A nurse is teaching a newly hired assistive personnel (AP) about working with clients who require assistance with ADLs. Which of the following activities should the nurse include as ADL?
Toileting
Writing
Ambulating
Talking
Toileting
A nurse is evaluating a client who has a broken leg...
ATI - Mobility Assessment Quiz 165 questions and answers
A nurse is teaching a newly hired assistive personnel (AP) about working with clients who require assistance with ADLs. Which of the following activities should the nurse include as ADL?
Toileting
Writing
Ambulating
Talking - answer Toileting
A nurse is evaluating a client who has a broken leg and is using crutches. Which of the following actions by the client demonstrates proper use of the cruches?
The hand grips of the crutches are at the level of the client's umbilicus
The client's elbows are bent 45 degrees when holding the crutches
The client places their weight on their axilla when using the crutches
The client has the crutches resting 5 cm (2in) below their axilla - answer The client has the crutches resting 5 cm (2in) below their axilla
A nurse is caring for a client who had a stroke and reports having difficulty with proprioception. The nurse plans to assess the client for which of the following?
Restricted movement due to abnormal fixation of a joint
A drop in blood pressure that occurs with a change in position
Altered gait with dragging of the toes while ambulating
Diminished awareness of body position and balance - answer Diminished awareness of body position and balance A nurse is caring for a client who requires maximum assistance to transfer from the bed to the chair. Which of the following pieces of equipment should the nurse use?
Pivot disc
Machanical lift
Sit-to-stand lift
Gait belt - answer Machanical lift
A nurse is caring for a client who had a stroke and is immobile. The nurse should identify that the client is at risk for which of the following conditions?
DVT
Asthema
Hernia
Hypertension - answer DVT
A nurse is caring for a client who requires assistance with ADLs. Which of the following referrals should the nurse recommend for this client?
Speech therapist
Physical therapist
Respiratory therapist
Occupational therapist - answer Occupational therapist
A nurse is performing a skin assessment on a client who has a wound on their heel that is blistered and lighter in color than the client's skin tone. The nurse should identify that the wound is in which of the following stages of damage? Deep damage through the skin and tissue
Damage beyond the skin layer
Damage into the skin layer
Damage with the skin intact - answer Damage into the skin layer
A nurse is caring for a client who has pneumonia. In which of the following positions should the nurse place the client to promote postural drainage?
Lateral
Supine
Prone
Fowler's - answer Prone
A nurse is preparing to lift a heavy object off of the floor. In which order should the nurse perform the following steps to demonstrate the proper use of the body mechanics? - answer 1. Stand as close to the object as possible
2. Keep Abdominal muscles contracted and lower back straight
3. Look straight ahead with shoulders raised up
4. Bend hips slightly and squat
5. Push up from the knees when lifting the object
A nurse is providing teaching for a client who has kyphosis. Which of the following information should the nurse include?
Kyphosis is when the upper back extends posteriorly to the lower back
Kyphosis is an inward curvature of the lower back
Kyphosis is a sideways curvature of the spine
Kyphosis is a rounded upper back with the pelvis tilted forward - answer Kyphosis is a rounded upper back with the pelvis tilted forward
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