Question 1

An appropriate technique for the nurse to use when performing range-of-motion (ROM)exercises is to

Accepted Answer

Repeating each exercise five times is a standard practice to ensure adequate movement and flexibility without causing strain or injury.

Question 2

The patient has a leg injury and is being fitted for a cane.The patient should be taught to

Accepted Answer

The cane should be held on the uninvolved side to provide support and balance while reducing strain on the injured leg.

Question 3

A patient is admitted to the medical unit after a cerebrovascular accident (CVA).Evidence of left-sided hemiparesis is noted,and the nurse will be following up on range-of-motion (ROM)and other exercises performed in physical therapy.The nurse should correctly teach the patient and family members which of the following principles of ROM exercises?

Accepted Answer

Providing support for distal joints during ROM exercises helps prevent injury and ensures proper alignment and movement of the joint.

Question 4

The nurse is caring for a patient who has just been treated for a broken leg.She needs to teach the patient how to use crutches.Which crutch gait is most appropriate for this patient?

Accepted Answer

The three-point gait is appropriate for a patient with a broken leg who cannot bear weight on the affected leg. The patient uses crutches and the unaffected leg to move forward. The affected leg is held up and not used for weight-bearing. This gait is slower but more stable than other crutch gaits. Therefore, the most appropriate option is B) Three-point gait for this patient.

Question 5

When teaching the use of a three-point crutch gait,the nurse should instruct the patient to move

Accepted Answer

The proper sequence for the three-point crutch gait is: begin in tripod position,advance both crutches and the affected leg,and then move the stronger leg forward,stepping on the floor.This is the proper sequence for the four-point gait,the two-point gait,and the swing-to gait.

Question 6

A patient with left hemiparesis is using a quad cane for ambulation.Which of the following is the correct technique for the nurse to use in teaching the patient?

Accepted Answer

To correctly use a quad cane,the patient places the cane on the side opposite the involved leg.This provides added support for the weak or impaired side.Ambulation then begins by moving the cane forward 6 to 10 inches (15 to 25 cm),keeping body weight on both legs.The weak leg is then brought forward even with the cane while the body weight is supported by the strong leg and the cane.The strong leg is then advanced past the cane.Moving a leg and the cane forward at the same time will compromise balance and increase risk of fall.

Question 7

A nurse encourages a patient to prevent venous stasis by

Accepted Answer

The best way to prevent venous stasis is by promoting blood flow and circulation through early ambulation. Crossing the legs can actually hinder blood flow, and wearing stockings or garters may provide some support but is not as effective as early ambulation. Elevating the legs on pillows can also help with circulation, but it is not as effective as getting up and moving around.

Question 8

Graduated compression stockings are prescribed for the patient on bed rest after surgery.The nurse explains to the patient that the primary purpose for the elastic stockings is to

Accepted Answer

Graduated compression stockings apply external pressure to the legs, which helps improve blood circulation and prevent the formation of blood clots, such as deep vein thrombosis, especially in patients on bed rest after surgery.

Question 9

A drop in blood pressure that occurs when the patient changes position from a horizontal to a vertical position is known as _________________.

Accepted Answer

Orthostatic hypotension is the term used to describe a drop in blood pressure when a person moves from lying down to standing up.

Question 10

When using a sequential compression device (SCD),the nurse should

Accepted Answer

Leaving a two-finger space between the patient's leg and the compression stocking can prevent skin irritation and discomfort. Applying powder to the patient's skin can interfere with the adherence of the compression stockings. The patient should be kept connected to the compression device when transferring into and out of bed. The elastic stockings may be left on or removed depending on the healthcare provider's order.

Question 11

When assessing the patient for risk for deep vein thrombosis (DVT),the nurse should consider which of the following an indicator of increased risk?

