Deck 13: Maintaining Joint Mobility

Question 1

Which joint would the nurse pronate when performing range of motion on the hospitalized client?

A)Neck
B)Knee
C)Elbow
D)Finger

Answer 1

Elbow

Question 2

The nurse is performing passive range of motion on the client and notes that the client's ankle is red,edematous,and painful to the touch.Which action by the nurse is the most appropriate?

A)Perform range of motion very gently to the ankle.
B)Perform normal range of motion to the ankle.
C)Skip range of motion in this joint and move on to the next joints.
D)Notify the health care provider before performing range of motion to this joint.

Answer 2

Notify the health care provider before performing range of motion to this joint.

Question 3

The nurse caring for several clients could safely delegate which task to the unlicensed assistive personnel (UAP)?

A)Initial application of the continuous positive motion (CPM)device to the postoperative client
B)Assessment of client's tolerance for passive range of motion
C)Documentation of joint improvement resulting from active range of motion
D)Performance of passive range of motion to client experiencing a CVA 2 weeks ago

Answer 3

Performance of passive range of motion to client experiencing a CVA 2 weeks ago

Question 4

The nurse educator is discussing the use of the continuous passive motion mechanical (CPM)device for hospitalized clients.Based on recent evidence,which clients may benefit from the use of CPM during hospitalization or the rehabilitation process?

A)Adult clients recovering from joint surgery
B)Older adult clients recovering after a stroke
C)Newborn clients receiving phototherapy
D)Adolescent clients receiving pharmacotherapy for acne
E)Clients in labor prior to delivery

Question 5

The nurse assesses the client after being on the CPM for 2 hours.When documenting in the medical record for this client,which item does the nurse exclude from the documentation?

A)Degree of flexion and extension
B)Analgesia administered prior to starting the CPM
C)Speed
D)Duration of therapy and client tolerance

Question 6

Which joint will the nurse circumduct when performing range of motion on the hospitalized client?

A)Neck
B)Shoulder
C)Foot
D)Knee

Question 7

The nurse is delegating the performance of passive range of motion to the unlicensed assistive personnel (UAP).For which client would it not be appropriate to delegate this task to the UAP?

A)Client who has been a quadriplegic for 3 years
B)Unconscious client following excision of a brain tumor 2 days ago
C)Client in rehabilitation center recovering from a CVA
D)Client in a chronic vegetative state following a motor vehicle crash

Question 8

The nurse observes the client performing range of motion exercises by using the strong arm to help the weaker arm move through the motions.When documenting this activity,which terms will the nurse use?

A)Active range of motion
B)Active-assistive range of motion
C)Passive range of motion
D)Continuous passive range of motion

Question 9

Which instrument does the nurse use to measure the arc or range of motion of a joint?

A)Audiometer
B)Goniometer
C)Voltmeter
D)Measuring tape and compass

Question 10

The nurse is applying the continuous passive motion (CPM)device to a postoperative client for the first time.Which flexion and extension settings are appropriate for this client?

A)30° flexion and 15° extension
B)15° flexion and 40° extension
C)10° flexion and 5° extension
D)20° flexion and 20° extension

Question 11

The nurse identifies which anticipated outcomes of using a continuous passive motion mechanical device on the postoperative client?

A)The client experiences decreased edema in the joint.
B)The client does not accumulate blood in the joint.
C)The client experiences decreased pain in the joint.
D)The client has no or reduced scar tissue formation in the joint.
E)The client is able to get out of bed quickly after surgery.

Question 12

Which client would the nurse anticipate benefitting from continuous passive motion devices?

A)The unconscious client
B)The quadriplegic client
C)The client who is confined to bed rest while in traction
D)The postoperative client who had total knee replacement

Question 13

The nurse teaches the immobilized client range of motion to improve muscle strength,endurance,and to help maintain cardiorespiratory function.Which activity is not appropriate for the nurse to include in the teaching session?

A)Active range of motion
B)Passive range of motion
C)Active-assistive range of motion
D)Active or active-assistive range of motion