Mobility, Comfort, Perfusion, Oxygenation, Assessment NUR 111 Study Guide for Test 3 Questions and Correct Answers

A nurse is educating a group of clients regarding mobility. The nurse emphasizes that joints in the body: A. connect bones to muscles B. connect bone to bone C. hold the skeleton together while providing mobility D. carry the contractile forces from the muscle to the cone to cause movement C Joints are formed where two bones meet; they hold the skeleton together while providing mobility. Nursing implications for a client with multiple sclerosis and impaired mobility include all except: A. encourage a mild exercise program B. emphasize importance of low-calcium diet C. teach client the importance of alternating periods of activity with periods of rest D. assist client with mobility as needed B The client with multiple sclerosis and impaired mobility requires the nurse to educate regarding safety, comfort, and health promotion. The nurse would emphasize the importance of a high-calcium diet, not a low one, because calcium is an important nutrient to mobility. Also, the nurse should teach the client the importance of alternating periods of activity with periods of rest to conserve energy. The nurse should encourage the client to have a mild exercise program and the nurse should assist the client with mobility as needed. A 70-year-old client presents to the emergency room with bradykinesia, lack of affect, and slurred speech. Which mobility disorder does the nurse suspect? A. Osteoarthritis B. Parkinson disease C. Cerebrovascular Accident (CVA) D. Multiple Sclerosis B This client presents with manifestations of Parkinson disease, including bradykinesia and slow movements. The nurse is caring for a client who was recently admitted to the hospital. The nurse understands that an admission for mobility includes all except: A. current ADL status B. fall risk assessment C. orientation to person, place, and time D. pain scale C Common assessment procedures used to examine mobility includes the current activity of daily living, pain scale, and fall risk assessment. A client with a musculoskeletal disorder is scheduled for an MRI. Which client condition does not present a safety concern with the MRI? A. Pacemaker B. Embedded shrapnel C. Artificial heart valve D. Dental implants D The nurse is educating an immobile client and client's family regarding passive and active exercise. The nurse will include: (Select all that apply) A. "Isometric exercises are most beneficial for clients who are immobilized while an injury is healing." B. "Resistive exercises are active exercises used to maintain strength when a joint is immobilized." C. "Active exercise is performed by the nurse, physical therapist, or occupational therapist." D. "Passive exercise is performed by the client." A,D Exercises can be either passive or active. Passive exercises are administered by the nurse, therapist, or therapy assistant. Active exercises are performed by the client. Range-of-motion exercises are passive. Isometric exercises are active exercises used to maintain strength when a joint is immobilized. Isometric exercises are also the most beneficial for clients who are immobilized while an injury is healing. A nurse is caring for a pediatric client in Buck traction from a right femur fracture sustained in a motor vehicle accident. Which statement by the client indicates the client's condition is worsening? A. "I am so tired." B. "My leg feels like it's asleep." C. "My leg hurts." D. "My leg feels itch with this machine." B The client's statement about the leg feeling like it's "asleep" indicates paresthesia which is consistent with neural damage or involvement. A nurse is working in an orthopedic clinic is caring for a client who requires a forearm piece to the crutches used to aid in their mobility. The nurse understands that these crutches are named: A. raised B. Lofstrand C. axillary D. platform B