Question 1

Nurses implement therapeutic immobilization for patients to achieve which result?

Accepted Answer

A)  Reducing pain 
B)  Restraining an unstable patient in bed 
C)  Increasing active movement of the body 
D)  Strengthening joints and muscles 
A)  Reducing pain 
B)  Restraining an unstable patient in bed 
C)  Increasing active movement of the body 
D)  Strengthening joints and muscles

Question 2

A nurse is caring for an immobile patient.What is the most appropriate nursing intervention to implement?

Accepted Answer

A)  Turn the patient every 4 hours. 
B)  Apply an abdominal binder while the patient is lying in bed. 
C)  Encourage the regular use of incentive spirometry while awake. 
D)  Maintain the patient's maximum fluid intake of 1000 mL daily. 
A)  Turn the patient every 4 hours. 
B)  Apply an abdominal binder while the patient is lying in bed. 
C)  Encourage the regular use of incentive spirometry while awake. 
D)  Maintain the patient's maximum fluid intake of 1000 mL daily.

Question 3

The nurse is observing a patient's posture while sitting,standing,and assessing gait.What is the rationale for the nurse's assessment?

Accepted Answer

A)  To determine type of assistance with anthropometric measurements 
B)  To determine type of assistance with joint mobility 
C)  To determine type of assistance with range of motion (ROM) 
D)  To determine type of assistance with ambulation 
A)  To determine type of assistance with anthropometric measurements 
B)  To determine type of assistance with joint mobility 
C)  To determine type of assistance with range of motion (ROM) 
D)  To determine type of assistance with ambulation

Question 4

The patient is recovering from a cerebrovascular accident (stroke).The patient is having problems with balance and coordination.The patient asks the nurse what part of the brain has been damaged.How should the nurse respond?

Accepted Answer

A)  The hypothalamus has been damaged. 
B)  The cerebellum has been damaged. 
C)  The thalamus has been damaged. 
D)  The medulla oblongata has been damaged. 
A)  The hypothalamus has been damaged. 
B)  The cerebellum has been damaged. 
C)  The thalamus has been damaged. 
D)  The medulla oblongata has been damaged.

Question 5

A patient has decrease mobility in all joints.Because of the lack of mobility,the nurse expects the health care provider to order what medication to prevent venous thromboembolisms that will reduce the side effect of hemorrhage?

Accepted Answer

A)  Oral anticoagulant 
B)  Aspirin 
C)  Low-molecular-weight heparin 
D)  Unfractionated heparin 
A)  Oral anticoagulant 
B)  Aspirin 
C)  Low-molecular-weight heparin 
D)  Unfractionated heparin

Exam 36: Immobility

Nurses implement therapeutic immobilization for patients to achieve which result?

A nurse is caring for an immobile patient.What is the most appropriate nursing intervention to implement?

The nurse is observing a patient's posture while sitting,standing,and assessing gait.What is the rationale for the nurse's assessment?

The patient is recovering from a cerebrovascular accident (stroke).The patient is having problems with balance and coordination.The patient asks the nurse what part of the brain has been damaged.How should the nurse respond?

A patient has decrease mobility in all joints.Because of the lack of mobility,the nurse expects the health care provider to order what medication to prevent venous thromboembolisms that will reduce the side effect of hemorrhage?

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