Exam 45: Mobility and Immobility

It has been determined that each of the following patients is at risk for falling.Which one requires the nurse's priority for ambulation?

The nurse is caring for a patient who has had a stroke that caused total paralysis of the right side.To help maintain joint function and to prevent contractures,passive ROM exercises will be initiated.When should therapy begin?

The patient is being admitted to the neurological unit with the diagnosis of stroke.When should the nurse should begin discharge planning?

The patient is getting up for the first time after a period of bed rest.What is the initial nursing action?

In caring for a patient who is immobile,what is important for the nurse to understand?

The nurse is admitting a patient who has had a stroke.The physician writes orders for "ROM as needed." What does the nurse understand about this situation?

The nurse is caring for a patient who has had a recent stroke and is paralyzed on his left side.He has no respiratory or cardiac issues,but he cannot walk.He becomes extremely frustrated when he cannot button his shirt and cannot feed himself because he was left-handed.He has shown no signs of dysphagia,but he has been eating very little and has lost 0.9 kg (2 pounds).He asks the nurse,"How can I go home like this? I'm not getting better.I can't ask my wife to take care of me like a baby." Of the following list of health care team members,which member would the nurse need to consult? (Select all that apply. )

The nurse needs to reposition a 136.1 kg (300-pound)patient.Which of the following strategies is most likely to prevent back injury?

Correct body alignment reduces strain on musculoskeletal structures and contributes to balance.Balance control is attained by which of the following? (Select all that apply. )

When the nurse is preparing a plan of care for an immobilized patient,what should the nurse keep in mind?

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

Immobilized patients frequently have hypercalcemia,which increases their risk for what?

When assessing the body alignment of a patient while he or she is standing,the nurse is aware of which of the following?

Immobility is a major risk factor for pressure ulcers.In caring for the patient who is immobilized,the nurse needs to be aware of which of the following?

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

The nurse is caring for a patient with the nursing diagnosis of Impaired physical mobility.The nurse needs to be alert for which of the following potential complications? (Select all that apply. )

Many patients who experience an alteration in mobility have one or more nursing diagnoses.For whom would the nurse would use the diagnosis of Impaired physical mobility?

When a patient with impaired physical mobility is in the recumbent position,what angle of lateral position is recommended?

Of the following nursing goals,which is the most appropriate for a patient who has had a total hip replacement?

The patient with torticollis would exhibit