NU272 Mobility Review Questions and Correct Answers

NU272 Mobility Review Questions and Correct A nswers After undergoing surgery the previous day for a total knee replacement, a client states, "I am not ready to ambulate yet." What should the nurse do? Discuss the complications that the client may experience if there is lack of cooperation with the care plan. Tell the client that this noncompliance will be reported to the health care provider. Document the client's refusal to ambulate. Do nothing because the client has the ultimate right to determine the degree of participation. ✅Discuss the complications that the client may experience if there is lack of cooperation with the care plan. Explanation: The nurse should discuss the care plan and its rationale with the client. Calling the health care provider to report the client's noncompliance won't alter the client's degree of participation and shouldn't be used to force the client to comply. Doing noth ing isn't acceptable. Although the client does have the right to make choices, it's the nurse's responsibility to provide education to help the client make informed decisions. Although the nurse should ultimately document the client's refusal, the nurse sh ould first discuss the care plan with the client. Which is the most commonly seen adverse side effect of typical antipsychotics? Auditory and visual hallucinations Accidental overdosage as a result of the narrow therapeutic range Extrapyramidal symptoms and tardive dyskinesia Serotonin syndrome ✅Extrapyramidal symptoms and tardive dyskinesia Explanation: The greatest hazard of typical antipsychotics involves adverse effects, such as extrapyramidal symptoms (EPSs) and tardive dyskinesia. Risk of EPSs and other movement disorders is highest for clients who use older, high -potency neuroleptics, such as halope ridol or perphenazine, for long periods. Which intervention would be least effective in caring for a woman who is in the transition phase of labor? encouraging the woman to ambulate providing one -to-one support urging her to focus on one contraction at a time having the client breathe with contractions ✅encouraging the woman to ambulate Explanation: Although ambulating is beneficial during early and possibly even active labor, the strong and frequent contractions experienced and the urge to bear down may make ambulating quite difficult. During transition, women should continue to breathe with contractions and focus on one contraction at a time. Providing one -to-one support at this time helps the woman cope with the events of this phase, as well as help her main tain a sense of control over the situation. A client presents with sudden onset of deep, localized pain and swelling in the proximal femur while undergoing diagnostic workup for suspected lung cancer. The nurse suspects the client may have developed which type of neoplasm of the skeletal system? Osteosarcoma Osteochondroma Enchondroma Exostosis ✅Osteosarcoma Explanation: Osteosarcoma is an aggressive and highly malignant bone tumor that normally requires surgery and chemotherapy. Exostosis and osteochondroma are synonymous terms for types of benign neoplasms that often require no treatment. Enchondroma is also benign and m ay self -resolve. The family of an older adult client is concerned about injuries from falls. The nurse providing discharge teaching would best minimize this risk by encouraging the family to perform which intervention? Cover the kitchen's tiled floor with several scatter rugs. Keep walkways free of clutter since alteration in vision happens with aging. Discourage the client from wearing rubber -soled shoes. Place exposed extension cords under decorative carpet runners. ✅Keep walkways free of clutter since alteration in vision happens with aging. Explanation: Older adults are at risk for falls related to environmental hazards, such as scatter rugs, loose or loosely covered cords, and cluttered walkways. The use of rubber -soled shoes is appropriate. Other fall prevention in older adults focuses on strength/balan ce exercises and vitamin D supplements to improve bone health. What information should be included in the teaching plan of care for the parents of a child diagnosed with Tay -Sachs disease? The disorder involves tissue hyperplasia. Symptoms are often noted at birth. The primary organ affected is the heart. The disorder involves accumulation of abnormal lipids. ✅The disorder involves accumulation of abnormal lipids. Explanation: In Tay -Sachs disease, a genetic disorder, abnormal lipids accumulate in the brain and other tissues, causing motor and mental deterioration beginning at approximately 6 months of age, followed by death at 2 to 5 years of age.