Exam 18: Exercise, Mobility, Immobilization Devices

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The nurse teaches a patient who is alert and oriented to use a cane for left leg weakness.Which does the nurse include in patient teaching?

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A

The patient is postoperative day 1 after surgery on the right knee and is to begin to walking with crutches using the three-point gait.Which action by the patient indicates the nurse needs to review the teaching?

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The health care provider prescribes partial weight bearing of the left leg for the postoperative patient.Which instruction does the nurse include in patient teaching?

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B

The nurse instructs the patient how to incorporate range-of-motion exercises into activities of daily living (ADLs).With which of the patient's joints can the nurse perform the most movements for the ADLs?

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The student nurse is reviewing Virchow's triad.What information does the student learn? (Select all that apply.)

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The nurse is planning to perform range-of-motion exercises on a patient who has had a stroke and has mobility issues.Which of the following principles does the nurse follow?

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The nurse has assessed a patient using the Well's score and documented the score as an 8.What intervention by the nurse is most appropriate?

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Nursing assistive personnel (NAP) are working with patients performing range-of-motion exercises.Which activity can the nurse delegate to NAP?

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The nurse is instructing a patient with a right hip replacement to descend stairs by using crutches.Which does the nurse include in patient teaching?

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The nurse teaches the patient's caregiver how to respond if the patient begins to fall while ambulating.Which instruction does the nurse provide to minimize potential injury to the patient and the caregiver?

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The nurse is explaining to a nursing student the importance of making sure the patient is wearing the ordered sequential compression devices (SCDs) when in bed.Which of the following statements indicate a good understanding of the purpose of SCDs by the student? (Select all that apply.)

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The patient is currently learning how to use crutches so there is minimal weight on the affected leg.Which type of crutch-walking technique will the nurse be reinforcing?

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A patient's pulse has gone from 78 at rest to 98 after ambulating.What nursing action is indicated at this time?

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The nurse delegates helping the older patient ambulate with a walker without wheels to nursing assistive personnel (NAP).Which instructions does the nurse provide to the NAP?

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The nurse is preparing to increase the amount of ambulation that the patient is able to tolerate.Which is the best method for the nurse to assess a patient's ability to ambulate?

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The patient ambulates with two crutches, and the nurse notes that the patient's weight is resting on the axilla.Which intervention is best?

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The nurse instructs the patient, who has right-sided weakness, to use the cane during ambulation and assesses the patient's use of the cane.Which assessment would the nurse address before the patient ambulates with the cane?

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A patient is being moved into a dangling position before ambulating.To decrease the chance of orthostatic hypotension, what activity can the patient do?

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The nurse is measuring vital signs when the patient, who is standing, reports dizziness.What is the nurse's priority intervention?

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