Accepted Answer

Indicators in Virchow's triad include clotting disorders,fever,and dehydration.Additionally,a swollen extremity,pain,and warm cyanotic skin indicate an elevated risk.Less than 20% of patients exhibit a positive Homans' sign.Edema of the extremity may or may not occur.Pallor to the distal area is a sign of arterial insufficiency,not deep vein thrombosis.

Question 12

An appropriate way for the nurse to measure a patient for crutches is to

Accepted Answer

The correct way to measure crutches is to ensure there is a space of two to three fingers between the top of the crutch and the axilla to prevent nerve damage and ensure proper support.

Question 13

The patient has been using crutches for the past 2 weeks.When she comes for her follow-up examination,she complains of tingling and numbness in her hands and upper torso.Which of the following is a possible cause of these symptoms?

Accepted Answer

The answer of The patient has been using crutches for...

Question 14

The patient has been admitted for hypertension.His blood pressure is normally in the 160/90 range.He has been on bed rest for the past few days,and the doctor has started him on a new blood pressure medication.The nurse is assisting the patient to move from the bed to the chair for breakfast,but when the patient tries to sit up on the side of the bed,he complains of being dizzy and nauseous.The nurse lays the patient down and takes his vital signs.His pulse is 124.His blood pressure is 130/80.This blood pressure is indicative of what?

Accepted Answer

The patient is experiencing orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. This can occur when a patient has been on bed rest for a few days or when starting a new medication for hypertension. The drop in blood pressure results in dizziness and nausea. The patient's blood pressure of 130/80 is lower than his normal range of 160/90, which is expected with orthostatic hypotension. Effective baroreceptor function would result in maintaining blood pressure despite position changes.

Question 15

An appropriate procedure for the nurse to use when applying an elastic stocking is to

Accepted Answer

Turn elastic stocking inside out by placing one hand into the sock,holding the toe of the sock with the other hand,and pulling.This allows easier application of the stocking.Elastic stockings should be removed and reapplied at least twice a day.Instruct the patient not to roll the socks partially down.Rolling the socks partially down has a constricting effect and can impede venous return.Instruct the patient to launder elastic stockings every 2 days with mild detergent and lay flat to dry.

Question 16

While ambulating,the patient becomes light-headed and starts to fall.What should the nurse do first?

Accepted Answer

The first priority is to prevent the patient from falling and injuring themselves. The nurse should ease the patient down to the floor in a controlled manner to prevent injury. Calling for help can be done simultaneously or after the patient is safely on the floor. Reaching for a chair or pushing the patient back toward the bed may cause further injury.

Question 17

The patient is a paraplegic who possesses good arm and hand strength.When the following devices are compared,which would be most appropriate for this patient?

Accepted Answer

Since the patient is a paraplegic, they will not be able to use their legs for walking. Therefore, the most appropriate option would be a crutch that provides support to both arms and hands. While axillary and platform crutches provide support to both arms, they require the patient to bear weight on their legs, making them unsuitable for this patient. On the other hand, the Lofstrand crutch, also known as a forearm crutch, provides support to both arms and hands and requires no weight-bearing on the legs, making it the most appropriate option for this patient. The standard crook cane would not provide the necessary support required for this paraplegic patient.

Question 18

When the four gaits listed below are compared,which is the most stable of the crutch gaits?

Accepted Answer

The four-point gait is considered the most stable of the crutch gaits as it involves three points of contact with the ground at all times (one crutch and two feet) which provides a wider base of support and increased stability.

Question 19

The patient is an older person who has been on bed rest for the past several days.When getting the patient up,the nurse should

Accepted Answer

Raising the head of the bed and allowing a few minutes before dangling helps prevent orthostatic hypotension, which can occur when an older person who has been on bed rest suddenly changes position.

Question 20

The patient is performing range-of-motion (ROM)exercises independently.These are known as __________ exercises.

Accepted Answer

Active range-of-motion exercises are performed by the patient independently without assistance.

Quiz 12: Exercise Mobility

An appropriate technique for the nurse to use when performing range-of-motion (ROM) exercises is to