HESI CASE STUDY - MOBILITY
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
, The client states the pain level in his right foot is 8 on a scale of 1 to 10. He says he has been favoring his
foot by staying in bed the past week.
Client was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed for moderate to
severe pain. Morphine is available in parenteral dose of 2mg/mL. How much medication should the
nurse draw up for administration? (Patient weighs 140 lbs on admission). (Enter the numerical value
only. If rounding is necessary, round to the nearest tenth.)
mL - Answer: Answer: 1.6 mL
2.2 lbs in a kilogram
140lbs /2.2kg = 63kg
63kg x 0.05 mg = 3.15 mg
3.15mg /2 mL = 1.575 mL rounded to nearest tenth = 1.6m
Before giving the initial dose of pain medication or antibiotic, which action should the nurse take first? -
Answer: Ask the client if he is aware of any allergies to medications.
When the client's foot pain is controlled, which nursing diagnosis should take priority ? - Answer:
Impaired physical mobility.
Which goal is correct for the client's diagnosis of impaired physical mobility? - Answer: The client will sit
in the chair for each meal beginning on the day of admission.
The client is reluctant to move in the bed or move to the chair. He likes his wife to place a pillow under
his knee. The nurse informs the client and his wife that the primary care physcian (PCP) has ordered
enoxaparin injections and antiembolic stockings. The nurse then performs a physical assessment, which
reveals diminished dorsalis pedis pulses bilaterally.
Which instructions should the nurse convey to help prevent venous thromboembolism (VTE) in the
client's legs? (Select all that apply. One, some, or all options may be correct.) - Answer: Teach the client
to dorsal flex and plantar flex his feet while in the bed and chair.
Instruct the client to wear sequential compression stockings.
Explain that enoxaparin injections will be administered routinely.
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
, The client states the pain level in his right foot is 8 on a scale of 1 to 10. He says he has been favoring his
foot by staying in bed the past week.
Client was prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed for moderate to
severe pain. Morphine is available in parenteral dose of 2mg/mL. How much medication should the
nurse draw up for administration? (Patient weighs 140 lbs on admission). (Enter the numerical value
only. If rounding is necessary, round to the nearest tenth.)
mL - Answer: Answer: 1.6 mL
2.2 lbs in a kilogram
140lbs /2.2kg = 63kg
63kg x 0.05 mg = 3.15 mg
3.15mg /2 mL = 1.575 mL rounded to nearest tenth = 1.6m
Before giving the initial dose of pain medication or antibiotic, which action should the nurse take first? -
Answer: Ask the client if he is aware of any allergies to medications.
When the client's foot pain is controlled, which nursing diagnosis should take priority ? - Answer:
Impaired physical mobility.
Which goal is correct for the client's diagnosis of impaired physical mobility? - Answer: The client will sit
in the chair for each meal beginning on the day of admission.
The client is reluctant to move in the bed or move to the chair. He likes his wife to place a pillow under
his knee. The nurse informs the client and his wife that the primary care physcian (PCP) has ordered
enoxaparin injections and antiembolic stockings. The nurse then performs a physical assessment, which
reveals diminished dorsalis pedis pulses bilaterally.
Which instructions should the nurse convey to help prevent venous thromboembolism (VTE) in the
client's legs? (Select all that apply. One, some, or all options may be correct.) - Answer: Teach the client
to dorsal flex and plantar flex his feet while in the bed and chair.
Instruct the client to wear sequential compression stockings.
Explain that enoxaparin injections will be administered routinely.
