HESI CASE STUDY MOBILITY FINAL PAPER 2026
SOLVED QUESTIONS AND FULL SOLUTION
UPDATED
◉ Mr. Matthew is reluctant to move in the bed or move to the chair.
He likes his wife to place a pillow under his knee. The nurse
performs a physical assessment, which reveals diminished dorsalis
pedis pulses bilaterally. Which instruction should the nurse convey
to help prevent venous thrombosis in Mr. Matthew's legs.
Answer: -Teach Mr. Matthew to dorsal flex and plantar flex his feet
while in the bed and chair.
(This action stimulates circulation by contracting calf muscles,
which increases the venous return of blood to the heart. This
decreases pooling of blood in the legs, which helps prevent venous
thrombosis in the legs)
-Instruct Mr. Mathis to wear sequential compression stockings.
-Explain that enoxaparin injections will be administered routinely.
--------------
An incentive spirometer is a device used to help you keep your lungs
healthy after surgery or when you have a lung illness, such as
pneumonia
, ◉ How should the nurse document the completed client teaching?.
Answer: Dorsal and plantar flexion demonstrated to client and
returned correctly. States he will perform 10 times an hour.
This represents a complete documentation, which includes the
content taught and a statement of the client's understanding after
the teaching.
◉ The nurse is observing a student nurse perform a peripheral
assessment on Mr. Mathis. Which action requires the nurse to
intervene?.
Answer: Assessing the Homan's sign in bilateral extremities.
Homans' sign. : pain in the calf of the leg upon dorsiflexion of the
foot with the leg extended that is diagnostic of thrombosis in the
deep veins of the area.----
◉ The HCP has prescribed thigh-high antiembolic hose for Mr.
Mathis. The nurse assesses the client's legs every 8 hours. Which
assessment finding reflects signs of possible thrombophlebitis that
should be reported to the HCP.
Answer: Unilateral calf edema.
SOLVED QUESTIONS AND FULL SOLUTION
UPDATED
◉ Mr. Matthew is reluctant to move in the bed or move to the chair.
He likes his wife to place a pillow under his knee. The nurse
performs a physical assessment, which reveals diminished dorsalis
pedis pulses bilaterally. Which instruction should the nurse convey
to help prevent venous thrombosis in Mr. Matthew's legs.
Answer: -Teach Mr. Matthew to dorsal flex and plantar flex his feet
while in the bed and chair.
(This action stimulates circulation by contracting calf muscles,
which increases the venous return of blood to the heart. This
decreases pooling of blood in the legs, which helps prevent venous
thrombosis in the legs)
-Instruct Mr. Mathis to wear sequential compression stockings.
-Explain that enoxaparin injections will be administered routinely.
--------------
An incentive spirometer is a device used to help you keep your lungs
healthy after surgery or when you have a lung illness, such as
pneumonia
, ◉ How should the nurse document the completed client teaching?.
Answer: Dorsal and plantar flexion demonstrated to client and
returned correctly. States he will perform 10 times an hour.
This represents a complete documentation, which includes the
content taught and a statement of the client's understanding after
the teaching.
◉ The nurse is observing a student nurse perform a peripheral
assessment on Mr. Mathis. Which action requires the nurse to
intervene?.
Answer: Assessing the Homan's sign in bilateral extremities.
Homans' sign. : pain in the calf of the leg upon dorsiflexion of the
foot with the leg extended that is diagnostic of thrombosis in the
deep veins of the area.----
◉ The HCP has prescribed thigh-high antiembolic hose for Mr.
Mathis. The nurse assesses the client's legs every 8 hours. Which
assessment finding reflects signs of possible thrombophlebitis that
should be reported to the HCP.
Answer: Unilateral calf edema.
