RNSG 1430 Pre - Lecture Mobility Quiz 2020 – El Centro University | RNSG1430 Pre - Lecture Mobility Quiz 2020

Document Content and Description Below

RNSG 1430 Pre - Lecture Mobility Quiz 2020 – El Centro University Pre-Lecture Mobility Quiz Question 1     An elderly patient informs the nurse, “I just don't feel like myself. I cry so ea... sily, and my mobility is so bad from my degenerative disc disease in my back.” What factor is most likely contributing to the patient's depression? You Selected: •  Pain  Explanation: Many factors place an older adult at risk for depression, including recent bereavement, a change in environment, alcohol or substance use, and chronic pain. Question 2     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? You Selected: •  Use of a raised toilet seat Explanation: A raised toilet seat is useful, because the patient has difficulty in moving from a standing to a sitting position. A handicapped toilet is not high enough and will not aid in improving bowel elimination. Sitting quietly on the toilet every 2 hours will not aid in getting from the sitting to standing position; neither will following the outlined bowel program. Question 3     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? You Selected: •  Every two hours. Explanation: The nurse would turn the patient in bed every two hours to avoid complications due to inactivity. The nurse would also include this activity in the patient plan of care. - - - -- - - - - - - - - - - - - - - - - - - - - - - - - Question 9     A patient will be ambulating for the first time since his cardiac surgery. What should the nurse consider when assisting this patient? You Selected: •  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. Explanation: The nurse would use the gait belt to ease the client backward against one’s own body and gently ease the client to the floor while protecting the client’s head. The client should not look at their feet, but rather out at eye level at their surroundings. The nurse should consult the plan of care for the client, but the nurse regularly ambulates a client without a physical therapist present. The evaluation of a client’s muscle power to permit walking cannot be measured by their ability to lift their legs off the bed. Question 10     The nurse observes the client and notes a shuffling gait. The nurse recognizes this finding is consistent with: You Selected: •  Parkinson's disease Explanation: Parkinson’s disease is characterized by a shuffling gait. Question 11     The nurse is assessing the infant shown in the figure. On observing the client from this angle, the nurse should document that this infant has which finding? You Selected: •  asymmetric gluteal folds Explanation: This infant with congenital hip dysplasia has asymmetric gluteal folds. The Ortolani “click” occurs when the nurse feels the femur sliding into the acetabulum with a “click.” Limited abduction may be observed during an attempt to abduct the infant’s thighs. Galeazzi’s sign reveals femoral foreshortening and is observed by flexing the thighs. Question 12     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? You Selected: •  "Swelling is a normal response from your body to prepare for healing."  Explanation: Inflammation is a defensive reaction after injury that helps to prepare the site for repair. At the age of 12 years, children should be given age–appropriate responses for better understanding of what is happening to them. The correct choice is the best therapeutic communication response. - - - - - - - - - - - - - - - - - - - - - - - - - - - - Question 18     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 Selected: •  "You are free to move onto the stretcher without assistance, but I will supervise for your safety." Explanation: If the patient is fully able to assist in the transfer, the nurse should allow the patient to complete the movement independently, with supervision for safety. Question 19     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? You Selected: •  Assess for complications. Explanation: Unrelieved pain can be an indicator of a complication, such as, compartment syndrome. Previous opioid drug use should not influence a complete and thorough assessment. Repositioning the patient for comfort may be appropriate once all indications of a complication are ruled out. It is appropriate to teach relaxation techniques to help ease the pain but assessing for a complication remains the highest priority. - - - - - - - - - - - - - - - - - - - - Question 12     Which newborn infant demonstrates the highest risk of presenting with developmental dysplasia of the hip (DDH)? You Selected: •  A boy with Down syndrome who was exposed to cocaine in utero. Correct response: •  A girl who was born with toeing-in and who was in a breech presentation. Question 13     What type of cell is responsible for building bone in the body? You Selected: •  Osteocytes Correct response: •  Osteoblasts Question 14     Which principle applies to the client in traction? You Selected: •  Skeletal traction is never interrupted. Question 15     A client in a long-term care facility has become increasingly unsteady. The nurses are worried that the client will climb out of bed and fall. Which measure would be a priority recommendation for this client? You Selected: •  Placing the client in a bed with a bed alarm Question 16     
Restless legs syndrome (RLS) is a disorder that has its peak onset in middle age. Diagnosis of RLS is based on a history of what? You Selected: •  Motor relaxation Correct response: •  Symptoms that become worse in the evening Question 17     A client diagnosed with carpal tunnel syndrome (CTS) asks the nurse about numbness in the fingers and pain in the wrist. What is the best response by the nurse? You Selected: •  “CTS is a neuropathy that is characterized by compression of the median nerve at the wrist.” Question 18     Which health care provider assessment technique does the nurse anticipate being used to determine developmental dysplasia of the hip (DDH) on a newborn? You Selected: •  Full range of motion of the hip Correct response: •  Barlow sign and Ortolani click Question 19     When assessing a client with rheumatoid arthritis, which statement about joint involvement is most accurate? You Selected: •  Involvement is symmetric and polyarticular, initially starting in the fingers, hands, and wrists. Question 20     The nurse is assisting the client with multiple myeloma to ambulate. What is the most important nursing intervention to help prevent fractures in the client? You Selected: •  Promote safety. [Show More]

Last updated: 1 year ago

Preview 1 out of 20 pages