NURS 252 FINAL Exam
Mobility and Immobility (often titled Activity,
Exercise, and Body Mechanics)
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Mobility and Immobility (often titled Activity, Exercise, and Body Mechanics).
NURS 252 FINAL Exam
1. Which patient is most at risk of developing permanently impaired mobility?
A 72-year-old woman hospitalized for anemia associated with diabetic
nephropathy (kidney disease)
A 55-year-old woman with mental illness who had become malnourished
An 11-year-old boy who sustained a fractured pelvis during a fall from his tree
house
A 79-year-old man recovering from surgery to release a contracture of the
connective tissue in his hand
a 72 year old woman hospitalized for anaemia
2. The nurse is performing passive shoulder and elbow exercises for a patient
who is recovering from surgery to remove a soft-tissue tumor in her upper
arm. Why does the nurse cup one hand around the patient's elbow and
support the forearm and wrist during the ROM exercises?
To keep the arm above the level of the heart
To assess the patient's muscle tension
To listen for crepitus in the joint
To ensure stability while exercising the joint
to ensure stability while exercising the joint
3. The nurse notes that a patient's left elbow is resistant to extention and
flexion while performing range of motion exercises. What is the appropriate
nursing action?
Move joint through full range of motion exercises.
Perform range of motion to the left elbow until resistance is met.
Omit all range of motion exercises until the health care provider is notified.
Inform the health care provider that the patient is uncooperative with
exercising.
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perform range of motion to the left
4. Which of the following are basic guidelines when assisting a patient with
passive range of motion?
Exercises should be continued until the point of fatigue and pain.
Exercises should be done frequently to lessen pain for the patient.
Each joint is exercised to the point of resistance but not pain.
Exercises should be performed without the support to each joint.
each joint is exercised
5. Why would the nurse ask a physical therapist to perform passive ROM
exercises for a patient with lower extremity injuries sustained in a motor
vehicle crash?
The patient is an older adult or has a chronic condition.
The patient is reluctant to perform the exercises because he is worried about
reinjury.
The patient has orthopedic trauma.
The patient has pain exacerbated by exercise.
the patient has orthopaedic trauma
1. When preparing to apply elastic stockings, why does the nurse assess for
skin discoloration?
To identify the potential risk for deep vein thrombosis (DVT)
To identify improper patient positioning
To select the proper stocking size
To determine whether a sequential compression device is needed
to identify the potential
2. Which condition is not associated with venous stasis, part of Virchow's
triad?
Pregnancy
Obesity
Anxiety
Immobility
anxiety
3. Why does the nurse remove the patient's elastic stockings at least once per
shift?
To permit the skin to breathe.
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To wash the legs with a disposable bath product.
To air out the stockings and allow sweat to evaporate.
To check the skin for irritation or breakdown.
to check the skin
4. Why might the nurse choose not to apply a pair of prescribed elastic
stockings to a patient's legs?
The patient will have a scheduled bath in a few hours.
The patient says they are too tight.
The patient's skin is irritated.
The patient has become fully ambulatory.
the patients skin is irritated
5. After determining the proper size stocking and assessing the patient's
circulatory status, a nurse delegates the application of elastic stockings to
nursing assistive personnel (NAP). The nurse discovers that the NAP has been
using moisturizer on the patient's legs before applying the stockings. What is
the best action by the nurse?
Explain that moisturizer may cause excessive skin softening, which can lead
to skin breakdown.
Instruct NAP to use a small amount of cornstarch or powder.
Ask the patient if she is allergic to the moisturizer.
Inspect the patient's skin for color variations.
instruct NAP to use a small amount
1. The nurse is helping a patient with hemiparesis take a few steps. A gait belt
has been applied. The patient is using a cane. Where should the nurse stand in
relation to the patient?
On the patient's strong side
On the patient's weak side
Behind the patient
In front of the patient
on the patients weak side
2. The nurse is preparing to initiate ambulation with a patient who is
recovering from a stroke. What information will help the nurse determine how
far to walk?
Ask the patient how far she would like to go.