Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is assessing a client’s mobility. Which finding indicates a risk for impaired mobility?
A. Clear lung sounds
✔✔B. Decreased muscle strength
C. Regular heart rate
D. Smooth gait
When helping a client ambulate with a cane, where should the nurse stand?
✔✔A. On the client's weak side and slightly behind
B. Directly in front of the client
C. On the client’s strong side and ahead
D. Behind the client on the strong side
Which intervention helps prevent foot drop in a client with limited mobility?
A. Applying compression socks
B. Encouraging fluid intake
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,✔✔C. Using foot support or a footboard
D. Providing pain medication
Which of the following best promotes venous return in a client on bed rest?
✔✔A. Range-of-motion exercises
B. Increasing protein in the diet
C. Encouraging fluid restrictions
D. Limiting movement
What is the priority assessment before ambulating a post-operative client for the first time?
✔✔A. Assess for dizziness or orthostatic hypotension
B. Check the client’s dressing
C. Record urine output
D. Measure heart rate
What assistive device is most appropriate for a client with right-sided weakness?
A. Walker used on the right side
✔✔B. Cane used on the left side
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, C. Wheelchair used only during transfers
D. Crutches used on both sides
A nurse is teaching a client how to use crutches. What instruction is correct?
✔✔A. Keep elbows slightly bent when holding the hand grips
B. Place crutches 6 inches behind the feet
C. Use both crutches on the same side when walking
D. Lean forward heavily on the crutches
Which client should the nurse assess first after receiving the shift report?
A. A client ambulating with a walker
✔✔B. A client who reports feeling dizzy while standing
C. A client who requests to use the restroom
D. A client lying in bed with side rails up
What is a common complication of immobility in the elderly?
A. Increased reflexes
✔✔B. Muscle atrophy
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