Mobility

Mobility Question 1: (see full question) Four hours after a cast has been applied for a fractured ulna, the nurse assesses that the client's fingers are pale and cool and capillary refill is delayed for 4 seconds. How should the nurse interpret these findings? You selected: Arterial blood supply to the fingers is decreased. Explanation: The pallor and cool temperature of the fingers and the decreased return time for capillary refill indicate decreased arterial blood supply to the fingers. These findings are not no ... Question 2: (see full question) A nurse is caring for a client with a cast on his left arm after sustaining a fracture. Which assessment finding is most significant for this client? You selected: Fingers on the left hand are swollen and cool Explanation: Swollen and cool fingers on the left hand are the most significant assessment findings. They represent altered circulation to the hand caused by the cast. A normal radial, Question 3: (see full question) A nurse notices a client lying on the floor at the bottom of the stairs. He's alert and oriented and states that he fell down several stairs. He denies pain other than in his arm, which is swollen and appears deformed. After calling for help, what should the nurse do? You selected: Immobilize the client's arm. Explanation: Signs of a fracture in an extremity include pain, deformity, swelling, discoloration, and loss of function. When a nurse suspects a fracture, she should immobilize the extremity be ... Question 4: (see full question) To assess the joints, a nurse asks a client to perform various movements. As the client moves his arm away from the midline, the nurse evaluates his ability to perform: You selected: abduction. Explanation: A client performs abduction when moving a body part away from the midline. Protraction refers to drawing out or lengthening of a body part. Retraction, the opposite of protraction, Question 5: (see full question) Which client statement identifies a knowledge deficit about cast care? You selected: "I can pull out cast padding to scratch inside the cast." Explanation: Clients should not pull out cast padding to scratch inside the cast because of the hazard of skin breakdown and subsequent potential for infection. Clients are encouraged to elev Question 6: When caring for a client with acute osteomyelitis in the right tibia, which measure is most (see full question) appropriate to implement when repositioning the client’s leg? You selected: Support the leg above and below the affected area when positioning. Explanation: Acute osteomyelitis can be very painful. Therefore, the extremity must be handled carefully and moved slowly. The most appropriate action when moving an extremity with Question 7: (see full question) Two days after surgery to amputate his left lower leg, a client states that he has pain in the missing extremity. Which action by the nurse is most appropriate? You selected: Administer medication, as ordered, for the reported discomfort. Explanation: The sensation of pain and discomfort in an amputated extremity is known as phantom pain. Phantom pain is a normal occurrence after an amputation. It should be treated with Question 8: (see full question) A nurse is caring for a client who recently underwent a total hip replacement. The nurse should: You selected: limit hip flexion of the client's hip when he sits. Explanation: The nurse should instruct the client to limit hip flexion to 90 degrees when he sits. The nurse should supply an elevated toilet seat so that the client can sit without having to f ... Question 9: (see full question) The client with a fractured tibia has been taking methocarbamol. Which finding indicates that the drug is having the intended effect? You selected: relief of muscle spasms Explanation: Methocarbamol is a muscle relaxant and acts primarily to relieve muscle spasms. It has no effect on microorganisms, does not reduce itching, and has no effect on nervousness. Question 10: (see full question) A client is receiving cyclobenzaprine for management of a herniated lumbar disk. Which finding indicates the drug is providing the intended relief? You selected: The client’s muscles are not in spasm. Explanation: Cyclobenzaprine is a muscle relaxant, given to relieve muscle spasm and the related pain. Cyclobenzaprine does not have an effect on the client’s ability to take deep breaths. ...continued...