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Activity, Immobility, And Safe Movement

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Question 1
Free
Multiple Choice

The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:

Choose correct answer/s
A

muscle weakness.

B

muscle wasting.

C

muscle inflammation.

D

muscle mobility.

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Question 2
Free
Multiple Choice

The nurse is implementing generalized falls precautions for his patients who are at risk for falls. Which intervention indicates a lack of understanding of these precautions?

Choose correct answer/s
A

The bed is placed in the low position.

B

The patient is wearing socks.

C

The patient's cell phone is by the bedside.

D

The patient's call light is within reach.

Check answer
Question 3
Free
Multiple Choice

The nurse is educating the family of a patient on falls risk precautions. Which of the following statements by the family indicates a need for further education?

Choose correct answer/s
A

"I should keep the wheelchair locked unless using it to move Mom."

B

"I should always leave the bathroom light on."

C

"I should use nonskid socks, not shoes."

D

"I should keep her cell phone close to her bed."

Check answer
Question 4
Free
Multiple Choice

The nurse is performing passive range-of-motion exercises on his patient when the patient begins to complain of pain. What is the first thing the nurse should do?

Choose correct answer/s
A

Notify the health care provider.

B

Hyperextend the joint.

C

Stop the range of motion.

D

Switch to active range of motion.

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Question 5
Free
Multiple Choice

An appropriate goal for the patient who is postoperative day one from a hip fracture with the nursing diagnosis Impaired physical mobility is:

Choose correct answer/s
A

the patient will interact with others.

B

the patient will ambulate to the bathroom with assistance.

C

the patient will have no skin breakdown.

D

the patient will have a physical therapy consult.

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Question 6
Multiple Choice

An appropriate goal for the patient who is postoperative day one from abdominal surgery and on bed rest with the nursing diagnosis Impaired skin integrity is:

Choose correct answer/s
A
the patient will ambulate twice a day.
B
the patient will eat 50% of meals.
C
the patient will have no further skin breakdown.
D
the patient will interact with others.
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Question 7
Multiple Choice

The nurse is providing education to the patient about isometric exercises. Which statement by the patient indicates a good understanding?

Choose correct answer/s
A
"An example of this type of exercise is walking."
B
"An example of this type of exercise is running."
C
"An example of this type of exercise is Kegels."
D
"An example of this type of exercise is weight lifting."
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Question 8
Multiple Choice

The nurse is preparing to assist her patient to walk to the bathroom after medicating her with a narcotic for pain management. Of what possible adverse effect should the nurse be immediately aware?

Choose correct answer/s
A
Constipation
B
Depression
C
Dizziness
D
Pain relief
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Question 9
Multiple Choice

The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?

Choose correct answer/s
A
Using an airflow bed
B
Using a slide board
C
Using a trochanter roll
D
Using a gel mattress
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Question 10
Multiple Choice

The nurse knows active assistive range of motion is:

Choose correct answer/s
A
when the patient is able to independently move all joints.
B
when the patient is able to partially move all joints.
C
when the caregiver must move the patient's joints.
D
when the patient is performing isotonic exercises.
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Question 11
Multiple Choice

The nurse appropriately delegates care to the UAP when she:

Choose correct answer/s
A
instructs the UAP to assess the patient's skin during a bath.
B
instructs the UAP to reposition the patient using the trapeze.
C
instructs the UAP to assess the patient's ability to perform range-of-motion exercises.
D
instructs the UAP to notify the health care provider of any changes.
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Question 12
Multiple Choice

The nurse knows that manual lifting should only be done in the following situations:

Choose correct answer/s
A
Patients who are less than 150 lb
B
Life-threatening situations
C
Postsurgical patients
D
Patients who are less than 200 lb
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Question 13
Multiple Choice

The nurse is preparing to reposition the patient in bed. What is the first step in this process?

Choose correct answer/s
A
Position the patient's arms across his/her chest.
B
Lower the side rails.
C
Grasp the draw sheet.
D
Raise the bed to a working height.
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Question 14
Multiple Choice

The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?

Choose correct answer/s
A
"I should report any complaints of soreness to the nurse."
B
"I should watch for indications that the patient has difficulties using the cane."
C
"I should let the nurse or PT know if the cane doesn't seem to fit correctly."
D
"I should teach the patient how to walk with the cane."
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Question 15
Multiple Choice

The nurse correctly teaches the patient to rise from a chair using crutches when the following interventions are used:

Choose correct answer/s
A
Patient starts from the back of the chair.
B
The weak leg is closest to the chair.
C
The hand on the strong side holds the handbar of the crutch.
D
The strong leg is closest to the chair.
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Question 16
Multiple Choice

The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)

Choose correct answer/s
A
"I should do weight-bearing exercises."
B
"I should get adequate intake of calcium and vitamin D."
C
"I should exercise regularly."
D
"I need to do yoga exercises."
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Question 17
Multiple Choice

The nurse knows that a patient with a compromised cardiopulmonary system has a diminished capacity for exercise because of the following: (Select all that apply.)

Choose correct answer/s
A
Decreased tissue perfusion
B
Loss of sensation
C
Hemiparesis
D
Diminished respiratory capacity
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Question 18
Multiple Choice

The nurse is educating the patient about the effects of immobility on the body. The following statements by the patient indicate a need for further education: (Select all that apply.)

Choose correct answer/s
A
"I can become very weak."
B
"I will gain weight."
C
"I will lose muscle tone."
D
"I can get bed sores."
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Question 19
Multiple Choice

The nurse knows the following items should be included in the documentation of the patient on falls precautions: (Select all that apply.)

Choose correct answer/s
A
History of any falls
B
Falls risk assessment scores
C
Patient and family education
D
Use of assist devices
E
Any fall or reported fall
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Question 20
Multiple Choice

The nurse knows the following indicates orthostatic hypotension: (Select all that apply.)

Choose correct answer/s
A
A decrease in systolic blood pressure by 30 mm Hg
B
A decrease in diastolic blood pressure by 10 mm Hg
C
An increase in heart rate by 30 beats/min
D
An increase in systolic blood pressure by 20 mm Hg
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