Exam 13: Mobility

A client who sustained a gunshot wound has symptoms below the level of T-12 of ipsilateral motor paralysis,loss of proprioception and vibratory sense,and contralateral loss of pain and temperature sensation.When planning care for this client,which assumptions by the nurse are appropriate based on the provided data? Select all that apply.

The mother of a preadolescent client is concerned because the client often reports non-specific "bone pain." Which response by the nurse is appropriate?

During the assessment of a client,the nurse finds that the client's lower extremities are both warm,sensation is intact,and motion is unrestricted.What does this finding suggest to the nurse?

A client diagnosed with multiple sclerosis has an acute onset of visual changes,fatigue,and leg weakness.The client states that the last time this happened,recovery occurred in a few weeks.Which classification of multiple sclerosis is the client experiencing?

The nurse is answering questions from participants after a presentation on preventing fractures at an assisted-living facility.Which resident is at highest risk for the development of fractures?

A client with relapsing-remitting multiple sclerosis tells the nurse that even though the primary symptoms of exacerbation are leg spasms and blurred vision,the hardest part is trying to get through the day because of being so tired.Which diagnosis should the nurse identify as a priority for this client?

The nurse is caring for a client who is at risk for developing an alteration in mobility.Which modifiable risk factor will the nurse focus in order to decrease the risk this client's risk?

A client is undergoing surgery for a fractured hip.The surgeon has expressed that careful attention will be paid to preserving the epiphyseal plate.Which client will require this precaution during surgery?

A preadolescent client is recovering from spinal fusion surgery for scoliosis.Which interventions would be appropriate related to movement restrictions and pain? Select all that apply.

During an outpatient clinic follow-up appointment,a client with multiple sclerosis (MS)has lab tests completed.The results show elevated levels of aspartate aminotransferase (AST),serum glutamic-oxaloacetic transaminase (SGOT),alanine aminotransferase (ALT),serum glutamic-pyruvic transaminase (SGPT),and alkaline phosphatase (ALP).What is the priority concern for the nurse? Select all that apply.

The nurse gives discharge instructions to an adult client who sustained a bicycle fall and underwent open reduction and internal fixation of a fractured hip.After the teaching is complete,which statements by the client indicate appropriate understanding of the information presented? Select all that apply.

A client,with a BMI of 35,is recovering from total hip replacement surgery and is experiencing pain exacerbated with movement and states to the nurse,"I live alone.How will I ever be able to return to my home?" Based on this data,which is the priority nursing diagnosis for this client?

The nurse is providing care for a client who is experiencing subjective symptoms carpal tunnel syndrome.Which action by the nurse is appropriate when performing the physical assessment for this client?

A postmenopausal client asks the nurse what she can do to prevent fracturing her hips,as her mother and grandmother both experienced this health problem.Which response by the nurse is the most appropriate?

The nurse is documenting the interdisciplinary team report on an adolescent client who has a 35-degree Cobb angle confirmed by x-ray.Which interventions are appropriate for this client? Select all that apply.

The nurse is providing discharge instructions to an older adult client recovering from a fractured hip.The client is planning to stay with an adult child,who is included in the discharge teaching.Which statements indicate appropriate understanding of the information presented? Select all that apply.

A nurse is teaching a mother warning signs and symptoms to watch for in her child,who will be discharged with a full leg cast.Which statements by the mother indicate the need for further instruction? Select all that apply.

An adolescent is brought into the emergency department (ED)with injuries sustained from a motor vehicle crash.What should the nurse ensure while caring for this client?

The first day after surgery to repair a fractured hip sustained from a fall,an older adult client refuses to ambulate but states,"I will consider it tomorrow." Which is the priority action by the nurse?

The nurse is planning care for a client with osteoarthritis of the hip.Which intervention would be appropriate for this client?