ATI Mobility Quiz | with complete solution
ATI Mobility Quiz | with complete solution A nurse in a clinic is talking with a client who has a new diagnosis of osteoarthritis. The nurse should anticipate that the client will require teaching about which of the following medications? A. Acetaminophen B. Celecoxib C. Cyclobenzaprine D. Ibuprofen - A. Acetaminophen According to the American Pain Society, acetaminophen is the primary drug of choice for treating osteoarthritis. The provider would likely begin with this medication. A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening? A. Infant B. Toddler/Preschooler C. Pre-adolescent/adolescent D. Older Adult - C. Pre-adolescent/adolescent Scoliosis is a condition involving a lateral curvature to the spine. The nurse should include screening for scoliosis during the pre-adolescence/adolescence age group: for girls in grades 5 through 7 and for boys in grade 8 or 9. A nurse is developing a plan of care for a client who has a fracture to achieve the outcome of functional healing. To assist in meeting this goal, which of the following nursing interventions is the highest priority? A. Maintain immobilization and alignment. B. Provide optimal nutrition and hydration C. Promote independence in activities of daily living. D. Provide relief from pain and discomfort. - A. Maintain immobilization and alignment. Maintaining the prescribed immobilization and body alignment will keep the fracture fragments in close anatomical proximity, thereby promoting functional fracture healing. According to the safety and risk reduction priority setting framework, this goal should receive the highest priority. A nurse is teaching a client who is starting to take alendronate effervescent tablets to treat osteoporosis. Which of the following information should the nurse include? A. "Sit upright or stand for at least 30 minutes after taking this medication." B. "Take this medication with food." C. "Take this medication with orange juice." D. "Chew or suck on the tablet." - A. "Sit upright or stand for at least 30 minutes after taking this medication." The nurse should instruct the client to sit or stand for 30 minutes after administration of this medication to reduce prolonged contact of the medication with the esophageal mucosa that can cause esophagitis. A nurse is caring for a client who has a fractured right femur and is in balanced suspension traction. The client is reporting pain from muscle spasms. Which of the following actions should the nurse take first? A. Administer an opioid analgesic. B. Obtain a prescription to adjust the weight amount. C. Offer a muscle relaxant to the client. D. Realign the client's position. - D. Realign the client's position. The greatest risk to this client is injury form circulatory compromise and tissue damage; therefore, the first action the nurse should take is to realign the client's position. A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk factor for osteoporosis? A. Thyroid hormones B. Anticoagulants C. NSAIDs D. Cardiac glycosides - A. Thyroid hormones Long-term use of a synthetic thyroid hormone, such as levothyroxine, can accelerate bone loss. A nurse is teaching an older adult client who has an intracapsular fracture of the right hip following a fall about the purpose of Buck's extension traction. The nurse should include which of the following information in the teaching? A. Buck's extension traction will reduce the fracture. B. Buck's extension traction will relieve muscle spasms. C. Buck's extension traction will maintain alignment of the pins. D. Buck's extension traction will allow supported movement of the extremity. - B. Buck's extension traction will relieve muscle spasms. Buck's extension traction immobilizes the fractured bone to relieve associated muscle spasms and thereby relieve pain. Any movement of the fractured extremity will aggravate severe muscle spasm and trigger pain. A nurse is caring for a client who has a cast in place for a fractured tibia. Which of the following nursing actions is the priority immediately after the provider has applied the cast? A. Checking capillary refill distal to the cast B. Teaching the client about cast care C. Managing pain D. Performing range of motion - A. Checking capillary refill distal to the cast The priority action the nurse should take when using the airway, breathing, and circulation (ABC) approach to client care is to check capillary refill. Musculoskeletal injuries can cause changes in the neurovascular system, usually distal to the injury from the pressure of the cast. Capillary refill provides data about the client's circulation. A nurse is providing teaching to a client who has osteoporosis and a new prescription for alendronate. Which of the following adverse effects should the nurse instruct the client to report to the provider? Tinnitus Jaw pain Blurred vision Drowsiness Dysphagia - Jaw pain Blurred vision Dysphagia A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect? A. Symmetric joints affected B. Pain worsens with activity C. Weight loss D. Ulnar deviation - B. Pain worsens with activity The typical cycle of pain and relief in a client who has early osteoarthritis consists of pain with activity and pain relief with rest. As the disorder progresses, clients typically experience pain even while the joint is at rest. A nurse is providing discharge teaching to a client who has a fracture of the right tibia and a fiberglass cast. Which of the following instructions should the nurse include in the teaching? A. Use a blow dryer on a moderate heat setting to dry the cast after showering. B. Use a cotton swab to relieve itching under the cast. C. Report any worsening or unrelieved pain. D. Avoid moving the affected leg. - C. Report any worsening or unrelieved pain. Pain can be a sign of complications such as compartment syndrome or skin breakdown. The client should report it to the provider. A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs? A. The client complains of pain.
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