Chapter 16 Moving and Positioning Patients

Chapter 16  Moving and Positioning Patients

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. A nurse is caring for a patient who has been on prolonged bedrest and is now experiencing shortening and tightening of the muscles due to disuse. The nurse documents this finding as
A.
Footdrop.
B.
Contractures.
C.
Osteoporosis.
D.
Thromboembolism.

____ 2. When educating a class of student nurses, the nursing instructor teaches about the importance of not allowing the toes to fall toward the foot of the bed when caring for a patient who is bedridden. The nursing instructor states this can cause proper flexion of the ankle to be lost and permanent plantar flexion of the foot to develop, which is a condition known as
A.
Footdrop.
B.
Contractures.
C.
Osteoporosis.
D.
Thromboembolism.

____ 3. The nurse recognizes that a condition that occurs due to a loss of bone minerals, which leads to an increased risk of skeletal fractures, is known as
A.
Footdrop.
B.
Contractures.
C.
Osteoporosis.
D.
Thromboembolism.

____ 4. When caring for a patient who is confined to bed, the nurse recognizes that the patient is at increased risk for the formation of a blood clot, which is known as
A.
Footdrop.
B.
Contractures.
C.
Osteoporosis.
D.
Thromboembolism.

____ 5. The nurse educates a patient about how to avoid developing osteoporosis. The nurse recognizes that additional instruction is warranted when the patient states,
A.
“I will consume dairy products.”
B.
“I will remain in bed when I am sick.”
C.
“I will exercise several times a week.”
D.
“I will take a daily calcium supplement.”

Chapter 16. Moving and Positioning Patients
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
If the toes are allowed to fall toward the foot of the bed, the proper flexion of the ankle is lost and permanent plantar flexion of the foot develops, a condition known as footdrop.
B
Contractures, or shortening and tightening of the muscles, is due to disuse. Chapter Objective: Define key terms associated with moving and positioning patients.
C
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures.
D
When a patient is confined to bed, he or she may develop a venous thromboembolism (VTE), or the formation of a blood clot, that may dislodge and travel through the vein. One type of VTE is called deep vein thrombosis, which is a clot that develops in the deep veins of the legs.

PTS: 1 REF: Chapter: 16 | Page: 313 OBJ: Chapter Objective: 16-1
KEY: Content Area: Adult Health/Musculoskeletal | Integrated Process: Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

2. ANS: A

Feedback
A
If the toes are allowed to fall toward the foot of the bed, the proper flexion of the ankle is lost and permanent plantar flexion of the foot develops, a condition known as footdrop. Chapter Objective: Define key terms associated with moving and positioning patients.
B
Contractures, or shortening and tightening of the muscles, is due to disuse.
C
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures.
D
When a patient is confined to bed, he or she may develop a venous thromboembolism (VTE), or the formation of a blood clot, that may dislodge and travel through the vein. One type of VTE is called deep vein thrombosis, which is a clot that develops in the deep veins of the legs.

PTS: 1 REF: Chapter: 16 | Page: 314 OBJ: Chapter Objective: 16-1
KEY: Content Area: Adult Health/Musculoskeletal | Integrated Process: Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

3. ANS: C

Feedback
A
If the toes are allowed to fall toward the foot of the bed, the proper flexion of the ankle is lost and permanent plantar flexion of the foot develops, a condition known as footdrop.
B
Contractures, or shortening and tightening of the muscles, is due to disuse.
C
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures. Chapter Objective: Describe the effects of immobility on seven body systems.
D
When a patient is confined to bed, he or she may develop a venous thromboembolism (VTE), or the formation of a blood clot, that may dislodge and travel through the vein. One type of VTE is called deep vein thrombosis, which is a clot that develops in the deep veins of the legs.

PTS: 1 REF: Chapter: 16 | Page: 312 OBJ: Chapter Objective: 16-2
KEY: Content Area: Adult Health/Musculoskeletal | Integrated Process: Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

4. ANS: D

Feedback
A
If the toes are allowed to fall toward the foot of the bed, the proper flexion of the ankle is lost and permanent plantar flexion of the foot develops, a condition known as footdrop.
B
Contractures, or shortening and tightening of the muscles, is due to disuse.
C
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures.
D
When a patient is confined to bed, he or she may develop a venous thromboembolism (VTE), or the formation of a blood clot, that may dislodge and travel through the vein. One type of VTE is called deep vein thrombosis, which is a clot that develops in the deep veins of the legs. Chapter Objective: Describe the effects of immobility on seven body systems.

PTS: 1 REF: Chapter: 16 | Page: 314 OBJ: Chapter Objective: 16-2
KEY: Content Area: Adult Health/Musculoskeletal | Integrated Process: Documentation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

5. ANS: B

Feedback
A
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures. Immobility increases the risk of osteoporosis because a lack of activity and weight bearing results in loss of calcium from the bones. This bone demineralization can begin as early as 2 to 3 days from the onset of immobility. The calcium leaves the bones and enters the bloodstream, placing the patient at an increased risk for kidney stones as the excess calcium in the blood must then be filtered out by the kidneys.
B
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures. Immobility increases the risk of osteoporosis because a lack of activity and weight bearing results in loss of calcium from the bones. This bone demineralization can begin as early as 2 to 3 days from the onset of immobility. Chapter Objective: Enumerate nursing measures to prevent complications of immobility for these body systems.
C
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures. Immobility increases the risk of osteoporosis because a lack of activity and weight bearing results in loss of calcium from the bones. This bone demineralization can begin as early as 2 to 3 days from the onset of immobility.
D
Osteoporosis is a condition that occurs due to loss of bone minerals; it leads to an increased risk of skeletal fractures. Immobility increases the risk of osteoporosis because a lack of activity and weight bearing results in loss of calcium from the bones. This bone demineralization can begin as early as 2 to 3 days from the onset of immobility. The calcium leaves the bones and enters the bloodstream, placing the patient at an increased risk for kidney stones as the excess calcium in the blood must then be filtered out by the kidneys.

PTS: 1 REF: Chapter: 16 | Page: 312 OBJ: Chapter Objective: 16-3
KEY: Content Area: Adult Health/Musculoskeletal | Integrated Process: Teaching and Learning | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis