Exam 45: Mobility and Immobility

The nurse is evaluating the body alignment of a patient in the sitting position.In this position,how is the body aligned?

The nurse must assess the patient for hazards of immobility by performing a head-to-toe physical assessment.When the respiratory system is assessed,what should the nurse do?

The nurse is assessing the way the patient walks.The manner of walking is known as what?

While performing passive ROM exercises,the nurse stands at the side of the bed closest to the joint being exercised and does what else?

In applying for a job on a nursing unit that requires frequent patient positioning,of what should the nurse should be aware?

In preparing to create a nursing diagnosis for a patient who is immobile,what is important for the nurse to understand?

Two nurses are standing on opposite sides of the bed to move the patient up in bed with a drawsheet.Which of the following describes the correct position for the nurses in order to safely position the patient?

The nurse is caring for an older 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 older people is which of the following?

The patient is unable to move himself and needs to be pulled up in bed.For this repositioning to be done safely,what must the nurse understand?

Patients on bed rest or otherwise immobile are at risk for what condition?

The patient has suffered a spinal cord injury and needs to be repositioned through the log-rolling technique to keep the spinal column in straight alignment.Which of the following is the proper technique for nurses to perform log-rolling?

A 61-year-old patient recently had left-sided paralysis from a cerebrovascular accident (CVA;also known as stroke).In planning care for this patient,the nurse would do which of the following?

The nurse is caring for a patient with a spinal cord injury and notices that the patient's hips have a tendency to rotate externally when the patient is supine.To help prevent injury secondary to this rotation,what can the nurse use?

The nurse expects to maintain the patient's legs in abduction after total hip replacement surgery with the use of which of the following?

A patient has been on prolonged bed rest,and the nurse is observing for signs associated with immobility.While assessing the patient,the nurse is alert to which of the following signs?

In developing an individualized plan of care for a patient,what is important for the nurse to do?

The patient is immobilized after undergoing hip replacement surgery.Which of the following would place the patient at risk for hemorrhage?

The nurse is caring for a patient who has suffered a stroke.As part of her ongoing care,what should the nurse do?

The nurse is caring for a patient who is immobile and needs to be turned every 2 hours.The patient has poor lower extremity circulation,and the nurse is concerned about irritation of the patient's toes.What is one strategy that the nurse could use?

A patient is admitted to the medical unit after a CVA.There is evidence of left-sided hemiparesis,and the nurse will be following up on range-of-motion (ROM)and other exercises performed in physiotherapy.Which of the following principles of ROM exercises does the nurse correctly teach the patient and family members?