Test 4 NCLEX Questions Mobility

The nurse is caring for a client being treated for a fat embolus after multiple fractures. Which data would the nurse evaluate as the most favorable indication of resolution of the fat embolus? 1. Clear mentation 2. Minimal dyspnea 3. Oxygen saturation of 85% 4. Arterial oxygen level of 78 mmHg

1. Clear mentation

Which cast care instruction should the nurse provide to a client who just had a plaster cast applied to the right forearm? SATA 1. Keep the cast clean and dry 2. Allow the cast 24 to 72 hours to dry 3. Keep the cast and extremity elevated 4. Expect tingling and numbness in the extremity 5. Use a hair dryer set on warm to hot setting to dry the cast 6. Use a soft, padded object that will fit under the cast to scratch the skin under the cast

1. Keep the cast clean and dry 2. Allow the cast 24 to 72 hours to dry 3. Keep the cast and extremity elevated

The nurse is teaching a client with myasthenia gravis about the prevention of myasthenic and cholinergic crises. Which client activity suggests that teaching is most effective? 1. Taking medications as scheduled 2. Eating large, well-balanced meals 3. Doing muscle-strengthening exercises 4. Doing all chores early in the day while less fatigued

1. Taking medications as scheduled

The client arrives at the emergency department complaining of back pain spasms. The client states "I have been taking 2 to 3 aspiring every 4 hours for the last week, and it hasn't helped my back." Since acetylsalicylic acid intoxication is suspected, the nurse should assess the client for which manifestation? 1. Tinnitus 2. Diarrhea 3. Constipation 4. Photosensitivity

1. Tinnitus

The nurse is preparing discharge instructions for a client who sustained a skeletal muscle injury and is receiving baclofen. Which instruction should be included in the teaching plan? 1. Restrict fluid intake 2. Avoid the use of alcohol 3. Stop the medication if diarrhea occurs 4. Notify the primary health care provider (PHCP) if fatigue occurs

2. Avoid the use of alcohol

The nurse has conducted teaching with a client in an arm cast about the signs and symptoms of compartment syndrome. The nurse determines that the client understands the information if the client states that he or she should report which early symptom of compartment syndrome? 1. Cold, bluish-colored fingers 2. Numbness and tingling in the fingers 3. Pain that increases when the arm is dependent 4. Pain that is out of proportion to the severity of the fracture

2. Numbness and tingling in the fingers

Lab studies for client receiving dantrolene if adverse effect were to occur? 1. Platelet count 2. Creatinine levels 3. liver function tests 4. Blood urea nitrogen level

3. liver function test

The nurse is conducting health screening for osteoporosis. Which client is at greatest risk of developing this problem? 1. A 25-year-old woman who runs 2. A 36-year-old man who has asthma 3. A 70-year-old man who consumes excess alcohol 4. A sedentary 65-year-old woman who smokes cigarettes

4. A sedentary 65-year-old woman who smokes cigarettes

The nurse is instructing a client with Parkinson's disease about preventing falls. Which client statement reflects a need for further teaching? 1. I can sit down to put on my pants and shoes 2. I try to exercise everyday and rest when I am tired 3. My son removed all loose rugs from my bedroom 4. I do not need to use my walker to get to the bathroom

4. I do not need to use my walker to get to the bathroom

Carbidopa-levodopa is prescribed for a client with Parkinson's disease. The nurse monitors the client for side and adverse effects of the medication. Which finding indicates that the client is experiencing an adverse effect? 1. Pruritus 2. Tachycardia 3. Hypertension 4. Impaired voluntary movements

4. Impaired voluntary movements

A client with a hip fracture asks the nurse about Buck's (extension) traction that is being applied before surgery and what is involved. The nurse should provide which information to the client? 1. Allows bony healing to begin before surgery and involved pins and screws 2. Provides rigid immobilization of the fracture site and involves pulleys and wheels 3. Lengthens the fractured leg to prevent severing of blood vessels and involves pins and screws 4. Provides comfort by reducing muscle spasms, provides fracture immobilization, and involves pulleys and wheels.

4. Provides comfort by reducing muscle spasms, provides fracture immobilization, and involves pulleys and wheels.

A client with diabetes mellitus has had a right below-knee amputation. Given the client's history of diabetes mellitus, which complication is the client at most risk for after surgery? 1. Hemorrhage 2. Edema of residual limb 3. Slight redness of the incision 4. Separation of the wound edges

4. Separation of the wound edges

The nurse witnessed a vehicle hit a pedestrian. The victim is dazed and tries to get up. A leg appears fractured. Which intervention should the nurse take? 1. Try to reduce the fracture manually. 2. Assist the victim to get up and walk to the sidewalk. 3. Leave the victim for a few moments to call an ambulance. 4. Stay with the victim and encourage him or her to remain still.

4. Stay with the victim and encourage him or her to remain still

Alendronate is prescribed for a client with osteoporosis, and the nurse is providing instructions on administration of the medication. Which instruction should the nurse provide? 1. Take the medication at bedtime 2. Take the medication in the morning with breakfast 3. Lie down for 30 minutes after taking the medication 4. Take the medication with a full glass of water after rising in the morning

4. Take the medication with a full glass of water after rising in the morning

A client with myasthenia gravis has become increasingly weaker. The primary health care provider prepares to identify whether the client is reacting to an overdose of the medication (cholinergic crisis) or an increasing severity of the disease (myasthenic crisis). An injection of edrophonium is administered. Which finding would indicate that the client is in cholinergic crisis. 1. No change in the condition 2. Complaints of muscle spasms 3. An improvement of the weakness 4. A temporary worsening of the condition

4. a temporary worsening of the condition