Exam 28: Activity, Immobility, and Safe Movement

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The nurse is implementing generalized falls precautions for his patients who are at risk for falls. Which intervention indicates a lack of understanding of these precautions?

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B

The nurse is performing passive range-of-motion exercises on his patient when the patient begins to complain of pain. What is the first thing the nurse should do?

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C

The nurse knows that a patient with a compromised cardiopulmonary system has a diminished capacity for exercise because of the following: (Select all that apply.)

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A, D

The nurse is educating the patient about the effects of immobility on the body. The following statements by the patient indicate a need for further education: (Select all that apply.)

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The nurse knows the following items should be included in the documentation of the patient on falls precautions: (Select all that apply.)

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The nurse is correctly demonstrating the use of a transfer belt when engaging in the following: (Select all that apply.)

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The nurse knows active assistive range of motion is:

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The nurse is preparing to reposition the patient in bed. What is the first step in this process?

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The nurse is teaching a patient about ways to decrease her risk of bone fractures. The following statements by the patient indicate a good understanding. (Select all that apply.)

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The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?

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The nurse knows the following indicates orthostatic hypotension: (Select all that apply.)

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The nurse knows the knee-high SCD sleeves are correctly placed on the patient when the following conditions are met: (Select all that apply.)

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The nurse is correctly assisting the patient in using a cane when the patient demonstrates the following: (Select all that apply.)

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The nurse correctly teaches the patient to rise from a chair using crutches when the following interventions are used:

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An appropriate goal for the patient who is postoperative day one from abdominal surgery and on bed rest with the nursing diagnosis Impaired skin integrity is:

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The nurse is preparing to assist her patient to walk to the bathroom after medicating her with a narcotic for pain management. Of what possible adverse effect should the nurse be immediately aware?

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The nurse appropriately delegates care to the UAP when she:

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The nurse is providing discharge education for her patient who is going home with a walker. Which statement by the patient indicates a good level of understanding of safety in the home? (Select all that apply.)

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The nurse correctly selects which intervention to avoid causing shear or friction when moving a patient in bed?

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The nurse knows that manual lifting should only be done in the following situations:

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