Mobility

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."

client asks what trochanter rolls are used for when providing client care. What is the appropriate nursing response? "To preserve your functional ability to grasp and pick up objects." "To prevent foot drop." "To avoid contractures." "To prevent your legs from rotating outward."

"To prevent your legs from rotating outward."

The nursing assistant is preparing to help the patient make a lateral transfer from the bed to a stretcher. The patient informs the nurse that he is able to move onto the stretcher without her help. What is the nurse's best response? "You are free to move onto the stretcher without assistance, but I will supervise for your safety." "I can only allow you to transfer without assistance based upon a physician's order, so I will now help you." "You cannot transfer without my help because you need a friction-reducing device to prevent harm to your skin." "That is fine if you want to transfer without my help, so ring your call bell after you have transferred and are ready to go."

"You are free to move onto the stretcher without assistance, but I will supervise for your safety."

A nurse is planning to help move a patient up in bed. Which actions can the nurse implement to reduce the risk of self-strain when performing this action? Select all that apply. 1. Move the patient up against gravity. 2. Use the large muscles of the legs .3. Bend the body from the waist. 4. Keep up the knees slightly bent. 5Raise the bed to waist level.

3. Bend the body from the waist. 4. Keep up the knees slightly bent. 5Raise the bed to waist level.

What percentage of hip fractures are caused by falls?

90%

The nurse determines that teaching about management of osteoarthritis of the feet and hands has been effective when the patient says: "I will be careful to avoid crowds and people with infections." "I can use heat to relieve the stiffness when I wake up in the morning." "I should exercise my hands every day, especially if they are painful and inflamed." D."I should avoid the use of glucosamine as it has been shown to have no therapeutic value."

I can use heat to relieve the stiffness when I wake up in the morning."

Which patient below is NOT at risk for osteoporosis? A. A 50-year-old female whose last menstrual period was 7 years ago. B. A 45-year-old male patient who has been taking glucocorticoids for the last 6 months. C. A 30-year-old male who drinks alcohol occasionally and has a BMI of 28. D. A 35-year-old female who has a history of seizures and takes Dilantin regularly.

A 30-year-old male who drinks alcohol occasionally and has a BMI of 28.

You receive your patient back from radiology. The patient had an x-ray of the hips and knees for the evaluation of possible osteoarthritis. What findings would appear on the x-ray if osteoarthritis was present? Select-all-that-apply:* A. Increased joint space B. Osteophytes C. Sclerosis of the bone D. Abnormal sites of hyaline cartilage

Osteophytes Sclerosis of the bone

Which body movement involves moving toward the midline? Pronation Adduction Abduction Eversion

Adduction

The nurse observes the client and notes a shuffling gait. The nurse recognizes this finding is consistent with: Parkinson's disease Lower motor neuron disease Scoliosis Paget's disease

Parkinson's Disease

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? Apply a cold pack at the insertion site. Apply warm compresses to the insertion site. Provide a gentle massage. Assist with performing ROM exercises.

Apply a cold pack at the insertion site.

A patient with a long arm cast continues to complain of unrelieved throbbing pain even after receiving opioid pain medication. Which of the following is the priority action by the nurse? Assess for complications. Assess for previous opioid drug use. Reposition the patient for comfort. Teach relaxation techniques.

Assess for complications

Which therapeutic exercise is done by the nurse without assistance from the patient?

Passive

A client who has been lying prone reports shortness of breath and a sensation of choking. Into which position will the nurse place the client? A. prone B. supine C. Fowler's D. Sims'

C. Fowler's Rationale: Fowler's position, a semi-sitting position, will assist the client with dyspnea because this position allows the abdominal organs to drop away from the diaphragm. Other position choices do not promote oxygenation.

