Exam 28: Immobility

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

Upon assessment a nurse discovers postural abnormalities on several patients. Match the abnormalities to the findings the nurse observed. -Genu valgum

The nurse is caring for a patient who has had a stroke causing total paralysis of the right side. To help maintain joint function and minimize the disability from contractures, passive ROM will be initiated. When should the nurse begin this therapy?

The nurse is caring for a patient with impaired physical mobility. Which potential complications will the nurse monitor for in this patient? (Select all that apply.)

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

Which behavior indicates the nurse is using a team approach when caring for a patient who is experiencing alterations in mobility?

The nurse needs to move a patient up in bed using a drawsheet. The nurse has another nurse helping. In which order will the nurses perform the steps, beginning with the first one? 1) Grasp the drawsheet firmly near the patient. 2) Move the patient and drawsheet to the desired position. 3) Position one nurse at each side of the bed. 4) Place the drawsheet under the patient from shoulder to thigh. 5) Place your feet apart with a forward-backward stance. 6) Flex knees and hips and on count of three shift weight from the front to back leg.

Upon assessment a nurse discovers postural abnormalities on several patients. Match the abnormalities to the findings the nurse observed. -Genu varum

Upon assessment a nurse discovers postural abnormalities on several patients. Match the abnormalities to the findings the nurse observed. -Scoliosis

The patient has been diagnosed with a spinal cord injury and needs to be repositioned using the logrolling technique. Which technique will the nurse use for logrolling?

The nurse is working on an orthopedic rehabilitation unit that requires lifting and positioning of patients. Which personal injury will the nurse $\bold{most}$ likely try to prevent?

The nurse is admitting a patient who has been diagnosed as having had a stroke. The health care provider writes orders for "ROM as needed." What should the nurse do next?

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

A nurse is caring for a patient with osteoporosis and lactose intolerance. What will the nurse do?

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

The patient has the nursing diagnosis of Impaired physical mobility related to pain in the left shoulder. Which $\bold{priority}$ action will the nurse take?

A nurse is developing an individualized plan of care for a patient. Which action is important for the nurse to take?

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?

A nurse is providing care to a group of patients. Which patient will the nurse see $\bold{first}$ ?

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