Quiz
Mobility
Questions in this quiz (58)
1What term would the nurse use to identify the strong, flexible, inelastic fibrous bands and flattened sheets of connective tissue that attach muscle to bone?
- ATendons
- BLigaments
- CCartilage
- DJoints
2Why are mechanical aids necessary for patient handling and movement?
- ANurses do not have sufficient training using proper body mechanics to be safe.
- BManual lifting techniques are not sufficient to protect nurses from injury.
- CThey reduce the time and number of staff needed to move the patient.
- DNurses are not as physically fit as they should be.
- ANurses do not have sufficient training using proper body mechanics to be safe.
3A patient performs rehabilitative exercises with resistance after a knee injury. The nurse interprets this type of exercise as which of the following?
- AIsotonic
- BIsokinetic
- CIsometric
- DAerobic
4Which of the following would the nurse expect to assess when a patient experiences a greater breakdown of protein than that which is manufactured?
- AFluid volume excess
- BA contracture
- COsteoporosis
- DNegative nitrogen balance
5When explaining the cause of frequent urinary tract infections related to immobility, the nurse understands that immobility may result in which of the following?
- AImproved renal blood supply to the kidneys
- BUrinary stasis
- CDecreased urinary calcium
- DAcidic urine formation
- AImproved renal blood supply to the kidneys
6 Mr. Brown is experiencing some difficulty breathing. The nurse most appropriately assists him into which position?
- ADorsal recumbent position
- BLateral position
- CFowler’s position
- DSims’ position
- ADorsal recumbent position
7While doing range-of-motion exercises with a patient who is bedridden, the nurse is aware of which of the following considerations?
- ANeck hyperextension should be encouraged, particularly in older people.
- BExercises should be continued until the patient is fatigued.
- CExercises should be done frequently to lessen pain for the patient.
- DEach joint is exercised to the point of resistance but not pain.
- ANeck hyperextension should be encouraged, particularly in older people.
8The nurse is assisting a patient with conditioning exercises to prepare for ambulation. The nurse correctly instructs the patient to do what?
- ADo full-body pushups in bed six to eight times daily
- BBreathe in and out smoothly during quadriceps drills
- CDangle on the side of the bed for 30 to 60 minutes
- DAllow the nurse to bathe the patient completely to prevent fatigue
- ADo full-body pushups in bed six to eight times daily
9In many situations, a patient has sufficient strength to walk if he or she can do which of the following?
- ALie prone for 1 hour
- BBathe him- or herself
- CRaise the foot off the bed 1 inch
- DSit up in bed for 1 hour
- ALie prone for 1 hour
10Mrs. Eden tells the nurse she feels faint while walking in the corridor with the nurse. What should the nurse do?
- AInstruct the patient to quicken her pace so they can return to her room
- BLeave her momentarily to find another nurse to help
- CAdvise her to look down at her feet to help maintain her balance
- DGuide her to a nearby chair, easing her onto it to rest
- AInstruct the patient to quicken her pace so they can return to her room
11When a patient is using a cane for maximal support, the nurse is aware that the patient should do which of the following?
- AHold the cane on the weaker side
- BDistribute weight evenly between the feet and the cane
- CKeep the elbow that is holding the cane straight and stiff
- DAdvance the weaker foot ahead of the cane
- AHold the cane on the weaker side
12The use of patient care ergonomics is associated with which of the following patient outcomes?
- AIncreased patient comfort, security, and dignity during lifts and transfers
- BIncreased patient falls, skin tears, and abrasions
- CDecreased patient movement and independence
- DIncreased friction and shearing
- AIncreased patient comfort, security, and dignity during lifts and transfers
13Which of the following should the nurse do when assisting the patient to ambulate?
- APlace a hand under the axilla to provide support
- BEnsure the patient walks as far as possible for as long as possible
- CUse a gait belt to provide support
- DEncourage the patient to watch their feet to ensure a steady gait
- APlace a hand under the axilla to provide support
14When working with an older patient to develop an exercise program, the nurse would recommend which of the following?
- AA frequency of six times a week
- BExercising to the point of breathlessness when trying to speak
- CMaintaining a target heart rate of 220 plus age
- DObtaining medical clearance before beginning the program
- AA frequency of six times a week
15A bedridden patient who is blind is admitted to a healthcare facility from his or her home with pressure ulcers on the sacral area. Which nursing diagnosis would be a priority?
- ARisk for Imbalanced Body Temperature related to stage 2 pressure ulcer
- BImpaired Skin Integrity related to immobility
- CFeeding Self-Care Deficit related to blindness
- DActivity Intolerance related to prolonged bed rest
- ARisk for Imbalanced Body Temperature related to stage 2 pressure ulcer
16During the evaluation phase of the nursing process, which finding indicates that the nursing care plan for the immobilized patient has been ineffective?
