Deck 13: Mobility

Question 1

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.

A) Reposition every 2 hours.
B) Monitor intake and output.
C) Encourage and assist with ROM exercises every 4 hours while awake.
D) Administer pain medication around the clock.
E) Encourage incentive spirometer use every 4 hours while awake.

Answer 1

Reposition every 2 hours.
Encourage and assist with ROM exercises every 4 hours while awake.
Administer pain medication around the clock.

Question 2

The nurse is providing care to a client who is experiencing back pain.Which item in the client's history is a known risk factor for disc herniation?

A) 49 years of age
B) Female gender
C) Short stature
D) Anorexia

Answer 2

49 years of age

Question 3

The nurse is providing care for several client.For which client is a prescription for 1,000 mg of aspirin appropriate?

A) 68-year-old client for hand pain who has rheumatoid arthritis
B) 5-year-old client for ankle pain after a fall from a horse
C) 38-year-old client for headache pain after a skiing accident
D) 70-year-old client for back pain after laminectomy

Answer 3

68-year-old client for hand pain who has rheumatoid arthritis

Question 4

The nurse is planning care for client who weighs70 kg client and is post-op day 1 after spinal fusion surgery.Which is an appropriate outcome for this client?

A) The client will remain prone position.
B) The client will maintain urine output at 20 ml per hour.
C) The client will use the incentive spirometer every 2 hours.
D) The client will void 12 hours after surgery.

Question 5

The nurse is conducting a gait and posture assessment for a client who is experiencing mobility issues.Which action by the nurse is appropriate during this assessment?

A) Assess muscle mass and strength.
B) Measure extremities for length and circumference.
C) Inspect the spine for curvature.
D) Palpate for tenderness and pain.

Question 6

The nurse is providing care to a client who returns to the medical-surgical unit after herniated disk surgery.The client's HR is 100,RR 22,BP 130/86 mmHg,temperature 98.8 degrees F,and a pain rating of 7 on a scale of 1 to 10.Which nursing diagnosis is the priority for this client based on the assessment data?

A) Impaired Physical Mobility
B) Acute Pain
C) Activity Intolerance
D) Chronic Pain

Question 7

The nurse is caring for a client who is experiencing an alteration in mobility related to a musculoskeletal alteration.Which laboratory tests are appropriate to diagnose the client appropriately? Select all that apply.

A) Magnetic resonance imaging (MRI)
B) Alkaline phosphatase (ALP)
C) Human leukocyte antigen-B27 (HLA-B27)
D) Rheumatoid factor (RF)
E) Electromyography (EMG)

Question 8

A client with chronic pain from herniated intervertebral disks is experiencing constipation.What intervention would be appropriate for this client?

A) Restrict foods high in fiber.
B) Avoid the use of stool softeners.
C) Encourage fluid intake of 2,500-3,000 ml each day.
D) Medicate for pain around the clock.

Question 9

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) Skeletal muscle attached to bones via tendons is performing correctly.
B) Smooth muscle attached to bones via ligaments will require further assessment.
C) Cartilage connecting bones has a good blood supply.
D) Muscle connecting the axial skeleton is compromised.

Question 10

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.

A) Obtaining a physical therapy consult prior to surgical intervention
B) Maintaining the existing curvature with no increase
C) Bracing for 12-23 hours per day and support group referral
D) Administering non-opioid analgesics and TLSO or Milwaukee brace
E) Instructing on exercises and appropriate support groups

Question 11

The nurse is caring for an adult client who sustained a right distal radial fracture and a left tibia fracture.Which mobility aid is appropriate for this client?

A) Lofstrand crutches
B) Platform crutches
C) Walker
D) Axillary crutches

Question 12

During a health screening,the nurse analyzes that which client is at the highest risk for back problems? Select all that apply.

