Question 1

While ambulating,the patient becomes light-headed and starts to fall.What should the nurse do first?

Accepted Answer

A) Call for help. 
B) Try to reach for a chair. 
C) Ease the patient down to the floor. 
D) Push the patient back toward the bed. 
A) Call for help. 
B) Try to reach for a chair. 
C) Ease the patient down to the floor. 
D) Push the patient back toward the bed. C

Question 2

An appropriate technique for the nurse to use when performing range of motion (ROM)exercises is to:

Accepted Answer

A) repeat each action 5 times during the exercise. 
B) perform the exercises quickly and firmly. 
C) support the proximal portion of the extremity being exercised. 
D) continue the exercise slightly beyond the point of resistance. 
A) repeat each action 5 times during the exercise. 
B) perform the exercises quickly and firmly. 
C) support the proximal portion of the extremity being exercised. 
D) continue the exercise slightly beyond the point of resistance. A

Question 3

An appropriate way for the nurse to measure a patient for crutches is to:

Accepted Answer

A) have a flexion of 45 degrees at both of the patient's elbows. 
B) have a space of two to three fingers between the top of the crutch and the axilla. 
C) place the crutch tips 1 foot to each side of the patient's feet,and observe the positioning of the crutches. 
D) place the crutch tips 1 foot to the front of the patient's feet,and observe the positioning of the crutches. 
A) have a flexion of 45 degrees at both of the patient's elbows. 
B) have a space of two to three fingers between the top of the crutch and the axilla. 
C) place the crutch tips 1 foot to each side of the patient's feet,and observe the positioning of the crutches. 
D) place the crutch tips 1 foot to the front of the patient's feet,and observe the positioning of the crutches. B

Question 4

An appropriate procedure for the nurse to use when applying an elastic stocking is to:

Accepted Answer

A) remove the stockings every 24 hours. 
B) keep the tops of the stockings rolled down slightly. 
C) turn the stocking inside out to apply from the toes up. 
D) wash stockings daily and dry in a dryer. 
A) remove the stockings every 24 hours. 
B) keep the tops of the stockings rolled down slightly. 
C) turn the stocking inside out to apply from the toes up. 
D) wash stockings daily and dry in a dryer.

Question 5

The nurse is caring for a patient who has just been treated for a broken leg.She needs to teach the patient how to use crutches.Which crutch gait is most appropriate for this patient?

Accepted Answer

A) Four-point gait 
B) Three-point gait 
C) Two-point gait 
D) Swing-to gait 
A) Four-point gait 
B) Three-point gait 
C) Two-point gait 
D) Swing-to gait

Question 6

The patient has a leg injury and is being fitted for a cane.The patient should be taught to:

Accepted Answer

A) hold the cane on the uninvolved side. 
B) hold the cane on the weaker side. 
C) extend the cane 15 inches from the foot when used. 
D) maintain approximately 60 degrees of elbow flexion. 
A) hold the cane on the uninvolved side. 
B) hold the cane on the weaker side. 
C) extend the cane 15 inches from the foot when used. 
D) maintain approximately 60 degrees of elbow flexion.

Question 7

The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination,she complains of tingling and numbness in her hands and upper torso.Possible causes of these symptoms are:

Accepted Answer

A) the patient's elbows are flexed 15 to 30 degrees when using the crutches. 
B) crutch pad is approximately 2 inches below the patient's axilla. 
C) patient holds the cane 4 to 6 inches to the side of her foot. 
D) handgrip does not allow for elbow flexion. 
A) the patient's elbows are flexed 15 to 30 degrees when using the crutches. 
B) crutch pad is approximately 2 inches below the patient's axilla. 
C) patient holds the cane 4 to 6 inches to the side of her foot. 
D) handgrip does not allow for elbow flexion.

Question 8

When assessing the patient for risk for deep vein thrombosis (DVT),the nurse should consider which of the following an indicator of increased risk?

Accepted Answer

A) A positive Homans' sign 
B) Pallor to the distal area 
C) Edema noted in the extremity 
D) Fever or dehydration 
A) A positive Homans' sign 
B) Pallor to the distal area 
C) Edema noted in the extremity 
D) Fever or dehydration

Question 9

A person's inability to move about freely is known as _______________.

Accepted Answer

immobility
Immobilit

Question 10

Factors that contribute to the development of deep vein thrombosis (DVT)are: (Select all that apply. )

Accepted Answer

A) elevated sodium (Na+)levels. 
B) hypercoagulability of the blood. 
C) venous wall damage. 
D) stasis of blood flow. 
A) elevated sodium (Na+)levels. 
B) hypercoagulability of the blood. 
C) venous wall damage. 
D) stasis of blood flow.

Question 11

A patient with left hemiparesis is using a quad cane for ambulation.Which of the following is the correct technique for the nurse to use in teaching the patient?

Accepted Answer

A) Use the cane on the right side,with the cane moving forward first. 
B) Use the cane on the left side,with the left leg moving forward with the cane. 
C) Use the cane in either hand,with the right leg moving forward first. 
D) Use the cane in either hand,with the left leg moving beyond the forward placement of the cane. 
A) Use the cane on the right side,with the cane moving forward first. 
B) Use the cane on the left side,with the left leg moving forward with the cane. 
C) Use the cane in either hand,with the right leg moving forward first. 
D) Use the cane in either hand,with the left leg moving beyond the forward placement of the cane.

