The nurse is discussing actions that can be taken to best prevent
osteoporosis with a patient. Which information should the nurse include?
a. Take an extra calcium supplement.
b. Eat a balanced diet.
c. Exercise throughout life.
d. Increase daily intake of milk products. - correct answer ✔ANS: C
A lifetime of even mild daily exercise will delay or prevent osteoporosis.
What does goniometry measure?
a. Bone strength
b. Muscle density
c. Muscle strength
d. Range-of-motion (ROM) - correct answer ✔ANS: D
Goniometry measures joint mobility, described as the number of degrees that
the joint can move from the 0-degree mark.
Positioning and range-of-motion (ROM) exercises most help the immobilized
patient to prevent which complication?
a. Increased pain
b. Contractures
c. Pressure ulcers
d. Compromised circulation - correct answer ✔ANS: B
Although positioning may help decrease pain and increase circulation,
anatomical alignment and ROM exercises are most helpful in preventing
contractures in the immobilized patient. Pressure ulcers are prevented by
frequent position changes.
, The nurse adds interventions for range-of-motion (ROM) and isometric
exercises for the new patient with a stroke. The nurse's reasoning stems from
her awareness that contracture formation may begin with how many days of
immobilization?
a. 1 day
b. 2 days
c. 3 days
d. 10 days - correct answer ✔ANS: C
Contracture-related muscle changes occur as early as 3 days of
immobilization.
If muscles are not regularly stretched and contracted, how will the muscles be
effected?
a. Muscles will become longer and flexed.
b. Muscles will become fibrosed and spastic.
c. Muscles will become shorter and less elastic.
d. Muscles will become shorter and painful. - correct answer ✔ANS: C
The formation of contractures (shortening of skeletal muscle tissue causing
deformity), loss of muscle tone, and fixation of joints can be prevented in most
cases by consistent nursing intervention. The major components of the
intervention are gradual mobilization, an exercise program, proper positioning,
and instruction of the patient and family. Within a matter of a few days, the
structures of immobilized muscles and joints begin to undergo changes. If no
effort is made to prevent these changes, the patient will become permanently
disabled.
The nurse uses a visual aid to show the pathologic muscle tone changes that
result in footdrop. Which changes should the nurse include?
a. The stretching of calf muscles