A) 45-year-old man who plays golf three times a week for 20 years
B) 18-year-old girl who is a distance track runner since middle school
C) 62-year-old heavy truck mechanic with a body mass index (BMI) of 30
D) 12-year-old boy with a history of cerebral palsy with a BMI of 21
E) 78-year-old man with a 40 pack-year smoking history who is recently widowed

Question 13

The school nurse is conducting a screening on back safety for school-age clients who are in the 6th grade.The nurse brings a scale and weighs all the children and their backpacks behind a screen for privacy.One client weighs 40 kg and the backpack weighs 8 kg.Which intervention is appropriate for this client?

A) Tell the student that the backpack is not too heavy for his weight.
B) Budget for rolling backpacks for all the students.
C) Explain the risks of heavy backs and alternatives to the student's parents.
D) Tell the student that to take some items out of the backpack.

Question 14

A preadolescent client who fell from a balance beam in physical education is diagnosed with an ankle fracture.Which action by the nurse is appropriate?

A) Referring the client to physical therapy
B) Placing an ice pack on the ankle
C) Planning for a corticosteroid injection
D) Assessing the need for a back brace

Question 15

An adult client is diagnosed with bone spurs of the vertebral column.Which is the priority action by the nurse?

A) Implement low-level exercise program.
B) Assess pain management.
C) Teach relaxation techniques.
D) Refer to a dietitian.

Question 16

The nurse is planning care for a client with acute back pain who is a single mother of two small children and works part-time as a receptionist.Based on the data,which intervention is the priority?

A) Instruct in appropriate body mechanics for lifting and ways to modify the work environment.
B) Suggest that the client take time off from work until the back is healed.
C) Obtain an order for non-steroidal anti-inflammatory drugs (NSAIDs) from the client's healthcare provider.
D) Suggest that the children be taken care of by an extended family member until the back is healed.

Question 17

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

A) "Bone pain in children is caused from the pulling of muscles when bones grow quickly."
B) "The child needs to rest more when the bones hurt."
C) "Non-specific bone pain means there is a disease process somewhere else in the body."
D) "It is a symptom that needs further investigation and will be reported to the physician."

Question 18

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) Bulge test
B) Ballottement test
C) Phalen's test
D) McMurray's test

Question 19

The nurse is providing care for a client who is experiencing an alteration in mobility.Which independent nursing intervention is appropriate?

A) Instructing on the importance of proper nutrition and an active life style
B) Administering a prescribed NSAID
C) Identifying necessary modifications to the home environment
D) Prescribing a skeletal muscle relaxant

Question 20

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) Age
B) Gender
C) Weight
D) Ethnicity

Question 21

A client hospitalized with an open reduction and internal fixation of a fractured femur reports right calf pain.The nurse notes that the right calf is 3.5 cm larger than the left calf with generalized posterior erythema.The right calf is tender to touch.Dorsalis pedis pulse is 3/4+ bilaterally.Which is the priority action by the nurse?

A) Use a Doppler stethoscope to confirm pedal pulses.
B) Notify the healthcare provider of the findings.
C) Prepare to apply a cast to the right leg.
D) Prepare to administer intravenous heparin.

Question 22

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.

A) "If her foot turns white and cold, I should call the call the physical therapist."
B) "I can expect that my child will have some pain but the medicine should help."
C) "We can use a blow drier on low to help with the itching that my child will experience."
D) "We can cut a hole in the cast if the foot swells until we get to the doctor's office."
E) "It is ok that the plaster cast gets damp as long as I blow dry it."

Question 23

The mother of a preadolescent client meets with the school nurse to discuss the recent diagnosis of scoliosis.The mother shares that she is worried that her child wants to start home schooling due to the need to wear a brace.Which interventions will support the nursing diagnosis of Disturbed Body Image related to deformity and brace? Select all that apply.

A) Include the student and family in a meeting to elicit her feelings about scoliosis and wearing a brace.
B) Offer to arrange a meeting for the student with an 8th grader who has scoliosis.
C) Encourage the student and family to register for home schooling and minimize risk of ridicule.
D) Teach the student and family about clothing that will hide the brace.
E) Suggest that the pediatrician prescribe an anti-anxiety agent for the student.

