Question 1

Although isometric contractions do not result in muscle shortening,the nurse understands that isometric contractions

Accepted Answer

A)  Result in decreased energy expenditure. 
B)  Are always desirable regardless of patient condition. 
C)  Are necessary for the active movement of muscles. 
D)  Result in increased energy expenditure. 
A)  Result in decreased energy expenditure. 
B)  Are always desirable regardless of patient condition. 
C)  Are necessary for the active movement of muscles. 
D)  Result in increased energy expenditure.

Question 2

The nurse needs to transfer the patient from the bed to the chair.The nurse should

Accepted Answer

A)  Avoid using a transfer or gait belt around the patient's waist prior to transfer. 
B)  Not allow the patient to help in any way because resistance can lead to injury. 
C)  Assess for the need of a mechanical lift and help. 
D)  Ensure that the patient has stockings on his feet for transfer. 
A)  Avoid using a transfer or gait belt around the patient's waist prior to transfer. 
B)  Not allow the patient to help in any way because resistance can lead to injury. 
C)  Assess for the need of a mechanical lift and help. 
D)  Ensure that the patient has stockings on his feet for transfer.

Question 3

Correct body alignment reduces strain on musculoskeletal structures and contributes to balance.Balance control is attained by

Accepted Answer

A)  Keeping the body's center of gravity high. 
B)  Maintaining a wide base of support. 
C)  Keeping the body's center of gravity low. 
D)  Maintaining correct body posture. 
E)  Maintaining immobility to prevent falls. 
A)  Keeping the body's center of gravity high. 
B)  Maintaining a wide base of support. 
C)  Keeping the body's center of gravity low. 
D)  Maintaining correct body posture. 
E)  Maintaining immobility to prevent falls.

Question 4

The nurse is aware that patients who are immobile are at increased risk of developing deep vein thromboses (DVTs).Because of this,the nurse should

Accepted Answer

A)  Make sure that elastic stockings are not removed. 
B)  Measure the calf circumference of both legs. 
C)  Dorsiflex the foot while assessing for patient discomfort. 
D)  Measure both ankles to determine size. 
A)  Make sure that elastic stockings are not removed. 
B)  Measure the calf circumference of both legs. 
C)  Dorsiflex the foot while assessing for patient discomfort. 
D)  Measure both ankles to determine size.

Question 5

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 to prevent contractures,passive ROM will be initiated.When should therapy begin?

Accepted Answer

A)  After the acute phase of the disease has passed 
B)  As soon as the ability to move is lost 
C)  Once the patient enters the rehab unit 
D)  No ROM is needed. 
A)  After the acute phase of the disease has passed 
B)  As soon as the ability to move is lost 
C)  Once the patient enters the rehab unit 
D)  No ROM is needed.

Question 6

The nurse is caring for an elderly patient with the diagnosis of urinary tract infection (UTI).The patient is confused and agitated.It is important for the nurse to realize that confusion in the elderly is

Accepted Answer

A)  Not a normal expectation. 
B)  Purely psychological in origin. 
C)  Not a common manifestation with UTIs. 
D)  Acceptable and needs no further assessment. 
A)  Not a normal expectation. 
B)  Purely psychological in origin. 
C)  Not a common manifestation with UTIs. 
D)  Acceptable and needs no further assessment.

Question 7

Immobilized patients frequently have hypercalcemia,placing them at risk for

Accepted Answer

A)  Osteoporosis. 
B)  Renal calculi. 
C)  Pressure ulcers. 
D)  Thrombus formation. 
A)  Osteoporosis. 
B)  Renal calculi. 
C)  Pressure ulcers. 
D)  Thrombus formation.

Question 8

The patient has been diagnosed with a spinal cord injury and needs to be repositioned using the logrolling technique to keep the spinal column in straight alignment.Which of the following is the proper technique for logrolling?

Accepted Answer

A)  Obtain assistance from at least two or three other people. 
B)  Have the patient reach for the opposite side rail when turning. 
C)  Move the top part of the patient's torso, then the bottom part. 
D)  Do not use pillows after turning because the softness causes misalignment. 
A)  Obtain assistance from at least two or three other people. 
B)  Have the patient reach for the opposite side rail when turning. 
C)  Move the top part of the patient's torso, then the bottom part. 
D)  Do not use pillows after turning because the softness causes misalignment.

Exam 47: Mobility and Immobility

Although isometric contractions do not result in muscle shortening,the nurse understands that isometric contractions

The nurse needs to transfer the patient from the bed to the chair.The nurse should

Correct body alignment reduces strain on musculoskeletal structures and contributes to balance.Balance control is attained by

The nurse is aware that patients who are immobile are at increased risk of developing deep vein thromboses (DVTs).Because of this,the nurse should

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 to prevent contractures,passive ROM will be initiated.When should therapy begin?

The nurse is caring for an elderly patient with the diagnosis of urinary tract infection (UTI).The patient is confused and agitated.It is important for the nurse to realize that confusion in the elderly is

Immobilized patients frequently have hypercalcemia,placing them at risk for

The patient has been diagnosed with a spinal cord injury and needs to be repositioned using the logrolling technique to keep the spinal column in straight alignment.Which of the following is the proper technique for logrolling?

Nursing Today

The Health Care Delivery System

Community-Based Nursing Practice

Theoretical Foundations of Nursing Practice

Evidence-Based Practice

Health and Wellness

Caring in Nursing Practice

Caring for the Cancer Survivor

Culture and Ethnicity

Caring for Families

Developmental Theories

Conception Through Adolescence

Young and Middle Adults

Older Adults

Critical Thinking in Nursing Practice

Nursing Assessment

Nursing Diagnosis

Planning Nursing Care

Implementing Nursing Care

Evaluation

Managing Patient Care

Ethics and Values

Legal Implications in Nursing Practice

Communication

Patient Education

Documentation and Informatics

Patient Safety

Infection Prevention and Control

Vital Signs

Health Assessment and Physical Examination

Medication Administration

Complementary and Alternative Therapies

Self-Concept

Sexuality

Spiritual Health

The Experience of Loss, death, and Grief

Stress and Coping

Activity and Exercise

Hygiene

Oxygenation

Fluid, electrolyte, and Acid-Base Balance

Sleep

Pain Management

Nutrition

Urinary Elimination

Bowel Elimination

Skin Integrity and Wound Care

Sensory Alterations

Care of Surgical Patients

Filters