Chapter 28: Immobility
Chapter 28: ImmobilityPotter et al.: Fundamentals of Nursing, 9th Edition MULTIPLE CHOICE
2. A nurse is providing range of motion to the shoulder and must perform external rotation. Which action will the nurse take?
a. Moves patient’s arm in a full circle
b. Moves pat...
chapter 28 immobility chapter 28 immobilitypotter et al fundamentals of nursing
9th edition multiple choice
Written for
NR 304
All documents for this subject (274)
Seller
Follow
FLOYYD
Reviews received
Content preview
Chapter 28: Immobility
Chapter 28: ImmobilityPotter et al.: Fundamentals of Nursing,
9th Edition MULTIPLE CHOICE
2. A nurse is providing range of motion to the shoulder and
must perform external rotation. Which action will the nurse
take?
a. Moves patient’s arm in a full circle
b. Moves patient’s arm cross the body as far as possible
c. Moves patient’s arm behind body, keeping elbow straight
d. Moves patient’s arm until thumb is upward and lateral to head
with elbow flexed
ANS: D
4. A nurse is performing passive range of motion (ROM) and
splinting on an at-risk patient. Which finding will indicate
goal achievement for the nurse’s action?
a. Prevention of atelectasis
b. Prevention of renal calculi
c. Prevention of pressure ulcers
d. Prevention of joint contractures
ANS: D
8. A nurse reviews an immobilized patient’s laboratory results and
discovers hypercalcemia. Which condition will the nurse monitor
for most closely in this patient?
,a. Hypostatic pneumonia
b. Renal calculi
c. Pressure ulcers
d. Thrombus formation
ANS: B
9. A nurse is caring for an immobile patient. Which metabolic
alteration will the nurse monitor for in this patient?
a. Increased appetite
b. Increased diarrhea
c. Increased metabolic rate
d. Altered nutrient metabolism
ANS: D
14. A nurse is assessing the body alignment of a standing
patient. Which finding will the nurse report as normal?
a. When observed laterally, the spinal curves align in a reversed “S”
pattern.
b. When observed posteriorly, the hips and shoulders form an
“S” pattern.
c. The arms should be crossed over the chest or in the lap.
d. The feet should be close together with toes pointed out.
ANS: A
, 15. The nurse is evaluating the body alignment of a patient in
the sitting position. Which observation by the nurse will indicate
a normal finding?
a. The edge of the seat is in contact with the popliteal space.
b. Both feet are supported on the floor with ankles flexed.
c. The body weight is directly on the buttocks only.
d. The arms hang comfortably at the sides.
ANS: B
16. The nurse is assessing body alignment for a patient who is
immobilized. Which patient position will the nurse use?
a. Supine position
b. Lateral position
c. Lateral position with positioning supports
d. Supine position with no pillow under the patient’s
head ANS: B
19. A nurse is assessing the skin of an immobilized patient. What
will the nurse do?
a. Assess the skin every 4 hours.
b. Limit the amount of fluid intake.
c. Use a standardized tool such as the Braden Scale.
d. Have special times for inspection so as to not interrupt
routine care.
, ANS: C
21. A patient has damage to the cerebellum. Which disorder is
most important for the nurse to assess?
a. Imbalance
b. Hemiplegia
c. Muscle sprain
d. Lower extremity paralysis
ANS: A
22. Which patient will cause the nurse to select a nursing diagnosis
of Impaired physical mobility for a care plan?
a. A patient who is completely immobile
b. A patient who is not completely immobile
c. A patient at risk for single-system involvement
d. A patient who is at risk for multisystem
problems ANS: B
23. The patient has the nursing diagnosis of Impaired physical
mobility related to pain in the left shoulder. Which priority action
will the nurse take?
a. Encourage the patient to do self-care.
b. Keep the patient as mobile as possible.
c. Encourage the patient to perform ROM.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FLOYYD. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