Question 24

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?

A) Imbalanced Nutrition: More than Body Requirements
B) Acute Pain
C) Impaired Physical Mobility
D) Ineffective Coping

Question 25

During a home care visit,an older adult client begins to cry softly when asked about coping with back pain.The client states,"My back hurts bad all the time and I am so confused about all these tests and scared that the doctor wants me to have surgery" Which is the priority intervention by the nurse?

A) Ask the client to rate pain on a scale of 1 to 10.
B) Explain procedures in a way the client will understand.
C) Administer an ordered pain medication.
D) Attentively listen to the client's thoughts and fears.

Question 26

A client is admitted to your inpatient rehabilitation unit.(See exhibit.)The nurse formulates a care plan with which priority diagnosis?

A) Risk for Peripheral Neurovascular Dysfunction related to disruption of traction weights
B) Risk for Infection related to surgical incision and insertion of hardware
C) Risk for Disuse Syndrome related to use of traction to stabilize fracture
D) Acute Pain related to bone and soft tissue damage

Question 27

The nurse is assessing an older adult client in a long-term care facility after a fall.Which finding requires priority action?

A) The injured leg is shortened and externally rotated.
B) Redness and severe swelling are found at the hip joint.
C) Pain is relieved by moving the affected extremity.
D) The patient is repeatedly flexing the injured leg at the hip.

Question 28

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?

A) "You should avoid all types of exercise."
B) "You should consider a smoking cessation program."
C) "You should limit your exposure to the sun."
D) "You should use throw rugs throughout the home."

Question 29

The nurse in an orthopedic outpatient clinic expects to see several clients with fractures for follow-up.After reviewing the clients' medical records,which client is at the highest risk of a delayed union?

A) 20-year-old college student with type I diabetes mellitus who sustained a fractured tibia in a bicycle accident. Nutrition recall tool completed during the last visit was consistent with American Diabetic Association (ADA) guidelines.
B) 62-year-old bartender with a history of peptic ulcer who sustained a fractured clavicle breaking up a fight at work. He was upset about abstaining from upper body resistance training.
C) 49-year-old teacher with osteoporosis who sustained an open ulnar fracture in a motor vehicle accident. Reports that she has cut down smoking to 10 cigarettes per day.
D) 55-year-old accountant who sustained fractures to the 4th and 5th right metatarsals. He has a history of hypertension under good control with medication.

Question 30

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) The resident who participates in resistance training exercises 3 times a week and takes a calcium supplement
B) The resident who hikes in the woods once a week and smokes 14 cigarettes per day
C) The resident who line dances twice a week and has a glass of wine with dinner
D) The resident who teaches yoga four times per week and is lactose-intolerant

Question 31

On the first postoperative day after spinal fusion,the nurse assesses a client and finds temperature 39.2°C,blood pressure 100/50 mmHg,heart rate 118 bpm,and respirations 23 breathes per min.Drainage at the incision site is clear and tests positive for glucose.Which assessment parameter indicates the highest risk for surgical wound infection?

A) Temperature
B) Incisional drainage positive for glucose
C) Heart rate 118 bpm
D) Presence of incisional drainage

Question 32

A client sustained multiple fractures in a motor vehicle accident.The nurse determines that the client is at a high risk for osteomyelitis due to which type of fracture?

A) Avulsion
B) Open
C) Comminuted
D) Depression

Question 33

The nurse is teaching an older adult client,and caregiver,regarding appropriate ways to decrease the client's risk for falls.Which interventions are appropriate for the nurse to include in the teaching session? Select all that apply.

A) Start aerobic exercises daily.
B) Wear sensible shoes with good support when shopping.
C) Wear socks when walking in the kitchen.
D) Encourage the use of throw rugs throughout the home.
E) Make sure hallways and stairways have adequate lighting, even at night.

Question 34

The nurse is providing care for a client who experienced a fracture requiring a plaster cast.Which nursing intervention is appropriate for this client?

