Chapter 28: Activity, Immobility, and Safe Movement

Chapter 28: Activity, Immobility, and Safe Movement

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse knows rheumatoid arthritis affects the musculoskeletal system by causing:

a.	muscle weakness.
b.	muscle wasting.
c.	muscle inflammation.
d.	muscle mobility.

 

 

ANS:  C

Rheumatoid arthritis and osteoarthritis cause inflammation of joints, resulting in pain and limited joint mobility, not muscle mobility. Genetic disorders such as muscular dystrophy result in muscle weakness and gradual muscle wasting.

 

DIF:    Understanding                                  REF:   p. 566             OBJ:   28.02

TOP:   Assessment    MSC:  NCLEX Client Needs Category: Physiological Integrity

NOT:  Concepts: Mobility

 

2. The nurse is implementing generalized falls precautions for his patients who are at risk for falls. Which intervention indicates a lack of understanding of these precautions?

a.	The bed is placed in the low position.
b.	The patient is wearing socks.
c.	The patient’s cell phone is by the bedside.
d.	The patient’s call light is within reach.

 

 

ANS:  B

If the patient is ambulatory, require the use of nonskid footwear. Socks can be slippery unless they have a grip surface on them. Keep patient belongings (e.g., tissues, water, urinals, personal items) within the patient’s reach. Keep the call light in reach and remind the patient to use it and keep the bed in the low position.

 

DIF:    Understanding                                 REF:   p. 562             OBJ:   28.03

TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment

NOT:  Concepts: Mobility

 

3. The nurse is educating the family of a patient on falls risk precautions. Which of the following statements by the family indicates a need for further education?

a.	“I should keep the wheelchair locked unless using it to move Mom.”
b.	“I should always leave the bathroom light on.”
c.	“I should use nonskid socks, not shoes.”
d.	“I should keep her cell phone close to her bed.”

 

 

ANS:  C

Leave lights on or off at night, depending on the patient’s cognitive status and personal preference. Keep the wheels of any wheeled device (e.g., bed, wheelchair) in the locked position. Keep patient belongings (e.g., tissues, water, urinals, personal items) within the patient’s reach. If the patient is ambulatory, require the use of nonskid footwear (socks or shoes).

 

DIF:    Applying        REF:   p. 563            OBJ:   28.03             TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care Environment

NOT:  Concepts: Mobility

 

4. The nurse is performing passive range-of-motion exercises on his patient when the patient begins to complain of pain. What is the first thing the nurse should do?

a.	Notify the health care provider.
b.	Hyperextend the joint.
c.	Stop the range of motion.
d.	Switch to active range of motion.

 

 

ANS:  C

Stop range-of-motion exercises if the patient begins to complain of pain or if resistance to movement is experienced. Never hyperextend or flex a patient’s joints beyond the position of comfort. Active range of motion is when the patient moves the joint. Notifying the health care provider would happen after you stopped.

 

DIF:    Understanding                                 REF:   p. 563             OBJ:   28.03

TOP:   Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity     NOT:  Concepts: Mobility