Chapter 25: Mechanical Immobilization
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.
1. A patient with a fractured pelvis and a left acetabular fracture is prescribed bedrest. When
the patient asks to toilet, which measure would be appropriate?
a. Help patient up on a commode very carefully.
b. Turn patient onto right side, place the bedpan behind, and turn back.
c. Have patient sit up as high as possible and lift self up with hands pushing on the
bed, then slide the bedpan underneath.
d. Ask patient to lift straight up using a trapeze mounted above the bed and slide a
bedpan underneath from the right side.
ANS: D
The nurse should ask the patient to lift straight up using a trapeze mounted above the
bed and slide a bedpan underneath from the right side to avoid the left fracture.
A. The patient is on bedrest so a bedside commode is not appropriate.
B. The patient should not be turned.
C. The patient should be instructed to use the trapeze and not attempt to push self up
using the bed.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Basic Care and Comfort | Cognitive Level: Application
2. The nurse is caring for a patient with gout. Which laboratory value should the nurse
review which indicates that the treatment plan is effective?
a. Uric acid: 7.9 mg/dL
b. Creatinine: 0.8 mg/dL
c. Blood urea nitrogen: 15 mg/dL
d. Low-density lipoprotein (LDL): 115 mg/dL
ANS: A
The diagnosis of gout is based on an elevated serum uric acid level which is a waste
product resulting from the breakdown of proteins. Urate crystals, formed because of
excessive uric acid build up, are deposited in joints and other connective tissues,
causing severe inflammation.
B. C. D. Creatinine, blood urea nitrogen, and lipoprotein levels are not used in the
diagnosis or treatment of gout.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Reduction of Risk Potential | Cognitive Level: Analysis
3. The nurse is reinforcing teaching provided to a patient who is postmenopausal, has lost 2
inches of height, and has osteoporosis. Which patient statement indicates correct
understanding of the purpose of calcium supplements?
a. To decrease bone loss
b. To increase energy levels
, c. To decrease serum calcium
d. To increase excretion of calcium
ANS: A
If serum calcium falls below normal levels, the parathyroid glands stimulate the bone
to release calcium into the bloodstream. The result is demineralized bone. Therefore,
calcium supplements are used.
B. C. D. Calcium is not taken to increase energy levels, decrease serum calcium, or to
increase the excretion of calcium.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Pharmacological and Parenteral Therapies | Cognitive Level:
Analysis
4. A patient is completing instructions about complications that can occur from
osteoporosis. Which complication should the patient state as evidence that teaching has
been effective?
a. Hip fracture.
b. Overgrowth of bone.
c. Bone spur formation.
d. Increased bone density.
ANS: A
Osteoporotic bone may cause a pathological fracture in which the hip breaks before
the fall. For other patients, a fall can cause a hip or other fracture. B. C. D. Bone
overgrowth, spurs, or increases in bone density are not complications of osteoporosis.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Physiological Adaptation | Cognitive Level: Analysis
5. The nurse is reviewing data collected during the health history for a patient with
osteoporosis. What should the nurse identify as a risk factor for osteoporosis
development?
a. Daily use of antacid
b. Walking 1 mile daily
c. Increased caffeine intake
d. Increased dairy food intake
ANS: C
A risk factor for osteoporosis is excessive caffeine intake or alcohol. A. B. D.
Antacids, walking, and dairy intake are not risk factors for the development of
osteoporosis.
PTS: 1 DIF: Moderate KEY: Client Need: Health Promotion
and Maintenance | Cognitive Level: Application
6. The nurse reinforces medication teaching provided to a patient with rheumatoid arthritis.
Which medication should the patient identify as helpful to control the symptoms of the
health problem?
a. Digoxin.
b. Ibuprofen.
c. Morphine.
d. Penicillin.
Fundamental Nursing Skills and Concepts 12th Edition, Timby
MULTIPLE CHOICE
Identify the choice that best completes the statement or answers the question.
1. A patient with a fractured pelvis and a left acetabular fracture is prescribed bedrest. When
the patient asks to toilet, which measure would be appropriate?
a. Help patient up on a commode very carefully.
b. Turn patient onto right side, place the bedpan behind, and turn back.
c. Have patient sit up as high as possible and lift self up with hands pushing on the
bed, then slide the bedpan underneath.
d. Ask patient to lift straight up using a trapeze mounted above the bed and slide a
bedpan underneath from the right side.
ANS: D
The nurse should ask the patient to lift straight up using a trapeze mounted above the
bed and slide a bedpan underneath from the right side to avoid the left fracture.
A. The patient is on bedrest so a bedside commode is not appropriate.
B. The patient should not be turned.
C. The patient should be instructed to use the trapeze and not attempt to push self up
using the bed.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Basic Care and Comfort | Cognitive Level: Application
2. The nurse is caring for a patient with gout. Which laboratory value should the nurse
review which indicates that the treatment plan is effective?
a. Uric acid: 7.9 mg/dL
b. Creatinine: 0.8 mg/dL
c. Blood urea nitrogen: 15 mg/dL
d. Low-density lipoprotein (LDL): 115 mg/dL
ANS: A
The diagnosis of gout is based on an elevated serum uric acid level which is a waste
product resulting from the breakdown of proteins. Urate crystals, formed because of
excessive uric acid build up, are deposited in joints and other connective tissues,
causing severe inflammation.
B. C. D. Creatinine, blood urea nitrogen, and lipoprotein levels are not used in the
diagnosis or treatment of gout.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Reduction of Risk Potential | Cognitive Level: Analysis
3. The nurse is reinforcing teaching provided to a patient who is postmenopausal, has lost 2
inches of height, and has osteoporosis. Which patient statement indicates correct
understanding of the purpose of calcium supplements?
a. To decrease bone loss
b. To increase energy levels
, c. To decrease serum calcium
d. To increase excretion of calcium
ANS: A
If serum calcium falls below normal levels, the parathyroid glands stimulate the bone
to release calcium into the bloodstream. The result is demineralized bone. Therefore,
calcium supplements are used.
B. C. D. Calcium is not taken to increase energy levels, decrease serum calcium, or to
increase the excretion of calcium.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Pharmacological and Parenteral Therapies | Cognitive Level:
Analysis
4. A patient is completing instructions about complications that can occur from
osteoporosis. Which complication should the patient state as evidence that teaching has
been effective?
a. Hip fracture.
b. Overgrowth of bone.
c. Bone spur formation.
d. Increased bone density.
ANS: A
Osteoporotic bone may cause a pathological fracture in which the hip breaks before
the fall. For other patients, a fall can cause a hip or other fracture. B. C. D. Bone
overgrowth, spurs, or increases in bone density are not complications of osteoporosis.
PTS: 1 DIF: Moderate KEY: Client Need: Physiological
Integrity Physiological Adaptation | Cognitive Level: Analysis
5. The nurse is reviewing data collected during the health history for a patient with
osteoporosis. What should the nurse identify as a risk factor for osteoporosis
development?
a. Daily use of antacid
b. Walking 1 mile daily
c. Increased caffeine intake
d. Increased dairy food intake
ANS: C
A risk factor for osteoporosis is excessive caffeine intake or alcohol. A. B. D.
Antacids, walking, and dairy intake are not risk factors for the development of
osteoporosis.
PTS: 1 DIF: Moderate KEY: Client Need: Health Promotion
and Maintenance | Cognitive Level: Application
6. The nurse reinforces medication teaching provided to a patient with rheumatoid arthritis.
Which medication should the patient identify as helpful to control the symptoms of the
health problem?
a. Digoxin.
b. Ibuprofen.
c. Morphine.
d. Penicillin.