A) Prescribing opioid pain medication
B) Assessing neurovascular status
C) Discouraging client ambulation
D) Encouraging the client to keep the cast damp

Question 35

The x-ray of a client 14 weeks post-ulnar fracture exhibits no callus formation.Based on this data,which action does the nurse anticipate?

A) The physical therapist will set up Buck traction.
B) The surgeon will order electromagnetic stimulation.
C) The pharmacist will educate the client on antibiotics.
D) The nurse will counsel the client on starting range-of-motion exercise.

Question 36

The nurse is evaluating care provided to a client recovering from hip replacement surgery.Which piece of documentation in the medical record indicates that the client has achieved the expected outcome for pain management?

A) The client states pain is a 6 on a numeric pain scale of 1 to 10 prior to evening care.
B) The client is crying and requesting pain medication prior to morning care.
C) The client is using PCA pump around the clock and rates pain as a 2 on a numeric pain scale of 1 to 10.
D) The client refuses pain medication prior to physical therapy. Pain is rated as a 7 on a numeric pain scale of 1 to 10.

Question 37

A client who is hospitalized after a left hip fracture is scheduled for surgery late this afternoon.After receiving report,the nurse evaluates the Buck traction applied by a new physical therapist.Which finding indicates that the traction is correctly applied?

A) Foam boot covers the right lower leg from the knee down.
B) 20-pound weights are connected to the bottom of a foam boot.
C) Weights are supported by a stool at the end of the bed.
D) The left knee and hip are in alignment above the foam boot.

Question 38

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) "I have signed a contract with Lifeline."
B) "We are replacing the carpet with laminate flooring."
C) "I've borrowed a toilet seat riser from the equipment closet."
D) "I will be sure to take oxycodone before I go downstairs in the morning."
E) "I can help out my child with housework while I'm staying."

Question 39

The nurse is presenting a program on surviving a fall at a senior center.Which statement indicates that the participant needs clarification of the content on emergency actions after a fall?

A) "I should crawl to a phone on the affected side to keep it stable against a hard surface."
B) "I need to subscribe to an emergency call service like Lifeline."
C) "To call for help, I can scoot on my bottom to a low wall-mounted phone."
D) "If possible, I can crawl to a stairway and use the stairs to lift up to a standing position."

Question 40

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?

A) Coordinate personnel to assist with ambulation.
B) Document the client's refusal.
C) Assess why the client is refusing to ambulate.
D) Notify the healthcare provider.

Question 41

An older adult client experiences a hip fracture.Prior to the injury,the client participated in golf and home maintenance activities.Based on this data,which surgical procedure does the nurse anticipate?

A) Total hip replacement
B) Open reduction and external fixation
C) Austin-Moore prosthesis
D) Open reduction and internal fixation

Question 42

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) A post-menopausal paraplegic
B) A 32-year-old competitive body builder
C) A prepubescent girl who is a vegetarian
D) An 85-year-old woman with osteoporosis

Question 43

The nurse is planning care for a client with multiple sclerosis.Which intervention would address the nursing diagnosis of Fatigue?

A) Encourage increased activity.
B) Schedule physical therapy three times a day.
C) Plan activities with sufficient rest periods.
D) Group activities together so care will not be interrupted.

Question 44

A client with a history of relapsing-remitting multiple sclerosis (MS)is expecting her first child.What would be indicated for this client?

A) Suggest reproductive counseling.
B) Instruct to expect a period of remission after delivery of the baby.
C) Instruct to expect an exacerbation of symptoms while pregnant.
D) Discuss pain control during labor, as contractions will be severe.

Question 45

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?

A) Fatigue
B) Disturbed Sensory Perception
C) Impaired Physical Mobility
D) Self-Care Deficit

Question 46

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?

A) Progressive-relapsing
B) Secondary-progressive
C) Relapsing-remitting
D) Primary-progressive

Question 47

An adult client recently diagnosed with multiple sclerosis is a full-time aerobics exercise instructor at a local fitness center.Which statements contain the correct information to give the client when answering specific questions about lifestyle? Select all that apply.

