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A nurse is evaluating a client who has a broken leg and is using crutches. Which of
the following actions by the client demonstrates proper use of the crutches?
A. The hand grips of the crutches are at the level of the client's umbilicus.
B. The client's elbows are bent 45° when holding the crutches.
C. The client places their weight on their axilla when using the crutches.
D. The client has the crutches resting 5 cm (2 in) below their axilla. - 🧠ANSWER
✔✔D. The client has the crutches resting 5 cm (2 in) below their axilla.
The nurse should identify that the client is using the crutches properly when they
rest the crutches 5 cm (2 in) below their axilla.
,A nurse is assisting with preparing a presentation about muscle function for a
group of newly licensed nurses. Which of the following information should the
nurse plan to include?
A. Muscles store calcium and magnesium.
B. Muscles produce red blood cells and platelets.
C. Muscles assist with thermoregulation in the body.
D. Muscles provide protection of internal organs. - 🧠ANSWER ✔✔C. Muscles
assist with thermoregulation in the body.
Contracting muscles generate heat that assists in maintaining body temperature.
Shivering is an example of the muscles working to produce heat.
A nurse is assisting with completing the Mobility Assessment Tool (MAT) for a
client and determines that the client is at Level 1 Mobility. The nurse should
identify that the client is unable to perform which of the following tasks?
A. Walk in place.
B. Stand in place for 5 seconds.
C. Sit on the edge of the bed for 1 min.
, D. Step forward and backward. - 🧠ANSWER ✔✔C. Sit on the edge of the bed for
1 min.
The nurse should identify that the client who is at Level 1 Mobility of the MAT
requires maximum assistance. The client should be able to sit on the edge of the
bed for 2 min and extend their arms across their chest to shake hands with the
nurse before advancing to the next level. If the client is unable to complete both
tasks, they remain at Level 1 Mobility of the MAT.
A nurse in a long-term care facility is caring for an older adult client and notes
their muscles have become smaller and weaker. Which of the following should the
nurse suspect the client is experiencing?
A. Sarcopenia
B. Disuse osteoporosis
C. Atrophy
D. Joint contracture - 🧠ANSWER ✔✔C. Atrophy
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