Immobility

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Question 1
Free
Multiple Choice

A nurse is assessing body alignment. What is the nurse monitoring?

Choose correct answer/s
A

The relationship of one body part to another while in different positions

B

The coordinated efforts of the musculoskeletal and nervous systems

C

The force that occurs in a direction to oppose movement

D

The inability to move about freely

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Question 2
Free
Multiple Choice

A nurse is providing range of motion to the shoulder and must perform external rotation. Which action will the nurse take?

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A

Moves patient's arm in a full circle

B

Moves patient's arm cross the body as far as possible

C

Moves patient's arm behind body, keeping elbow straight

D

Moves patient's arm until thumb is upward and lateral to head with elbow flexed

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Question 3
Free
Multiple Choice

A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?

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A

Each movement is repeated 5 times by the patient.

B

Each movement is performed until the patient experiences pain.

C

Each movement is completed quickly and smoothly by the nurse.

D

Each movement is moved just to the point of resistance by the nurse.

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Question 4
Free
Multiple Choice

A nurse is performing passive range of motion (ROM) and splinting on an at-risk patient. Which finding will indicate goal achievement for the nurse's action?

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A

Prevention of atelectasis

B

Prevention of renal calculi

C

Prevention of pressure ulcers

D

Prevention of joint contractures

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Question 5
Free
Multiple Choice

A nurse is preparing to reposition a patient. Which task can the nurse delegate to the nursing assistive personnel?

Choose correct answer/s
A

Determining the level of comfort

B

Changing the patient's position

C

Identifying immobility hazards

D

Assessing circulation

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Question 6
Multiple Choice

A nurse is preparing to assess a patient for orthostatic hypotension. Which piece of equipment will the nurse obtain to assess for this condition?

Choose correct answer/s
A
Thermometer
B
Elastic stockings
C
Blood pressure cuff
D
Sequential compression devices
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Question 7
Multiple Choice

The patient has been in bed for several days and needs to be ambulated. Which action will the nurse take first?

Choose correct answer/s
A
Maintain a narrow base of support.
B
Dangle the patient at the bedside.
C
Encourage isometric exercises.
D
Suggest a high-calcium diet.
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Question 8
Multiple Choice

A nurse reviews an immobilized patient's laboratory results and discovers hypercalcemia. Which condition will the nurse monitor for most closely in this patient?

Choose correct answer/s
A
Hypostatic pneumonia
B
Renal calculi
C
Pressure ulcers
D
Thrombus formation
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Question 9
Multiple Choice

A nurse is caring for an immobile patient. Which metabolic alteration will the nurse monitor for in this patient?

Choose correct answer/s
A
Increased appetite
B
Increased diarrhea
C
Increased metabolic rate
D
Altered nutrient metabolism
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Question 10
Multiple Choice

A nurse is preparing a care plan for a patient who is immobile. Which psychosocial aspect will the nurse consider?

Choose correct answer/s
A
Loss of bone mass
B
Loss of strength
C
Loss of weight
D
Loss of hope
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Question 11
Multiple Choice

The nurse is preparing to lift a patient. Which action will the nurse take first?

Choose correct answer/s
A
Position a drawsheet under the patient.
B
Assess weight and determine assistance needs.
C
Delegate the task to a nursing assistive personnel.
D
Attempt to manually lift the patient alone before asking for assistance.
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Question 12
Multiple Choice

The nurse is caring for an older-adult patient who has been diagnosed with a stroke. Which intervention will the nurse add to the care plan?

Choose correct answer/s
A
Encourage the patient to perform as many self-care activities as possible.
B
Provide a complete bed bath to promote patient comfort.
C
Coordinate with occupational therapy for gait training.
D
Place the patient on bed rest to prevent fatigue.
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Question 13
Multiple Choice

The nurse is observing the way a patient walks. Which aspect is the nurse assessing?

Choose correct answer/s
A
Activity tolerance
B
Body alignment
C
Range of motion
D
Gait
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Question 14
Multiple Choice

A nurse is assessing the body alignment of a standing patient. Which finding will the nurse report as normal?

Choose correct answer/s
A
When observed laterally, the spinal curves align in a reversed "S" pattern.
B
When observed posteriorly, the hips and shoulders form an "S" pattern.
C
The arms should be crossed over the chest or in the lap.
D
The feet should be close together with toes pointed out.
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Question 15
Multiple Choice

The nurse is evaluating the body alignment of a patient in the sitting position. Which observation by the nurse will indicate a normal finding?

Choose correct answer/s
A
The edge of the seat is in contact with the popliteal space.
B
Both feet are supported on the floor with ankles flexed.
C
The body weight is directly on the buttocks only.
D
The arms hang comfortably at the sides.
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Question 16
Multiple Choice

The nurse is assessing body alignment for a patient who is immobilized. Which patient position will the nurse use?

Choose correct answer/s
A
Supine position
B
Lateral position
C
Lateral position with positioning supports
D
Supine position with no pillow under the patient's head
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Question 17
Multiple Choice

The nurse is assessing the patient for respiratory complications of immobility. Which action will the nurse take when assessing the respiratory system?

Choose correct answer/s
A
Inspect chest wall movements primarily during the expiratory cycle.
B
Auscultate the entire lung region to assess lung sounds.
C
Focus auscultation on the upper lung fields.
D
Assess the patient at least every 4 hours.
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Question 18
Multiple Choice

The nurse is assessing an immobile patient for deep vein thromboses (DVTs). Which action will the nurse take?

Choose correct answer/s
A
Remove elastic stockings every 4 hours.
B
Measure the calf circumference of both legs.
C
Lightly rub the lower leg for redness and tenderness.
D
Dorsiflex the foot while assessing for patient discomfort.
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Question 19
Multiple Choice

A nurse is assessing the skin of an immobilized patient. What will the nurse do?

Choose correct answer/s
A
Assess the skin every 4 hours.
B
Limit the amount of fluid intake.
C
Use a standardized tool such as the Braden Scale.
D
Have special times for inspection so as to not interrupt routine care.
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Question 20
Multiple Choice

The nurse is caring for an older-adult patient with a diagnosis of urinary tract infection (UTI). Upon assessment the nurse finds the patient confused and agitated. How will the nurse interpret these assessment findings?

Choose correct answer/s
A
These are normal signs of aging.
B
These are early signs of dementia.
C
These are purely psychological in origin.
D
These are common manifestation with UTIs.
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