Question 1

The nurse is performing passive range of motion (ROM)for the patient.How will the nurse move the joint through ROM?

Accepted Answer

The joints are moved to the point of resistance or pain.

Question 2

What should the nurse do to reduce the effort of moving a heavy object?

Accepted Answer

The base of support should be broadened in the direction of movement.

Question 3

A newly hired group of graduate practical/vocational nurses are attending orientation at a long-term care facility.What information will be included regarding considerations of mobility and the older adult? (Select all that apply.)

Accepted Answer

The skin of older adults is more fragile and susceptible to injury.Aging tends to result in the loss of flexibility and joint mobility and older adults sometimes do become fearful with use of hydraulic lifts.Older adults should be supported under the joints when moving in bed.Weakness and hypotension are common signs and symptoms noted in an older adult on bed rest.

Question 4

The nurse is performing passive range-of-motion exercises on a patient following a traumatic injury.What is the number of times the nurse should move each joint when performing passive range-of-motion (ROM)exercises?

Accepted Answer

Each movement should be repeated five times.

Question 5

How should the nurse assist the patient with moving when pain is anticipated?

Accepted Answer

The nurse may want to administer medication before an activity that may be painful.

Question 6

The nurse receives a patient from the recovery room following total hip replacement surgery.What will the nurse include when assessing neurovascular status on this patient? (Select all that apply.)

Accepted Answer

One of the responsibilities of the nurse is to frequently monitor the patient's neurovascular function,or circulation,movement,and sensation (CMS)assessment.The LPN/LVN checks for skin color,temperature,movement,sensation,pulses,capillary refill,and pain.Pupil assessment is part of a neurologic assessment.

Question 7

The nurse counsels the immobilized patient in regard to prevention of muscle atrophy and contractures.What will the nurse be sure to include when counseling this patient?

Accepted Answer

The immobilized patient must receive some type of exercise to prevent atrophy and contractures.

Question 8

What profession has the highest workers' compensation claim rates of any occupation or industry?

Accepted Answer

Studies of workers' compensation claims show that nursing personnel have the highest claim rates of any occupation or industry.

Question 9

What is the site of the most common strain injury acquired by the nurse when working?

Accepted Answer

The most common back injury is strain of the lumbar muscle group.

Question 10

What is considered to be the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility?

Accepted Answer

The amount of exercise required to prevent physical disuse syndrome is 2 hours in 24 hours.

Question 11

The nurse is educating a patient on ways to regain the ability to perform ADLs and maintain normal physiological activities.What will the nurse relay as a requirement?

Accepted Answer

The purpose of mobility is completing ADLs and maintaining physiological activities.

Question 12

The most common cause of musculoskeletal disorders in nurses involves a movement that requires the nurse to ________ and _________ at the same time.

Accepted Answer

The answer of The most common cause of musculoskeletal disorders...

Question 13

A nurse instructs a nursing assistant about moving older adult patients in bed.When should the nurse intervene when observing the nursing assistant perform a return demonstration?

Accepted Answer

The skin of older adults is more fragile and susceptible to injury.When moving or transferring older adults,it is essential to avoid pulling them across bed linens because this may cause shearing or tearing of the skin.The nurse should explain each step in simple language and avoid jerky,sudden movements.

Question 14

What should the nurse do to protect his or her back when lifting or moving a patient?

Accepted Answer

The nurse's back can be well protected when he or she bends knees and hips.

Question 15

Where should the nurse place the load when carrying heavy objects?

Accepted Answer

The nurse should carry objects close to the midline of the body.

Question 16

What is the term for range of motion (ROM)when it is performed by the patient?

Accepted Answer

ROM performed actively by the patient is designated as active ROM.

Question 17

The LPN/LVN assists a patient into the semi-Fowler position per physician order.What would indicate that this patient is in the correct position?

Accepted Answer

The semi-Fowler position is when the head of the bed is raised approximately 30 degrees.Orthopneic position is when the patient is leaning over the bedside table.Sims position is when the knee is drawn toward the chest.Arms are not flexed toward the head in the semi-Fowler position.

Question 18

The 125-pound nurse assesses the weight of a patient.What weight is the heaviest the nurse may safely lift by herself?

Accepted Answer

Nurses should never attempt to lift more than 35% above their own body weight.
125 ´ 0.35 = 43.75 125 + 43.75 = 168.75

Question 19

What implementation might the nurse use to improve safety during a transfer?

Accepted Answer

As a general rule,the nurse should use a transfer belt.

Question 20

The nurse instructs a nursing assistant to use large muscle groups when lifting.What is the rationale for this instruction?

Accepted Answer

Proper body mechanics provide for even distribution of workload.

Quiz 8: Body Mechanics and Patient Mobility

The nurse is performing passive range of motion (ROM) for the patient.How will the nurse move the joint through ROM?