Deck 60: Mobility

Question 1

The nurse is caring for a client who uses a hydraulic lift to be moved out of the bed. What is the nurse's first action prior to starting this procedure?

A)Perform hand hygiene.
B)Request help from another staff member.
C)Roll the client to the side to position the sling.
D)Demonstrate the use of the hydraulic lift to the client.

Answer 1

Request help from another staff member.

Question 2

The nurse is observing a UAP assist a client with a vascular problem back into bed. The nurse would intervene if the UAP placed this client in what position in the bed?

A)Low-Fowler
B)Semi-Fowler
C)Orthopneic position
D)Elevate knee-gatch position

Answer 2

Elevate knee-gatch position

Question 3

The nurse has completed discharge teaching about range-of-motion exercises with an elderly client that are to be completed at home. The nurse explains that these exercises are important to complete for what reason?

A)ROM exercises will help the client maintain necessary muscle mass.
B)ROM exercises prevent the elderly client from becoming depressed.
C)ROM exercises increase the elderly client's dependent behaviors.
D)ROM exercises causes an elderly client to use proper body mechanics.

Answer 3

ROM exercises will help the client maintain necessary muscle mass.

Question 4

The nurse is teaching a group of newly hired UAP's about proper body mechanics and instructs them to use which most important piece of equipment to ensure that proper body mechanics are used?

A)Gait belt
B)Assistive moving device
C)Additional staff
D)No special equipment is required

Question 5

The UAP is caring for a 79-year-old client who is immobilized and is preparing to complete range-of-motion (ROM)exercises. The nurse cautions the UAP to avoid which motion in an elderly client?

A)Flexion
B)Extension
C)Hyperextension
D)Abduction

Question 6

The charge nurse is making assignments for the nursing unit and knows that which healthcare worker is responsible for ensuring that staff use proper body mechanics in caring for assigned clients?

A)The charge nurse
B)The education director
C)The client's healthcare provider
D)All healthcare personnel

Question 7

The nurse is preparing to transport a six-month-old infant to the radiology department. What measures will the nurse institute to safely complete this procedure? Select all that apply.

A)Ensure the parents stay in the infant's room.
B)Unhook all monitors and IV lines prior to transporting the infant.
C)Use a high-top crib for transporting.
D)Cover the infant with a blanket.
E)Ensure the infant's hands are washed before transport begins.

Question 8

The nurse is observing an unlicensed assistant person (UAP)make an occupied bed and will provide correction if the UAP uses which technique with body mechanics?

A)The UAP stands close to the bed while making it.
B)The UAP pulls the client to move him in the bed.
C)The UAP distributes weigh evenly between both feet.
D)The UAP carries the clean sheets and blankets close to the body.

Question 9

The nurse will stand where when preparing to ambulate a client who uses crutches?

A)On the client's affected side and slightly behind.
B)On the client's strong side and slightly ahead.
C)On the client's affected side and directly next to the client.
D)On the client's strong side and directly next to the client.

Question 10

The nurse is caring for a client who is complaining of esophageal reflux symptoms. After administering the prescribed medication, the nurse will place the client in what bed position to assist in providing comfort to this client?

A)Semi-Fowlers
B)Reverse Trendelenburg
C)Trendelenburg
D)High-Fowler

Question 11

The nurse observes the unlicensed assistive person (UAP)perform range-of-motion (ROM)exercises to a client's leg. The nurse knows that UAP is correctly performing abduction of the hip when which set of motions is completed?

A)The UAP moves the leg to the side away from the body.
B)The UAP moves the leg from the side of the body across and in front of the other leg.
C)The UAP bends the knee and brings the heel toward the back of the thigh.
D)The UAP moves the foot down and away from the leg.

Question 12

The nurse and the UAP are preparing to move a client from the bed to a chair for the first time using a hydraulic lift. What is the first thing the nurse should do prior to beginning this procedure?

