings

A client with a right leg fracture is returning to the orthopedist to have the cast removed. What would the physician prescribe as further treatment? physical therapy cold compresses to leg for swelling discontinue use of crutches No options are correct.

physical therapy

Death caused by muscular dystrophy in early adulthood is usually due to: severe skeletal muscle weakness. malnutrition. severe long bone fractures. respiratory and cardiac muscle involvement.

respiratory and cardiac muscle involvement.

A nurse is caring for a client who injured her knee while playing basketball. Tests reveal a torn connective tissue that connects muscles to bones. Based on this finding, the nurse prepares to teach the client about which anatomical structure that is injured? Ligaments Bursae Tendons Synovial joint

tendons

A nurse is caring for a client in spinal shock. Which intervention is appropriate in relation to the client's urinary status? Perform a urine culture Perform intermittent catheterization Assess bowel sounds Palpate the lower abdomen

Perform intermittent catheterization