- AThe patient instructs the nurses how to do his care.
- BThe patient exhibits a negative Homan sign and bilaterally equal calf measurements.
- CThe patient exhibits decreased breath sounds in the bases and adventitious sounds are present on expiration in the lower lobes.
- DDuring passive ROM, the patient's ankle will perform eversion, inversion, dorsiflexion and plantar flexion.
- AThe patient instructs the nurses how to do his care.
17The nurse is preparing to assist an adult patient to move from the bed to the chair. To increase balance and stabililty, the nurse should:
- AUse minor muscle groups to their fullest advantage.
- BIncrease the base of support and lower the center of gravity.
- CRock forward and help push the client to the chair.
- DAlter the client's center of gravity by raising his arms.
- AUse minor muscle groups to their fullest advantage.
18A patient has been on bedrest in cervical traction for 2 weeks. The traction is discontinued and the patient is to ambulate. Prior to getting the patient out of bed, it is imperative for the nurse to do which of the following initially?
- AGet a neck brace for the patient.
- BProvide the patient with a cane.
- CRaise the head of the bed slowly.
- DAssess lower leg muscle strength.
- ERemove elastic stockings (TED) hose to improve circulation to the legs.
- AGet a neck brace for the patient.
19A physiologic risk associated with immobility is:
- AIncreased cardiac workload
- BDecreased serum calcium level.
- CIncreased peristalsis
- DIncreased fibrinolysis
- AIncreased cardiac workload
20Which assessment of the immobilized patient would prompt the nurse to take further action?
- APatient complains of fatigue.
- BUrinary output of 50 ml an hour.
- CWhilte blood cell count of 9.5
- DAbsence of bowel sounds
- APatient complains of fatigue.
21When caring for a patient on prolonged bedrest, the nurse can help prevent the formation of kidney stones (renal calculi) by:
- ADecreasing calcium intake.
- BMaking the urine more alkaline.
- CMonitoring intake and output.
- DEncouraging Kegel's exercises.
- ADecreasing calcium intake.
22The patient tells the nurse she feel faint while walking in the hall with the nurse. The nurse
- AInstructs the patient to quicken her pace so they can return her to her room.
- BLeaves her momentarily to find another nurse to help.
- CAdvises her to look down at her feet to help maintain her balance.
- DGuides her to a chair in the hall and eases her onto the chair.
- AInstructs the patient to quicken her pace so they can return her to her room.
23If you are working alone, the best way to support an unstable patient when assisting with ambulation is which of the following?
- AStand behind the patient.
- BHold the patient's hand.
- CStand on the patient's weak side.
- DUse a transfer belt with both hands at the patient's waist.
- AStand behind the patient.
24The physician orders that a patient with one-sided weakness (hemiparesis) be transferred out of bed to a chair twice a day. The nurse plans to:
- APivot the patient on the unaffected leg.
- BStand next to the patient's affected side.
- CStand next to the patient's strong side.
- DKeep the patient's feet together.
- APivot the patient on the unaffected leg.
25Immobility impacts the cardiovascular system by:
- ADecreasing the cardiac response to activity.
- BImproving venous return.
- CIncreasing cardiac output.
- DIncreasing cardiac efficiency.
- ADecreasing the cardiac response to activity.
26Passive range of motion for the immobilized older patient:
- AReplaces the need for ambulation.
- BDecreases the risk of falls and skin breakdown.
- CMaintains joint flexibility and delays muscle wasting.
- DIncreases the risk of deep vein thrombosis.
- AReplaces the need for ambulation.
27Ankylosis is a fixation or immobilization of a joint.
- ATrue
- BFalse
28Atrophy is an increase in the size of a body structure.
- ATrue
- BFalse
29Contracture is a permanently contracted state of a muscle.
- ATrue
- BFalse
30Flaccidity is decreased muscle tone.
- ATrue
- BFalse
31Isokinetic exercise involves muscle contractions with resistance varying at a constant rate.
- ATrue
- BFalse
32Isometric exercise is when muscle tension occurs without a significant change in muscle length.
- ATrue
- BFalse
33Isotonic exercise is when muscles shorten and move.
- ATrue
- BFalse
34Cartilage is tough fibrous bands that bind joints together and connect bones.
- ATrue
- BFalse
35Ligaments are hard nonvascular connective tissue found in the joints as well as in the nose, ear, thorax, trachea, and larynx.
- ATrue
- BFalse
36Negative nitrogen balance is a condition resulting in muscle wasting and decreased physical energy for movement and work (e.g., anorexia nervosa and certain cancers).
- ATrue
- BFalse
37Passive exercise is manual or mechanical means of moving the joints.
- ATrue
- BFalse
38Spasticity is decreased muscle tone.
- ATrue
- BFalse
39Tendons are strong, flexible, inelastic fibrous bands that attach muscle to bone.