A) "Hyperbaric oxygen treatment is recommended prior to vigorous physical exercise."
B) "You will tolerate exercise better in an air-conditioned room."
C) "Acupuncture may benefit some of your symptoms."
D) "Drinking cold water is recommended during exercise."
E) "You will be able to maintain your exercise teaching schedule."

Question 48

The nurse is presenting a talk for the monthly Nursing Case Study education group.Which client would be a good choice for a case study on multiple sclerosis (MS)?

A) Brazilian with chronic parasitic infestation
B) Italian with colonized methicillin resistant staphylococcus aureus (MRSA)
C) Northern Canadian who has smoked for 25 years
D) African-American man in his 20s with a vitamin D deficiency

Question 49

A client recovering from surgery to repair a fractured hip has a history of osteomyelitis.Which actions by the nurse may reduce this client's risk in the postoperative period? Select all that apply.

A) Assess for pain every 1-2 hours.
B) Use sterile technique for dressing changes.
C) Assess wound for size, color, and drainage.
D) Administer antibiotics as prescribed.
E) Administer anticoagulants as prescribed.

Question 50

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) "I will use my abduction pillow while sleeping to maintain proper hip alignment."
B) "I will use the high toilet seat to prevent excess flexion of my hip."
C) "I only need to use my walker during physical therapy appointments."
D) "I will take my prescribed ibuprofen to decrease the risk for a deep vein thrombosis."
E) "I might experience bruising because of the prescribed warfarin."

Question 51

A client with osteoarthritis of the knees tells the nurse that no one else in the family has this disorder.What assessment finding might have increased this client's risk for developing this disorder?

A) Body mass index 36.5
B) History of esophageal reflux disease
C) Client plays tennis 3 times each week
D) Blood pressure 136/78 mmHg

Question 52

The nurse is planning care for a client with osteoarthritis.Which diagnosis would have the highest priority?

A) Fatigue
B) Chronic Pain
C) Ineffective Coping
D) Disturbed Body Image

Question 53

A client with multiple sclerosis is observed transferring from the bed to a motorized wheelchair and applying splints to the lower extremities before entering the bathroom to perform morning self-care.What could the nurse conclude regarding this observation?

A) The client uses assistive devices to optimize autonomy.
B) The client needs instruction to conduct morning care before applying splints to lower extremities.
C) The client is dependent upon assistive devices.
D) The client is reliant upon assistive devices for independent.

Question 54

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.

A) Adverse response to Avonex
B) Adverse response to Aubagio
C) Flare-up due to demyelination
D) Adverse response to bisacodyl
E) Damage from viral infection

Question 55

A young adult client complains of blurred vision and muscle spasms that have come and gone over the past several months.On what information from the client's history should the nurse focus to help identify the specific problem?

A) Family history of Parkinson disease
B) Family history of epilepsy
C) Is an immigrant from Germany
D) Has been depressed

Question 56

A client admitted with an exacerbation of multiple sclerosis is demonstrating frustration with eating because hand and arm spasms prevent the proper use of utensils.What should the nurse do to assist this client?

A) Consult with Occupational Therapy regarding assistive devices for meals.
B) Counsel the client to select finger foods for meals.
C) Plan time to feed the client.
D) Consult with Physical Therapy regarding hand and arm exercises.

Question 57

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

A) Provide moist heat packs to affected joint 3 times each day.
B) Instruct on the importance of strict bed rest.
C) Provide NSAIDs when pain is severe.
D) Provide opioid pain medication as prescribed.

Question 58

A client with multiple sclerosis is prescribed diazepam (Valium).What assessment finding indicates that the medication is effective for the client?

A) Muscle spasticity is reduced.
B) Blood glucose level is within normal limits.
C) The client states that muscles are weak.
D) Ophthalmologic examination shows no evidence of cataracts.

Question 59

An older adult client with bilateral osteoarthritis of the knees tells the nurse,"I know I need to lose weight but exercising makes my knees ache." What instruction should the nurse provide to this client?

