STUVIA 2024/2025
RN alterations in Mobility Assessment
A nurse is caring for a client who has a wrist fracture.
Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture.
Tremors - unrelated
Grip strength - unexpected
Movement - unexpected
capillary refill - unexpected
skin temperature - unexpected
oral temperature - unrelated
Color of the right fingers - unexpected
A nurse is caring for a client on the orthopedic floor.
The nurse suspects the client has a fat embolism. Which findings are manifestations of fat embolism?
Select all that apply
Temperature 99.8
Respiratory rate 30/m
Oxygen saturation 88%
%
Gasping for air
A nurse is caring for a client who is postoperative following a laminectomy.
Head of bead elevated at 60
Distended bladder
Lumber dressing wet with clear drainage
A client presents to the clinic reporting tightness in their cast.
Complete the following sentence by using the lists of options.
Cast tightness
pain
A nurse is reviewing the medical record of a client who reports a new onset of back pain. Which of the
following findings should the nurse identify as an increased risk for low back pain
Works in construction
A client who has been living with chronic backpain verbalizes a fear of returning to normal exercise.
which of the following responses should the nurse give?
I know it is scary. Let's review the steps on how to be safe while exercising.
A client who has a chronic kidney disease is admitted to the emergency department with a stress
fracture. Chronic kidney disease is a possible comorbidity with which mobility disorder?
Osteoporosis
stuvia
RN alterations in Mobility Assessment.pdf RN alterations in Mobility Assessment.pdf RN alterations in Mobility Assessment.pdf
, RN alterations in Mobility Assessment.pdf RN alterations in Mobility Assessment.pdf RN alterations in Mobility Assessment.pdf
STUVIA 2024/2025
A nurse is working in a rehabilitation unit caring for a group of clients with complications of immobility.
Which of the following factors contribute to alterations in physical mobility? (Select all that apply.)
Low confidence
Medical devices that restrict movement
Fear of burdening staff
Loss of dignity
A client is admitted to the emergency department after and injury on the football field. Which method
will be used to diagnose the client with a soft-tissue injury?
Standard X-ray and bedside stress examination
A nurse is caring for a client who has been immobile for several days following a musculoskeletal
injury. The client is refusing to get out of bed. Which of the following actions should the nurse
take?Select all that apply.
Be consistent and offer mobilization every day.
Assess mobility needs.
Assist the client with mobilizing.
Remove any restrictions from the environment.
A nurse is reviewing bone structure with a group of clients. Which bones change with maturation to
%
differentiate assigned sex.
Pelvic bones
A nurse is caring for a group of clients who have movement disorders and overhears another nurse
say, :These people are just lazy. They want to be supported by the government and not have to
work." Which is the correct response for the nurse to make?
"These clients did not choose this, and many face financial burdens that impact their quality of life
because of their disorder."
A nurse is administering medications to a client who has a recent lower limb amputation. The client
asks why they are prescribed gabapentin. Which of the following responses should the nurse give?
"Gabapentin alleviates the pain caused by the nerve endings that remain."
A nurse is working with a client scheduled for a below-the-knee amputation. The client expresses fear
of what life will be like after the surgery. Which of the following actions should the nurse take?
Encourage the client to meet with another amputee before surgery.
A nurse is caring for a client who has a second-degree sprain. Which is the best description of a
second degree sprain injury?
The strain has caused a tearing of most of the muscle fibers.
A nurse is presenting a class on injury prevention to a group of clients. Which of the following are the
best ways to prevent soft-tissue injuries? (Select all that apply.)
Drink plenty of water while exercising.
stuvia
RN alterations in Mobility Assessment.pdf RN alterations in Mobility Assessment.pdf RN alterations in Mobility Assessment.pdf