Mobility- Health Assessment End of Chapter Q's + Concepts Ch 26

When providing discharge teaching to a client who had a total hip replacement, what should the nurse instruct the client to avoid? 1 Climbing stairs 2 Stretching exercises 3 Sitting in a low chair 4 Lying prone for more than 15 minutes

3.

Which patient's description of pain is consistent with injury to a bone? 1. "Deep, dull, and boring" 2. "Cramping even when not moving" 3. "Intermittent, sharp, and radiating" 4. "Numbness and tingling with movement"

1.

While assessing the range of motion of the patient's knee, the nurse expects the patient to be able to perform which movements? 1. Flexion, extension, and hyperextension 2. Circumduction, internal rotation, and external rotation 3. Adduction, abduction, and rotation 4. Flexion, pronation, and supination

1.

With the patient in a supine position, how does a nurse test the external rotation of the patient's right hip? 1. Asking the patient to move the right leg laterally with the right knee straight 2. Asking the patient to flex the right knee and turn medially toward the left side (inward) 3. Asking the patient to place the right heel on the left patella 4. Asking the patient to raise the right leg straight up and perpendicular to the body

3.

A nurse performs full range-of-motion exercises on a client's extremities. When putting an ankle through range-of-motion exercises, what must the nurse perform? 1 Flexion, extension, and rotation 2 Abduction, flexion, adduction, and extension 3 Pronation, supination, rotation, and extension 4 Dorsiflexion, plantar flexion, eversion, and inversion

4.

A client injures an amphiarthrodial joint. Which joint did the client injure? 1 Knee joint 2 Pelvic joint 3 Elbow joint 4 Cranial joint

2.

A client newly diagnosed with myasthenia gravis is concerned about fluctuations in physical condition and generalized weakness. When caring for this client it is most important for the nurse to plan which intervention? 1 Space activities throughout the day. 2 Restrict activities and encourage bed rest. 3 Teach the client about limitations imposed by the disorder. 4 Have a family member stay at the bedside to give the client support.

1.

In which part of the client's body is the amphiarthroidial joint located? 1 Pelvis 2 Elbow 3 Cranium 4 Shoulder

1.

A client sustains a fractured right femur after an automobile accident and is admitted to the hospital's emergency department. Which assessment is the priority? 1 Turn the client to the side-lying position. 2 Take the client's pedal pulse in the affected extremity. 3 Instruct the client to wiggle the toes of the right foot. 4 Ask the client if numbness or tingling is present in the right foot.

2.

A patient complains of her jaw popping when chewing. Which examination techniques are appropriate for the nurse to use with this patient? 1. Inspecting the musculature of the face and neck for symmetry 2. Observing the range of motion of and palpating each temporomandibular joint for movement, sounds, and pain 3. Asking the patient to move her chin to her chest, hyperextend her head, and move her head from the right side to the left side 4. Asking the patient to open her mouth as widely as possible and inspecting the lower jaw for redness, edema, or broken teeth

2.

While testing a patient's bicep muscle strength, the nurse applies resistance and asks the patient to perform which motion? 1. Extension of the arm 2. Flexion of the arm 3. Adduction of the arm 4. Abduction of the arm

2.

A 14-month-old child is admitted to the pediatric hospital with a fractured right femur. The child is placed in Bryant traction. When the parents see the child for the first time in traction, they are surprised to see both legs in traction and ask why. What information should the nurse share about Bryant traction? 1 Putting both legs in traction keeps one leg from becoming longer than the other. 2 Putting both legs in traction keeps the baby from turning over in bed and breaking his leg again. 3 As a means of ensuring countertraction, both legs are placed in traction, and the buttocks are suspended off the bed. 4 When the leg was x-rayed, the healthcare practitioner apparently discovered that the other leg was broken as well.

3.

Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the drug is being used primarily for which of its properties? 1 Analgesic 2 Antipyretic 3 Antiinflammatory 4 Antiplatelet

3.

How should the nurse prevent footdrop in a client with a leg cast? 1 Encourage complete bed rest to promote healing of the foot. 2 Place the foot in traction. 3 Support the foot with 90 degrees of flexion. 4 Place an elastic stocking on the foot to provide support

3.

The nurse is comparing the right and left legs of a patient and notices that they are asymmetric. Which additional data does the nurse collect at this time? 1. Passively moves each leg through range of motion and compares the findings 2. Observes the patient's gait and legs as he or she walks across the room 3. Measures the length of each leg and compares the findings 4. Palpates the joints and muscles of each leg and compares the findings

3.

Which synovial joint movement is involved in turning the client's palm downward? 1 Eversion 2 Inversion 3 Pronation 4 Supination

3.

During an assessment of a young adult, the nurse notes that the patient's shoulders are uneven. Which examination would the nurse perform for further data? 1. Ask the patient to rotate each shoulder to assess for range of motion. 2. Ask the patient to push against the nurse's hands with his or her forearm to test muscle strength. 3. Ask the patient to shrug his or her shoulders while the nurse pushes them down to test the muscle strength. 4. Ask the patient to bend forward at the waist while the nurse checks the alignment of the patient's vertebrae.

4.

How does the nurse determine if a patient's musculoskeletal examination is normal? 1. By reading the examination findings documented in the patient's chart 2. By comparing findings from other patients in the same age group 3. By reading descriptions in health assessment books 4. By comparing the patient's left side with the right side

4.

The nurse testing the patient's muscle strength finds that the patient has full resistance to opposition. Using Table 14-3, how would this finding be documented? 1. Poor or 2/5 2. Fair or 3/5 3. Good or 4/5 4. Normal or 5/5

4.

When a nurse asks a patient to place the right arm behind the head, the nurse is testing for which range of motion? 1. Flexion of the elbow 2. Hyperextension of the shoulder 3. Internal rotation and adduction of the shoulder 4. External rotation and abduction of the shoulder

4.