Chapter 36 Mobility

Chapter 36  Mobility

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is assessing a client who has been on bed rest for several weeks. Which of the following might have occurred in this client as a result of prolonged immobility?
a.
Bone demineralization
c.
Increased respiratory excursion
b.
Decreased cardiac workload
d.
Increased peristalsis

ANS: A
Bed rest or immobility has a negative effect on the bone structure and can cause bone demineralization. Exercise improves cardiac workload, respiratory excursion, and increases peristalsis.

PTS: 1 DIF: Analysis REF: Physical Fitness: Fitness in Older Adults

2. The home care nurse is assessing a client’s home environment. Which of the following would be a safety hazard for the client with difficulty in mobility?
a.
Wall-to-wall carpet in the bedroom
c.
Scatter rugs on the kitchen floor
b.
Curio cabinet filled with mementos
d.
Night-lights in the hall and bathroom

ANS: C
For a client with difficulty with mobility, the client should be instructed to remove scatter rugs on the kitchen floor. The other items in the client’s home would not be considered hazards to mobility.

PTS: 1 DIF: Analysis
REF: Client Teaching Checklist: Promoting Safety at Home

3. The nurse is preparing to assess the musculoskeletal status of a client. Which of the following should the nurse include when conducting this assessment?
a.
Examine nonaffected body parts before examining affected ones.
b.
Stretch all joints to their maximum limit.
c.
Keep the room cool.
d.
Coach the client to deep breathe during the assessment of painful body areas.

ANS: A
When assessing the musculoskeletal status of a client, the nurse should examine nonaffected body parts before examining affected ones. The nurse should not stretch a joint to its maximum limit. The room should be kept warm and comfortable and not cool. The nurse should stop the assessment if the client expresses pain and not coach the client to deep breathe during the assessment of painful body areas.

PTS: 1 DIF: Application
REF: Nursing Process Highlight: Assessment Assessing Musculoskeletal Status

4. While conducting passive range-of-motion exercises with a client, the nurse should do all of the following, EXCEPT:
a.
start at the foot of the body and move to the head.
b.
rotate the head 1/4 turn from side to side and then flexed and extended.
c.
flex, extend, adduct, and abduct the arms.
d.
avoid exercises on a joint if the client complains of discomfort.

ANS: A
When conducting passive range-of-motion exercises with a client, the nurse should begin at the head and perform exercises down each side of the body. The other choices are correct and should be done by the nurse.

PTS: 1 DIF: Application
REF: Procedure 36-2 Administering Passive Range-of-Motion (ROM) Exercises

5. While lifting a heavy object, which of the following should the nurse avoid doing?
a.
Keep the feet apart.
c.
Jerk the object by twisting the torso.
b.
Bend at the knees.
d.
Lift with the leg muscles.

ANS: C
The nurse should practice good body mechanics when lifting heavy objects. These mechanics include keeping the feet apart, bending at the knees, and lifting with the leg muscles. The nurse should not jerk the object or twist at the torso.

PTS: 1 DIF: Application
REF: Procedure 36-1 Body Mechanics, Lifting, and Transferring