ATI Mobility and Immobility N100 Test 2 (Module 2) exam with 100% correct answers.

Immobility can be temporary such as.. Following knee arthroplasty Immobility can be permanent such as.. Paraplegia Immobility can have a sudden onset such as.. A fractured arm and leg following a motor-vehicle crash Immobility can have a slow onset such as.. Multiple sclerosis A nurse is caring for a client who has been sitting in a chair for 1 hour. Which of the following complications is the greatest risk to the client? A. Decreased subcutaneous fat. B. Muscle Atrophy C. Pressure ulcer D. Fecal impaction C. Pressure Ulcer A nurse is caring for a client who is postoperative. Which of the following interventions should the nurse take to reduce the risk of thrombus development? SELECT ALL THAT APPLY A. Instruct the patient not to perform the Valsalva maneuver. B. Apply elastic stockings. C. Review laboratory values for total protein level D. Place pillows under the client's knees and lower extremities. E. Assist the client to change positions often. B. Apply elastic stockings. E. Assist the client to change positions often. B. Promote venous return and prevent thrombus formation E. Frequent position changes prevents venous stasis A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement? A. Encourage the client to perform antiembolic exercise every 2 hr B. Instruct the client to cough and deep breathe every 4 hr C. Restrict the client's fluid intake D. Reposition the client every 4 hr. A. Encourage the client to perform antiembolic exercise every 2 hr. The nurse should encourage the client to perform antiembolic exercises every 1 to 2 hours to promote venous returned and reduced the risk of thrombus formation. A nurse is evaluating teaching on a client who has a new prescription for a sequintial compression device. Which of the following client statements should indicate to the nurse the client understands the teaching? A. " This device will keep me from getting sores on my skin." B. " This thing will keep the blood pumping through my leg." C. " With this thing on, my leg muscles won't get weak." D. "This device is going to keep my koints in good shape." B." This thing will keep the blood pumping through my leg." Sequential pressure devices promote venous return in the deep veins of the legs thus help prevent thrombus formation. A nurse is instructing a client, who has an injury of the left lower extremity, about the use of a cane. Which of the following instructions should the nurse include? SELECT ALL THAT APPLY A. Hold the cane on the right side. B. Keep two points of support on the floor. C. Place the cane 38 cm (15in) in front of the feet before advancing. D. After advancing the cane move the weaker leg forward. E. Advance the stronger leg so that it aligns evenly with the cane. A. Hold the cane on the right side. B. Keep two points of support on the floor. D. After advancing the cane move the weaker leg forward. Client should hold the cane on the uninjured side o provide support for the injured leg. The client should keep two points of support on the ground at all times for stability. The client should advance weaker leg first followed by the stronger leg.