Question 12

The patient is an elderly gentleman who has been on bed rest for the past several days.When getting the patient up,the nurse should:

Accepted Answer

A) tell the patient not to move his legs when dangling. 
B) tell the patient to hold his breath while dangling. 
C) raise the head of the bed and allow a few minutes before dangling. 
D) have the patient stand without dangling. 
A) tell the patient not to move his legs when dangling. 
B) tell the patient to hold his breath while dangling. 
C) raise the head of the bed and allow a few minutes before dangling. 
D) have the patient stand without dangling.

Question 13

When teaching the use of a three-point crutch gait,the nurse should instruct the patient to move:

Accepted Answer

A) both crutches and the affected leg first,then the stronger leg. 
B) the right crutch,left foot,left crutch,and right foot in sequence. 
C) the left crutch and right foot,then move the right crutch and left foot. 
D) both crutches,then lift and swing the legs forward as far as the crutches. 
A) both crutches and the affected leg first,then the stronger leg. 
B) the right crutch,left foot,left crutch,and right foot in sequence. 
C) the left crutch and right foot,then move the right crutch and left foot. 
D) both crutches,then lift and swing the legs forward as far as the crutches.

Question 14

Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.

Accepted Answer

deep vein thrombosis (DVT)
deep vein thr

Question 15

When the four gaits listed below are compared,which is the most stable of the crutch gaits?

Accepted Answer

A) Four-point gait 
B) Three-point gait 
C) Two-point gait 
D) Swing-to gait 
A) Four-point gait 
B) Three-point gait 
C) Two-point gait 
D) Swing-to gait

Question 16

____________ refers to an ability to move about freely.

Accepted Answer

Mobility
Mobility re

Question 17

A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.

Accepted Answer

orthostatic hypotension
Orthos

Question 18

The nurse is applying a continuous passive motion (CPM)machine to the patient's leg.To do so,she must: (Select all that apply. )

Accepted Answer

A) provide analgesia 1 hour before starting the CPM. 
B) stop the CPM when in extension and place a sheepskin on the machine. 
C) align the patient's joint with the CPM's mechanical joint. 
D) secure the patient's extremity tightly with Velcro straps. 
A) provide analgesia 1 hour before starting the CPM. 
B) stop the CPM when in extension and place a sheepskin on the machine. 
C) align the patient's joint with the CPM's mechanical joint. 
D) secure the patient's extremity tightly with Velcro straps.

Question 19

Graduated compression stockings are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:

Accepted Answer

A) keep the skin warm and dry. 
B) prevent abnormal joint flexion. 
C) apply external pressure. 
D) prevent bleeding. 
A) keep the skin warm and dry. 
B) prevent abnormal joint flexion. 
C) apply external pressure. 
D) prevent bleeding.

Question 20

A nurse encourages a patient to prevent venous stasis by:

Accepted Answer

A) crossing the legs when sitting in a chair. 
B) wearing thigh-length nylon stockings or garters. 
C) elevating the legs on pillows while in bed. 
D) increasing early ambulation. 
A) crossing the legs when sitting in a chair. 
B) wearing thigh-length nylon stockings or garters. 
C) elevating the legs on pillows while in bed. 
D) increasing early ambulation.

Exam 12: Exercise Mobility

While ambulating,the patient becomes light-headed and starts to fall.What should the nurse do first?

An appropriate technique for the nurse to use when performing range of motion (ROM)exercises is to:

An appropriate way for the nurse to measure a patient for crutches is to:

An appropriate procedure for the nurse to use when applying an elastic stocking is to:

The nurse is caring for a patient who has just been treated for a broken leg.She needs to teach the patient how to use crutches.Which crutch gait is most appropriate for this patient?

The patient has a leg injury and is being fitted for a cane.The patient should be taught to:

The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination,she complains of tingling and numbness in her hands and upper torso.Possible causes of these symptoms are:

When assessing the patient for risk for deep vein thrombosis (DVT),the nurse should consider which of the following an indicator of increased risk?

A person's inability to move about freely is known as _______________.

Factors that contribute to the development of deep vein thrombosis (DVT)are: (Select all that apply. )

A patient with left hemiparesis is using a quad cane for ambulation.Which of the following is the correct technique for the nurse to use in teaching the patient?

The patient is an elderly gentleman who has been on bed rest for the past several days.When getting the patient up,the nurse should:

When teaching the use of a three-point crutch gait,the nurse should instruct the patient to move:

Virchow's triad (hypercoagulability of blood,venous wall damage,and stasis of blood flow)has been found to contribute to ________________.

When the four gaits listed below are compared,which is the most stable of the crutch gaits?

____________ refers to an ability to move about freely.

A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.

The nurse is applying a continuous passive motion (CPM)machine to the patient's leg.To do so,she must: (Select all that apply. )

Graduated compression stockings are ordered for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to:

A nurse encourages a patient to prevent venous stasis by:

Using Evidence in Practice

Admitting, Transfer, and Discharge

Communication and Collaboration

Documentation and Informatics

Vital Signs

Health Assessment

Specimen Collection

Diagnostic Procedures

Medical Asepsis

Sterile Technique

Safe Patient Handling, Transfer, and Positioning

Support Surfaces and Special Beds

Patient Safety

Disaster Preparedness

Pain Management

Palliative Care

Personal Hygiene and Bed Making

Care of the Eye and Ear

Safe Medication Preparation

Administration of Nonparenteral Medications

Administration of Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Cardiac Care

Closed Chest Drainage Systems

Emergency Measure for Life Support

Intravenous and Vascular Access Therapy

Blood Therapy

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination and Gastric Intubation

Ostomy Care

Preoperative and Postoperative Care

Intraoperative Care

Pressure Injury Prevention and Care

Wound Care and Irrigations

Dressings, Bandages, and Binders

Therapeutic Use of Heat and Cold

Home Care Safety

Home Care Teaching

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