A home care nurse visits a client with Parkinson's disease. The nurse observes that the client has rhythmic, repetitive movements of the hands. The home care nurse documents this as :A. athetosis B. ataxia C. tremor D. dystonia

C. tremorRationale: Tremors are rhythmic, repetitive movements that can occur at rest or when movement is initiated. A tremor usually interferes with fine motor control, but in Parkinson's disease it also can interfere with coordinated ambulation. Athetosis is movement characterized by slow, irregular, twisting motions. Dystonia is similar to athetosis but usually involves larger areas of the body. Ataxia is a general term used to describe impaired muscle coordination.

A nurse is logrolling a client who has a spinal injury. Which nursing action follows the recommended guidelines for this procedure? Enlist the assistance of two or three other nurses to perform the procedure. Use a friction-reducing sheet that extends from below shoulder to above hips. Have the client cross the arms on the chest and place a pillow over them. Have two nurses stand on the side of the bed in the direction the client will be turned.

Enlist the assistance of two or three other nurses to perform the procedure.

A nurse is repositioning a patient who has physical limitations due to recent back surgery. How often would the nurse turn the patient in bed? Every hour. Every two hours. Every four hours. Every shift.

Every 2 hours

Which of these makes it more likely to get osteoarthritis? Young age Excess body weight Too little body weight Back pain

Excess body weight

The nurse has asked the unlicensed assistive personnel (UAP) to ambulate a client with Parkinson's disease. The nurse observes the UAP pulling on the client's arms to get the client to walk forward. What should the nurse do? Have the UAP keep a steady pull on the client to promote forward ambulation. Explain how to overcome a freezing gait by telling the client to march in place. Assist the UAP with getting the client back in bed. Give the client a muscle relaxant.

Explain how to overcome a freezing gait by telling the client to march in place.

The home care nurse is caring for an 80-year-old patient who is receiving carbidopa-levodopa, a dopaminergic drug used to treat Parkinson's disease. The nurse knows that this drug may place the patient at increased risk for:

Falls because Adverse effects of dopaminergic drugs such as carbidopa-levodopa include orthostatic hypotension. The dizziness and potential for fainting associated with this effect can increase the risk of falls.

A patient will be ambulating for the first time since his cardiac surgery. What should the nurse consider when assisting this patient? -Patients who are fearful of walking should be told to look at their feet when walking to ensure correct positioning. -Patients who can lift their legs only 1 to 2 inches off the bed do not have sufficient muscle power to permit walking. -Nurses should never assist patients with ambulation without a physical therapist present. -If an ambulating patient whom a nurse is assisting begins to fall, the nurse should slide the patient down his or her own body to the floor, carefully protecting the patient's head.

If an ambulating patient whom a nurse is assisting begins to fall, the nurse should slide the patient down his or her own body to the floor, carefully protecting the patient's head.

The nurse is preparing a patient to be turned in bed. In what position would the nurse place the patient to begin this procedure? Sitting up. Lying prone. Lying flat. Lying flat with feet raised slightly.

Lying Flat

The physician has ordered that the client should ambulate three times a day. The nurse enters the room to ambulate the client and the client complains of pain. What is the nurse's most appropriate action? Medicate the client and wait to ambulate later. Ambulate the client and medicate later. Emphasize to the client the importance of following the treatment plan. Explain to the client the benefits of ambulation.

Medicate the client and wait to ambulate later.

Which of the following is the most common joint affected in gout? Metatarsophalangeal Tarsal area Ankle Knee

Metatarsophalangeal

Which of the following are usually the first choice in the treatment of rheumatoid arthritis (RA)?