A) Discuss knee replacement surgery with the physician.
B) Exercise the muscles so that they will protect the joints.
C) Eat a reduced-calorie diet for several months before attempting exercise.
D) Stretch the muscles, because that is the only form of exercise that improves osteoarthritis.

Question 60

A client tells the nurse about being diagnosed with osteoarthritis but does not know what that means.When responding to the client's question,which information will the nurse use?

A) Most commonly seen in thin, small-built female clients
B) A result of synovial inflammation
C) Erosion of joint articular cartilage with new bone formation in the joint space
D) A metabolic bone disease

Question 61

A client complains of a right-hand tremor,increasing weakness,and muscles feeling tight.The nurse notes the client has poor voice volume and facial muscles do not move easily.Based on this data,which diagnosis does the nurse anticipate?

A) Parkinson disease
B) Spinal cord injury
C) Cerebral vascular accident
D) Multiple sclerosis

Question 62

A client is evaluated for Parkinson disease (PD).Which findings on the Unified Parkinson Disease Rating Scale (UPDRS)would suggest a positive finding for PD? Select all that apply.

A) Diarrhea
B) Dystonia
C) Retropulsion
D) Hyperphonia
E) Festination

Question 63

A client with osteoarthritis of the knees and hips returns for a 3-month follow-up with the provider.The nurse calculates that the client's BMI is now 22.The reports starting a water aerobics and step aerobics program three times per week.The client is also using hot packs for edema for 20 minutes and cold packs for pain for 40 minutes daily.After evaluating the client's actions,the nurse plans which follow-up interventions? Select all that apply.

A) Reinforce the correct use of hot packs.
B) Educate on low-impact exercise modes.
C) Explain the risk of injury using cold packs.
D) Counsel on continued weight loss.
E) Congratulate on starting water aerobics.

Question 64

A client admitted 3 days prior with an injury to the thoracic area of the spinal cord tells the nurse,"I'm getting worse.It's harder to breathe." Based on this data,which does the nurse suspect?

A) The client has atelectasis.
B) The extent of injury cannot yet be determined.
C) The client is improving.
D) The client is developing pneumonia.

Question 65

A client with chronic hip pain is diagnosed with osteoarthritis.Which instruction regarding home safety is the most appropriate for the nurse to provide to this client?

A) Walk up and down the steps at home as much as possible.
B) Rest in a recliner.
C) Place scatter rugs in high-traffic areas.
D) Install grab bars in the bathroom near the commode and in the shower.

Question 66

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?

A) An adequate urine output
B) Stable blood pressure
C) Stabilization of the neck and spinal cord
D) Intravenous access line

Question 67

The interdisciplinary treatment team proposes interventions to improve and maintain physical function for an adult client with Parkinson disease (PD).Which interventions are supported by research? Select all that apply.

A) Low-intensity treadmill training
B) Walking barefoot indoors
C) Use of resistance bands
D) Active and passive range of motion
E) High-intensity treadmill training

Question 68

The nurse completes teaching for a young adult client diagnosed with Parkinson disease (PD).Which client statement indicates teaching has been effective?

A) "I could have prevented PD with diet and exercise."
B) "I probably have a genetic mutation that caused PD."
C) "My brain has too much of a chemical called dopamine."
D) "Most people get PD when they are my age."

Question 69

The nurse is evaluating care provided to a client with osteoarthritis.Which client statement indicates to the nurse that interventions for osteoarthritis have been successful?

A) "I had to take early retirement and now stay at home all day and rest my legs."
B) "I am sleeping throughout the night and have not missed any work because of knee pain."
C) "I am moving from my two-story house into the first floor of my daughter's home so I won't have to walk steps anymore."
D) "I changed my work hours so now I work part time and have a nursing assistant who helps me bathe twice a week at home."

Question 70

Lab results are back on a client who has limiting joint pain.Synovial fluid analysis shows no uric acid crystals,bacteria,or blood.The client asks what conditions are possible cause(s)of this pain.What is the nurse's response? Select all that apply.