- ATrue
- BFalse
40Effects of exercise on the cardiovascular system (select all that apply):
- AIncreased cardiac output.
- BIncreased resting heart rate.
- CIncreased heart efficiency/ improved myocardial contraction.
- DIncreased fibrinolysin- removes small clots
- EDecreased venous return-decreased return to the heart.
41Effects of exercise on the respiratory system (select all that apply):
- AIncreased rate and depth followed by quicker return to resting rate
- BDecreased gas exchange
- CIncreased work of breathing
- DImproved diaphragmatic excursion
- EQuicker return to resting rate
42Effects of immobility on the respiratory system:
- AHypostatic Pneumonia: pulmonary congestion due to the stagnation of blood in the dependent portions of the lungs in old persons or in those who are ill and lie in the same position for long periods
- BAtelectasis: complete or partial collapse of the lungs
- CDecreased lung expansion
- DGeneralized respiratory muscle weakness
- EStasis of secretions
- FAll of the above
43Effects on immobility on the cardiovascular system (select all that apply):
- AIncreased cardiac workload
- BOrthostatic hypertension
- CDecrease in thrombus formation
44Increased metabolic rate, triglyceride breakdown increased, gastric motility, and increased production of body heat are effects of exercise on the metabolic process.
- ATrue
- BFalse
45Effects of immobility on the metabolic process (select all that apply):
- AMuscle wasting
- BIncreased appetite
- CFluid and Electrolyte balance
- DGI disturbances
46Effects of exercise on the gastrointestinal system (select all that apply):
- ADecreased tone and motility
- BDecreases digestion
- CImproves elimination
- DStrengthens abdominals
47Effects of immobility on the gastrointestinal system are:
- ADisturbances in appetite, decreased food intake, altered protein metabolism, and poor digestion and utilization of food.
- BWeight gain, if food intake increases and energy expenditure decreases
- CNormal muscular activity in the GI tract also slows down resulting in: constipation, poor defecation reflexes, and inability to expel feces and gas adequately
- DWeak muscles, decreased peristalsis, decreased defecation stimulus, postponed defecation, lack of dietary fiber, dehydration
- EAll of the above
- ADisturbances in appetite, decreased food intake, altered protein metabolism, and poor digestion and utilization of food.
48Effects of exercise on the musculoskeletal system (select all that apply):
- AIncreases muscle mass, tone, and strength
- BImproves coordination
- CPrevents osteoporosis
- DPrevents contractures
- EImproves joint flexibility
- FIncreases fatigue
49Immobility to the musculoskeletal system can cause (select all that apply):
- AOsteoporosis
- BContractures
- CImproved muscle coordination
- DMuscle weakness and atrophy
50Effects of exercise on the integument system can cause a decrease in circulation to the skin and causes prolonged pressure to part.
- ATrue
- BFalse
51Decubitus ulcers are pressure from bed or chair, decreased blood flow to skin, less oxygen and nutrients to skin=ischemia, decreased intake of nutrients.
- ATrue
- BFalse
52Effects of exercise on the urinary system improves flow to the kidneys and decreases efficiency of waste excretions.
- ATrue
- BFalse
53For a cardiovascular intervention, you would teach the patient to (select all that apply):
- APut pillows under your knees
- BMassage the calves
- CNo tight knee high socks
- DIsometric exercises and ankle circles
- ECross your legs for comfort
54Interventions to Prevent/Manage Postural Hypotension are apply graduated compression stockings and Pneumatic Compression Devices, move patient slowly out of bed: allow to sit on side of bed, then slowly stand, and the first time the person is up, have a second person available for support.
- ATrue
- BFalse
55Musculoskeletal changes in aging patients (select all that apply):
- ADecline in muscle strength
- BDecreased respiratory vital capacity
- CIncrease in transport of oxygenated blood of tissue
- DDecreased range of motion
- EIncrease stability of gait
56Gastrointestinal Interventions:
1) Collaborate with nutritionist to provide high fiber foods
2) Consult physician about bulk laxative, stool softener, or stimulant laxative if needed
3) Help to bathroom, use bedside commode, put bedpan on chair
4) Encourage fluid intake
5) Early mobility- ATrue
- BFalse
57Respiratory Interventions:
1) Turn q2h to inflate lungs and move secretions
2) Dry air
3) Provide 500 ml of fluids daily
4) Instruct patient in use of incentive spirometer
5) Suction machine at bedside if patient is weak- ATrue
- BFalse
58Differentiate the roles of the RN and the LPN in the care of patients with altered mobility:
- ARN will perform the patient goals and LPN will determine what the patients goals are.
- BRN will determine what the patients goals are and the LPN will perform the patient goals.
- CRN will determine what the patient goals are and perform them, the LPN will observe.
- DLPN will determine what the patient goals are and perform them, the RN will observe.
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- Chapter 33
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- hammylovesyou
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- English
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