Exam 13: Mobility

A client with osteoarthritis of the knees and hips returns for a 3-month follow-up with the provider.The nurse calculates that the client's BMI is now 22.The reports starting a water aerobics and step aerobics program three times per week.The client is also using hot packs for edema for 20 minutes and cold packs for pain for 40 minutes daily.After evaluating the client's actions,the nurse plans which follow-up interventions? Select all that apply.

A young adult client complains of blurred vision and muscle spasms that have come and gone over the past several months.On what information from the client's history should the nurse focus to help identify the specific problem?

The nurse is providing care to a client who returns to the medical-surgical unit after herniated disk surgery.The client's HR is 100,RR 22,BP 130/86 mmHg,temperature 98.8 degrees F,and a pain rating of 7 on a scale of 1 to 10.Which nursing diagnosis is the priority for this client based on the assessment data?

A client with osteoarthritis of the knees tells the nurse that no one else in the family has this disorder.What assessment finding might have increased this client's risk for developing this disorder?

The x-ray of a client 14 weeks post-ulnar fracture exhibits no callus formation.Based on this data,which action does the nurse anticipate?

The nurse is presenting a talk on spinal cord injury for a community health fair.Which statement indicates that the attendees understand the risk factors and prevention methods associated with spinal cord injury?

An older adult client experiences a hip fracture.Prior to the injury,the client participated in golf and home maintenance activities.Based on this data,which surgical procedure does the nurse anticipate?

A client with a history of relapsing-remitting multiple sclerosis (MS)is expecting her first child.What would be indicated for this client?

An adult client is diagnosed with bone spurs of the vertebral column.Which is the priority action by the nurse?

A client with multiple sclerosis is observed transferring from the bed to a motorized wheelchair and applying splints to the lower extremities before entering the bathroom to perform morning self-care.What could the nurse conclude regarding this observation?

The nurse is evaluating the success of a bowel retraining program with a client recovering from a lower motor neuron spinal cord injury.Which observations indicate that this teaching has been successful? Select all that apply.

A client seeking treatment for severe knee pain has worked in a factory for 30 years in a position requiring repetitive lifting and carrying of 20-40-pound boxes.The nurse anticipates which recommendation from the multidisciplinary team?

A client tells the nurse about being diagnosed with osteoarthritis but does not know what that means.When responding to the client's question,which information will the nurse use?

The nurse is teaching an older adult client,and caregiver,regarding appropriate ways to decrease the client's risk for falls.Which interventions are appropriate for the nurse to include in the teaching session? Select all that apply.

The nurse assesses a young adult client who was involved in a swimming accident,resulting in tetraplegia.The client makes eye contact with the nurse and states,"I'm going to beat this and walk out of here." Based on this data,which nursing diagnosis is the most appropriate for this client?

The nurse is caring for an adult client who sustained a right distal radial fracture and a left tibia fracture.Which mobility aid is appropriate for this client?

The nurse is evaluating care provided to a client with osteoarthritis.Which client statement indicates to the nurse that interventions for osteoarthritis have been successful?

A client recovering from surgery to repair a fractured hip has a history of osteomyelitis.Which actions by the nurse may reduce this client's risk in the postoperative period? Select all that apply.

An adult client recently diagnosed with multiple sclerosis is a full-time aerobics exercise instructor at a local fitness center.Which statements contain the correct information to give the client when answering specific questions about lifestyle? Select all that apply.

The nurse instructs a client with Parkinson disease (PD)about carbidopa-levodopa (Sinemet).Which client statement indicates that teaching has been effective?