NSAIDS

A nurse's assessment of a teenage girl reveals that her shoulders are not level and that she has one prominent scapula that is accentuated by bending forward. The nurse should expect to read about what health problem in the patient's electronic health record? Lordosis Kyphosis Scoliosis Muscular dystrophy

Scoliosis

An emancipated patient is at risk for developing a pressure ulcer. In which position should the nurse avoid placing the patient? 1. Thirty-degree lateral position 2. Side-lying position 3. Supine position 4. Prone position

Side lying position

Long term use of steroids can cause fractures in a patient with osteoporosis. TRUE/FAlse

TRUE

A nurse is giving post-operative care to a client after knee arthroplasty. Which of the following is a possible short-term goal for this client? To ambulate the client to a bedside chair To help the client return to activities of daily life To maintain a healthy and active lifestyle To prevent repeat surgery in the client

To ambulate the client to a bedside chair

The client is a clerical assistant for an inpatient hospital unit. He spends most of his day at a desk. What would the nurse advise the clerical assistant to do to minimize damage to his musculoskeletal system? Select all that apply. hold his breath only when lifting heavy objects adjust the height of the work area face in the direction of the activity he is performing use a wide stance and lift with the large leg muscles

adjust the height of the work area face in the direction of the activity he is performing use a wide stance and lift with the large leg muscles

A patient is prescribed Alendronate (Fosamax) at 0800 for the treatment of osteoporosis. As the nurse you know you must administer this medication: A. right after breakfast and to lay the patient flat (as tolerated) for 30 minutes. B.on an empty stomach with a full glass of water and keep the patient upright for 30 minutes. C. with food but to avoid giving this medication with dairy products. D. on an empty stomach with a full glass of juice or milk.

on an empty stomach with a full glass of water and keep the patient upright for 30 minutes.

What does R.I.C.E Stand for?

rest, ice, compress, elevate

A nurse is caring for a client who is wearing antiembolism stockings per the health care provider's prescription. The client reports that the stockings are too uncomfortable and asks whether he can take them off. Which action should the nurse take? -Tell the client he can remove them for 20 or 30 minutes during this shift. -Instruct the client to not remove them until the primary care provider writes a prescription to discontinue them. -Explain that the stockings must be worn 48 hours straight before they may be removed temporarily. -Permit the client to remove the stockings indefinitely and speak to the physician about the necessity of having the client wear them.

Tell the client he can remove them for 20 or 30 minutes during this shift. Antiembolism stockings should be removed once every shift for 20 to 30 minutes to allow for assessment of circulatory status and the condition of the skin on the lower extremity and for skin care.

A nurse is assessing a patient with a primary immunodeficiency. Afterward she documents that the patient displayed ataxia. Which of the following statements explains the documentation? The patient has vascular lesions caused by dilated blood vessels. The patient has an inability to understand the spoken word. The patient has uncoordinated muscle movements. The patient has difficulty swallowing.

The patient has uncoordinated muscle movements.

The nurse is working to increase functional ability with a client. Which assistive technique should be included in the plan of care? a. log rolling b. pull sheets c. trapeze bar d. trochanter rolls

Trapeze bar Rationale: Promoting client independence with movement and activity is an important intervention for clients with musculoskeletal problems. Unlike log rolling and pull sheets, which are nurse-initiated methods, the overhead trapeze is used by the clien

A client is on the rehabilitation unit after sustaining a spinal cord injury resulting in paraplegiia. Which action would be most appropriate for the nurse to do to ensure safe transfers? AKA which two things is needed as assistant for transfer

Use a transfer belt when moving the client to a wheelchair. Teach the client to use the trapeze for transfer and upper body exercise.

The nurse is caring for a patient diagnosed with Parkinson's disease. The patient is having increasing problems with rising from the sitting to the standing position. What should the nurse suggest to the patient to use that will aid in getting from the sitting to the standing position as well as aid in improving bowel elimination? Use of a bedpan Use of a raised toilet seat Sitting quietly on the toilet every 2 hours Following the outlined bowel program

Use of a raised toilet seat

A patient newly diagnosed with osteoarthritis asks about the medication treatments for their condition. Which medication is NOT typically prescribed for OA?* A. NSAIDs B. Topical Creams C. Oral corticosteroids D. Acetaminophen (Tylenol)

Oral corticosteroids