A)Place the canvas sling under the client's thighs.
B)Place the client in the supine position.
C)Lock the wheels of the client's bed.
D)Demonstrate the use of the hydraulic lift to the client.

Question 13

The nurse is preparing to place a client with COPD in the orthopneic bed position and will place what item in front of this client that is necessary to maintain this position?

A)Wheelchair
B)Stationary chair
C)Over the bed table
D)Client's urinal

Question 14

The nurse is preparing to assist a client with ambulation and knows a gait belt may not be appropriate to use for a client with which condition?

A)A client wearing a knee brace.
B)A client who uses a walker for ambulation.
C)A client who has a large abdominal incision.
D)A client who has vertigo.

Question 15

The nurse attempts to meet the developmental needs of a four-year-old child while doing range of motion (ROM)exercises by doing what with the child?

A)Explaining why the ROM exercises must be done.
B)Promising the child, a treat after ROM exercises are completed.
C)Turning the ROM exercises into a game.
D)Asking the child's parents to complete the ROM exercises.

Question 16

The nurse and the UAP are preparing to logroll a client who has a spinal injury. The nurse will ask the UAP to obtain what assistive device prior to beginning the procedure?

A)Trochanter roll
B)Hydraulic lift
C)Friction-reducing device
D)Foot board

Question 17

The nurse is aware that clients who use the swing-to-gait for ambulation on a regular basis are at risk for development of which problem?

A)Atrophy of the arm muscles
B)Fractures of the feet
C)Atrophy of the leg muscles
D)Sciatic nerve injury

Question 18

The nurse is watching an unlicensed assistive person (UAP)prepare to move an eighteen-month-old toddler from the pediatric unit to the radiology unit. The nurse will stop the UAP if the UAP chooses which form of transport?

A)The child's crib
B)Pediatric wheelchair
C)Walking while holding the mother's hand
D)Stretcher

Question 19

The nurse is aware that which client would best be able to handle a three-point gait using crutches?

A)A 76-year-old client who complains of pain in both knees.
B)A 25-year-old client with a broken right ankle.
C)A 19-year-old client with a broken right tibia and a sprained left foot.
D)A 55-year-old client with a fractured left patella and a right foot laceration.

Question 20

The nurse is caring for a client with limited movement who weighs 415 pounds and will plan to use which assistive device when moving this client up in bed?

A)Mechanical lift
B)Turn sheet
C)Fiction-reducing device
D)Pull sheet

Question 21

The nurse is preparing to do pin site care for a client in skeletal traction. It is noted that the site appears red and feels warm to the touch. What actions will the nurse perform in taking care of this situation? Select all that apply.

A)Notify the healthcare provider.
B)Refrain from disturbing the crusts around the pin until the healthcare provider can observe it.
C)Expect to obtain a culture and sensitivity specimen from the pin site.
D)Remove the client's traction weights until the healthcare provider sees the client.
E)Check the client's vital signs.

Question 22

The nurse has asked the unlicensed assistive person (UAP)to provide personal care to the client who is in skin traction and will ensure that UAP knows to place the client in what position?

A)Semi-Fowler
B)Low-Fowler
C)Lateral
D)Supine

Question 23

The nurse is preparing to conduct an hourly assessment of a client who was placed in skin traction approximately 6 hours ago and has been stable since that time. The plan is to check the client's vital signs, pain level and complete what other assessments? Select all that apply.

A)Neurovascular assessment of the unaffected leg.
B)Skin integrity of both heels.
C)Massage the skin of the buttocks with a dry washcloth.
D)Ensure traction weight is correctly placed.
E)Ensure client's shoulders and hips are in alignment.

Question 24

The nurse is caring for a client who was placed in skeletal traction 48 hours ago for treatment of a serious femur fracture. The nurse will check the client's neurovascular status of the client's affected foot how often?

A)Every 30 minutes
B)Every 1 hour
C)Every 4 hours
D)Every 24 hours