Deck 16: Exercise Mobility

Question 1

Nursing assistive personnel (NAP)are working with patients performing range-of-motion exercises.Which activity can the nurse delegate to NAP?

A) Determine the patients' current pain level.
B) Assist stable patients with their range-of-motion exercises.
C) Force the joint motion gently a slight bit with each session.
D) Place thick socks on patients before exercising the lower extremities.

Answer 1

Assist stable patients with their range-of-motion exercises.

Question 2

The nurse is preparing to increase the amount of ambulation that the patient is able to tolerate,to prepare for discharge.Which is the best method for the nurse to assess a patient's ability to ambulate?

A) Interview the patient's visitors.
B) Talk with the patient about the distance to ambulate.
C) Review the patient progress notes.
D) Measure the distances ambulated.

Answer 2

Talk with the patient about the distance to ambulate.

Question 3

2. Contraindications for the use of elastic stockings or sequential compression devices (SCDs)include open skin ______ and recent skin _______.

Answer 3

lesions,graft
It is important to assess for contraindications to the use of elastic stockings or SCDs such as open skin lesions,skin grafts,and decreased circulation to lower extremities.

Question 4

The patient ambulates with two axillary crutches,and the nurse notes that the patient's weight is resting on the axilla.Which should the nurse do to prevent patient injury?

A) Document that the patient is using the crutches properly.
B) Encourage the patient to minimize the weight on the axilla.
C) Fit the patient for crutches while he or she wears shoes.
D) Increase the layer of padding to the top of the crutches.

Question 5

The nurse is planning to perform range-of-motion exercises on a patient who has had a stroke and has mobility issues.Which of the following principles should she make sure she follows?

A) Complete the exercises in a bottom-up approach.
B) Repeat each movement 8 times during the exercise period.
C) Always use gloves.
D) Complete the exercises in a head-to-toe sequence.

Question 6

The patient is postoperative day 1 after surgery on the right knee and is to begin to walking with crutches using the three-point gait.Which does the nurse correct for the patient when ambulating with crutches?

A) Moves the right crutch first, left crutch second, and right leg last
B) Begins in the tripod position and bears all weight on the left leg
C) Slips three fingerbreadths between the crutch padding and the patient's axilla
D) Flexes elbows at approximately 20 degrees while walking with crutches

Question 7

1. Range-of-motion (ROM)exercises are _______ if the patient is able to perform the exercise independently and __________ if the exercises are performed for the patient by the caregiver.

Question 8

The nurse delegates helping the older patient ambulate with a walker without wheels to nursing assistive personnel (NAP).Which instructions should the nurse provide to the NAP?

A) Show the patient how to slide the walker a few steps ahead.
B) Check the patient for non-skid shoes before using the walker.
C) Be sure that the patient places all weight on the front of the walker.
D) Ensure that the patient is wearing soft slipper socks while walking.

Question 9

The nurse is instructing a patient with a right hip replacement to descend stairs by using axillary crutches.Which should the nurse include in patient teaching?

A) Use the handrail on the right side.
B) Shift the weight to the left leg to begin.
C) Keep crutches very close to the hips.
D) Place the left leg on the stair below first.

Question 10

The nurse instructs the patient,who has right-sided weakness,to use the cane during ambulation and assesses the patient's use of the cane.Which assessment should the nurse address before the patient ambulates with the cane?

A) The cane makes a tapping sound each time the patient touches it to the floor.
B) The patient holds the cane in the unaffected hand for support.
C) The patient holds the cane 10 to 15 cm (4 to 6 inches) to the side of the left foot.
D) The patient ambulated 4 times with the cane in physical therapy.

Question 11

The nurse is working on establishing a balance strategy training program (BSTP)for patients in a long-term care facility.Which of the following should she expect? (Select all that apply.)

A) The patients will have an increase in functional ability.
B) The fall rate will decrease.
C) The BSTP activities include tossing small bean bags.
D) The patients will have weekly sessions to practice activities.
E) The activities require a lot of work to integrate into the daily resident program.
F) Patients will become more independent.

Question 12

The healthcare provider prescribes partial weight bearing of the left leg for the postoperative patient.Which instruction should the nurse include in patient teaching?

A) Prevent the left leg from touching the floor at all times.
B) Rest the left leg gently on the floor to stand with crutches.
C) Distribute weight equally to each leg while crutch walking.
D) Step with the left leg first to ascend the stairway with crutches.

Question 13

The nurse is explaining to a nursing student the importance of making sure the patient is wearing his sequential compression devices (SCDs)when in bed.Which of the following statements indicates a good understanding of the purpose of SCDs by the student? (Select all that apply.)

A) SCDs mimic the natural act of walking.
B) SCDs pump blood into deep veins.
C) SCDs prevent venous stasis.
D) SCDs are used to prevent DVTs.

Question 14

The patient is currently learning how to use crutches so there is minimal weight on the affected leg.Which type of crutch-walking technique will the nurse be reinforcing?

A) Two-point gait
B) Three-point gait
C) Partial weight bearing
D) Swing-through gait

Question 15

The nurse is measuring vital signs when the patient,who is standing,complains of dizziness.What is the nurse's priority intervention?

A) Call for immediate assistance.
B) Help the patient to lie on the floor.
C) Help the patient to a seated position.
D) Inform the patient that the dizziness will pass.

Question 16

The nurse instructs the patient how to incorporate range-of-motion exercises into activities of daily living (ADLs).With which of the patient's joints can the nurse perform the most movements for the ADLs?

A) Hip
B) Shoulder
C) Ankle
D) Wrist

Question 17

The nurse teaches a patient who is alert and oriented to use a cane for left leg weakness.Which does the nurse include in patient teaching?

A) Use a firm grip to grasp the cane with the right hand.
B) Place the cane about 30.5 cm (12 inches) in front of the right leg.
C) Distribute weight evenly between the cane and the left leg.
D) Move the right leg forward first, the cane next, and left leg last.

Question 18

A patient's pulse has gone from 78 at rest to 98 after ambulating.What nursing action is indicated at this time?

A) Ask the healthcare provider to order a wheelchair for the patient.
B) Plan an adequate rest period before and after ambulating.
C) Sit the patient on the bed for 15 minutes before ambulating.
D) Increase the amount of range-of-motion exercises done daily.

Question 19

A patient is being moved into a dangling position before ambulating.To decrease the chance of orthostatic hypotension,what activity can the patient do?

A) Sit on the side of the bed for a minute before standing up.
B) Take several deep breaths while moving into the dangling position.
C) Push up from the bed into the dangling position on the side of the bed.
D) Stretch all of the muscles in the body.

Question 20

The nurse teaches the patient's caregiver how to respond if the patient begins to fall while ambulating.Which instruction does the nurse provide to minimize potential injury to the patient and the caregiver?

A) Get the nearest chair and put it behind the patient.
B) Ease the patient to the side to protect his or her head.
C) Straighten your leg and help the patient slide to the floor.
D) Hold onto the gait belt and pull the patient close to you.