Mobility and Immobility Paper

Mobility and Immobility Paper
10. Before transferring a patient from the bed to a stretcher, which
assessment data does the nurse need to gather? (Select all that
apply.)
1. Patient’s weight
2. Patient’s level of cooperation
3. Patient’s ability to assist
4. Presence of medical equipment
5. 24-hour calorie intake
11. A patient of any age can develop a contracture of a joint when:
1. The adductors muscles are weakened as a result of
immobility.
2. The muscle fibers become shortened because of disuse.
3. The calcium-to-phosphorus ratio becomes disrupted.
4. There is a deficiency in vitamin D.
12. Immobilized patients are at risk for impaired skin integrity.
Which of the following interventions would reduce this risk?
(Select all that apply.)
1. Repositioning patient every 1 to 2 hours while awake
2. Using an objective, valid scale to assess patient’s risk for
pressure ulcer development
3. Using a device to relieve pressure when patient is seated in
chair
4. Teaching patient how to shift weight at regular intervals
while sitting in a chair
5. A good rule is: the higher the risk for skin breakdown, the
shorter the interval between position changes
13. Which of the following indicates that additional assistance is
needed to transfer the patient from the bed to the stretcher?
1. The patient is 5 feet 6 inches and weighs 120 lbs.
2. The patient speaks and understands English.
3. The patient received an injection of morphine 30 minutes
ago for pain.
4. You feel comfortable handling a patient of his size and with
his level of cooperation.
14. A patient with left-sided weakness asks his nurse, “Why are you
walking on my left side? I can hold on to you better with my
right hand.” What would be your best therapeutic response?
1. “Walking on your left side lets me use my right hand to
hold on to your arm. In case you start to fall, I can still
hold you.”
2. “ Would you like me to walk on your right side so you feel
more secure?”
3. “Either side is appropriate, but I prefer the left side. If you
like, I can have another nurse walk with you who will hold
you on the right side.”
4. “By walking on your left side I can support you and help
keep you from injury if you should start to fall. By holding
your waist I would protect your shoulder if you should start
to fall or faint.
15. Which is an outcome for a patient diagnosed with osteoporosis?
1. Maintain serum level of calcium.
2. Maintain independence with activities of daily living
(ADLs).
3. Reduce supplemental sources of vitamin D.
4. Reverse bone loss through dietary manipulation

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