NSG 312- Mobility
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following
findings should the nurse expect? Select all that Apply
A. Contractors of the extremities
B. Polyuria
C. Diarrhea
D. Crackles in the lungs
E. Pressure ulcers - ANS A. D. E.
A nurse is assessing a client who is 24 hour post operative following an open reduction and internal
fixation to repair a fracture of the femur. Which of the following assessment findings is an early
manifestation of acute compartment syndrome (ACS)
A. Dyspnea
B. red-brown petechia
C. Headache
D. Agitation - ANS A. Dyspnea - early manifestation of ACS that due to hypoxemia
A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission
and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the
client could be developing a serious complication?
A. increased respiratory rate of 18 to 44/min
B. increased oral temperature of 36.6 C to 37.7 C
C. increased blood pressure from 112/68 to 120/72
D. Increased heart rate from 68 to 72 - ANS A. Increased respiratory rate of 18 to 44
,A nurse is caring for a client who has returned from the surgical site following surgery for a fractured
mandible. The client had inter-maxillary fixation to repair and stabilize the fracture. Which of the
following actions is the priority for the nurse to take?
A. Prevent aspiration
B. Ensure adequate nutrition
C. Promote oral hygiene
D. Relieve the client's pain - ANS A. Prevent aspiration
A nurse is reviewing the laboratory findings for a client who developed fat embolism syndrome (FES)
following a fracture. Which of the following lab findings should the nurse expect?
A. decreased serum calcium levels
B. decreased level of serum lipids
C. decreased ESR
D. Increased platelet count - ANS A. decreased serum calcium levels
A nurse is caring for client who has impaired mobility. Which of the following support devices should the
nurse plan to use to prevent the client from developing plantar flexion contractors?
A. Trochanter roll
B. Sheepskin heel pad
C. Abduction pillow
D. Footboard - ANS C. Footboard- prevents foot drop
, A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture.
Which of the following findings requires immediate notification to the provider?
A. Moderate level of pain
B. Dependent edema distal to the cast
C. Inability to flex toes of the casted foot
D. Ecchymosis of the distal foot - ANS C. Inability to flex toes of the casted foot
A nurse is caring for a client whose right leg is in Buck's traction. Which of the following interventions
should the nurse implement to promote the client's mobility?
A. Log rolling every 2 hours
B. Isometric exercises of both legs
C. Active range-of-motion exercises of the left leg
D. Passive range of motion to the right leg - ANS C. Active range-of-motion exercises of the left leg
A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur.
Which of the following interventions should the nurse include in the plan?
A. Instruct the client to flex and extend the ankle twice daily
B. Monitor the client's pedal pulses every hour
C. Remove the weights every four hours
D. Evaluate pressure points daily - ANS B. Monitor the client's pedal pulses every hour
A nurse is caring for a client who has a fractured tibia as a result of a fall. The client x-ray shows that the
bone is splinted into several pieces around the shaft. The nurse should identify that the client has which
of the following types of fractures?
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following
findings should the nurse expect? Select all that Apply
A. Contractors of the extremities
B. Polyuria
C. Diarrhea
D. Crackles in the lungs
E. Pressure ulcers - ANS A. D. E.
A nurse is assessing a client who is 24 hour post operative following an open reduction and internal
fixation to repair a fracture of the femur. Which of the following assessment findings is an early
manifestation of acute compartment syndrome (ACS)
A. Dyspnea
B. red-brown petechia
C. Headache
D. Agitation - ANS A. Dyspnea - early manifestation of ACS that due to hypoxemia
A nurse is assessing a client who has a fracture of the femur. The nurse obtains vital signs on admission
and again in 2 hours. Which of the following changes in assessment should indicate to the nurse that the
client could be developing a serious complication?
A. increased respiratory rate of 18 to 44/min
B. increased oral temperature of 36.6 C to 37.7 C
C. increased blood pressure from 112/68 to 120/72
D. Increased heart rate from 68 to 72 - ANS A. Increased respiratory rate of 18 to 44
,A nurse is caring for a client who has returned from the surgical site following surgery for a fractured
mandible. The client had inter-maxillary fixation to repair and stabilize the fracture. Which of the
following actions is the priority for the nurse to take?
A. Prevent aspiration
B. Ensure adequate nutrition
C. Promote oral hygiene
D. Relieve the client's pain - ANS A. Prevent aspiration
A nurse is reviewing the laboratory findings for a client who developed fat embolism syndrome (FES)
following a fracture. Which of the following lab findings should the nurse expect?
A. decreased serum calcium levels
B. decreased level of serum lipids
C. decreased ESR
D. Increased platelet count - ANS A. decreased serum calcium levels
A nurse is caring for client who has impaired mobility. Which of the following support devices should the
nurse plan to use to prevent the client from developing plantar flexion contractors?
A. Trochanter roll
B. Sheepskin heel pad
C. Abduction pillow
D. Footboard - ANS C. Footboard- prevents foot drop
, A nurse is caring for a client who has a new short-leg cast on his lower leg to treat an ankle fracture.
Which of the following findings requires immediate notification to the provider?
A. Moderate level of pain
B. Dependent edema distal to the cast
C. Inability to flex toes of the casted foot
D. Ecchymosis of the distal foot - ANS C. Inability to flex toes of the casted foot
A nurse is caring for a client whose right leg is in Buck's traction. Which of the following interventions
should the nurse implement to promote the client's mobility?
A. Log rolling every 2 hours
B. Isometric exercises of both legs
C. Active range-of-motion exercises of the left leg
D. Passive range of motion to the right leg - ANS C. Active range-of-motion exercises of the left leg
A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur.
Which of the following interventions should the nurse include in the plan?
A. Instruct the client to flex and extend the ankle twice daily
B. Monitor the client's pedal pulses every hour
C. Remove the weights every four hours
D. Evaluate pressure points daily - ANS B. Monitor the client's pedal pulses every hour
A nurse is caring for a client who has a fractured tibia as a result of a fall. The client x-ray shows that the
bone is splinted into several pieces around the shaft. The nurse should identify that the client has which
of the following types of fractures?