A) Osteoarthritis
B) Rheumatoid arthritis
C) Septic arthritis
D) Gout
E) Trauma

Question 71

A client seeking treatment for severe knee pain has worked in a factory for 30 years in a position requiring repetitive lifting and carrying of 20-40-pound boxes.The nurse anticipates which recommendation from the multidisciplinary team?

A) Joint replacement surgery
B) Pharmacologic therapy
C) Refer for Disability application.
D) Intermittent use of a cane

Question 72

A client with Parkinson disease (PD)ambulates with a shuffling gait and leans slightly forward.When seated,the client conducts a conversation,reads,and is able to self-feed without assistance.Which diagnosis is a priority for this client?

A) Ineffective Coping
B) Impaired Physical Mobility
C) Imbalanced Nutrition: More than Body Requirements
D) Anxiety

Question 73

The nurse is evaluating the care of a client with Parkinson disease (PD).Which finding indicates an improvement in nutritional status?

A) The client was observed providing morning self-care and dressing.
B) The client coughs frequently when drinking fluids.
C) The client was able to feed self and had no weight change in 1 week.
D) The client had a 4-pound weight loss in 1 week.

Question 74

A client with osteoarthritis tells the nurse about having difficulty walking to the bathroom first thing in the morning.Which nursing action would assist this client?

A) Suggest a family member provide the client with a bedpan.
B) Discuss the option of residing in an assisted-living facility.
C) Consult with Physical Therapy for an assistive walking device such as a walker or cane.
D) Suggest using a bedside commode at home.

Question 75

A spouse expresses frustration when trying to communicate with a client with Parkinson disease (PD).What can the nurse do to facilitate communication between the client and spouse?

A) Recommend that the client and spouse learn sign language.
B) Suggest the spouse obtain a hearing aid.
C) Consult with Speech Therapy for exercises to aid with speech and language.
D) Suggest communicating by writing.

Question 76

A school nurse is treating a school-age client who has fallen down a flight of stairs.The client is breathing but unconsciousness.After calling the ambulance,which is the priority action by the nurse?

A) Open the airway using the head tilt maneuver.
B) Try to rouse the client by gently shaking the shoulders.
C) Protect the client's neck and head from any movement.
D) Place the client on the side to prevent aspiration.

Question 77

A middle-aged client states to the nurse,"I have noticed a slight tremor of my left hand when at rest.I think I might have Parkinson disease because my mother had it and passed away because of respiratory failure." Which response by the nurse is the most appropriate?

A) "Having a close relative, such as your mother, with the illness can increase your chance of developing it as well."
B) "You should not worry, as it has a higher prevalence in males."
C) "It is unlikely that you have the same illness as your mother."
D) "You probably do not have it, as your mother was probably exposed to a toxin that caused the disease."

Question 78

The nurse instructs a client with Parkinson disease (PD)about carbidopa-levodopa (Sinemet).Which client statement indicates that teaching has been effective?

A) "I will take the medication with my meals."
B) "I will sit up for several minutes to gain my balance before going from lying down to standing up."
C) "This medication will not affect my blood pressure medications."
D) "This medication will cure my Parkinson disease in time."

Question 79

The nurse,planning care for a client with Parkinson disease (PD),identifies which intervention as supporting mobility while providing the spouse with an activity that is beneficial for the client?

A) Suggest that the spouse use a blender to make foods easier for the client to swallow.
B) Review the medication administration schedule with the spouse.
C) Instruct the spouse to ambulate the client at least four times a day.
D) Instruct the spouse on proper turning and repositioning techniques.

Question 80

A client with Parkinson disease (PD)states to the nurse,"It is 1950 and I am late for work." What action should the nurse take at this time?

A) Orient the client, provide a calendar, and place a clock in the room.
B) Ask the client what life is like in 1950.
C) Medicate for confusion.
D) Apply restraints so the client will not attempt to get out of bed to go to work.