Mobility Exam Questions Verified Marking Scheme Current Update

Mobility Exam Questions Verified Marking Scheme Current Update A client has a functional transaction of the spinal cord at C7-8, resulting in spinal shock. Which clinical indicators does the nurse expect to identify when assessing the client immediately after the injury? Select all that apply - Answers - flaccid paralysis Lack of reflexes below the injury Which statement by a client with multiple sclerosis indicates to the nurse that the client needs further teaching? - Answers - I will take a hot bath to help relax my muscles. Considerations when caring for a client with a total hip replacement should include which of the following? Select all that apply. - Answers - Pain control should include regularly scheduled analgesics and may necessitate use of as needed medications as well Frequent neurovascular assessment should be done distal to the surgical site and compared with the unaffected side. When turning, client should be log rolled to prevent leg from falling forward or backward. The practitioner prescribes no weight-bearing on a leg that has been casted because of a fracture of the femur. How should the nurse determine the appropriate length of the crutches for this child? Select all that apply - Answers - The crutches should reach 2 inches below the maxillae. The tips of the crutches should rest 6 inches outside the feet. A client has a shoulder immobilizer after surgical repair of a fractured humerus. What should be included in the nurse's instruction to the client about the appropriate use of the immobilizer? - Answers - Release the wristband to exercise the forearm and hand routinely. A client who has an above-the-knee amputation is fitted with a prosthesis. The nurse evaluates the client's response to the prosthesis. Which indicates that the prosthesis fits the residual limb correctly? - Answers - Darkened skin areas surrounding the end of the residual limb A client is admitted to the ambulatory care unit for a muscle biopsy. In preparation for discharge, what should the nurse teach the client to do? - Answers - Resume the usual diet as soon as desired. A client has a below-the-knee amputation and asks why the prosthesis is applied immediately after surgery. The nurse informs the client that the primary reason is to: - Answers - Encourage a normal walking pattern A client with cholelithiasis has a laser laparoscopic cholecystectomy. Postoperatively it is most appropriate for the nurse to: - Answers - Ambulate the client when the client is alert and oriented A woman who has severe rheumatoid arthritis becomes depressed and is admitted to the psychiatric unit. The nurse begins to work with her in one-on-one sessions to help her cope with her depressive episode. The best long-term goal for this client is that she will: - Answers - Decrease negative thinking about herself, others, and life. A client, admitted to the hospital with a fractured hip, is scheduled for surgery for a total hip replacement. In which position should the nurse place the client's affected limb after surgery? - Answers - Abduction and extension A client is brought to the emergency department triage by private car with an obvious compound fracture of the right lower leg. What is the initial assessment the triage nurse needs to perform? - Answers - Distal pulses right leg Nursing care of a client with a fractured hip should include the assessment of pedal pulses. The nurse should assess for which important characteristics of the pedal pulses - Answers - Amplitude and symmetry A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that the rationale for a high-protein diet is to: - Answers - A high-protein diet is recommended for a client recovering from a fracture. The nurse recalls that the rationale for a high-protein diet is to: A nurse teaches self-care to a client who had a cast applied for a fracture of the right ulna and radius. The nurse instructs the client to notify the primary health care provider immediately if the client experiences: - Answers - Increasing pain at the injury site A client who had an open reduction and internal fixation of a fractured ankle is being discharged. Which behavior indicates the need for further instruction about the use of crutches? - Answers - Leaning axillae on the crutches to support the body's weight After an above-the-knee amputation of a right leg, a client reports pain in the right foot. The nurse should inform the client that phantom limb pain is the result of: - Answers - Nerve endings in the limb that are still intact and react to stimuli. A nurse is assessing an infant with talipes equinovarus (clubfoot) who has had a corrective boot cast applied. Which peripheral vascular assessment cannot be performed while the cast is in place? - Answers - Pulse A nurse is caring for a client who had a total hip replacement. What nursing action should be incorporated into the plan of care to prevent thrombus formation? - Answers - Encouraging the client to perform ankle exercises. A client sustains a fractured right femur after an automobile accident and is admitted to the hospital's emergency department. How will the nurse assess this client for signs of circulatory impairment? - Answers - Take the client's pedal pulse in the affected extremity. An infant has developmental dysplasia of the hip. What clinical finding should the nurse expect to note during an assessment? - Answers - Apparent shortening of one leg A nurse is administering gold salts to a client with the diagnosis of rheumatoid arthritis. For which adverse effect of this drug should the client be monitored? - Answers - Kidney damage The nurse is caring for a client four hours after the client's hip replacement surgery. When assisting the client out of bed, the nurse should: - Answers - Advise the client that the legs must continually be kept wide apart