RNSG 1430 Mobility Quiz 2020 – San Antonio
College
RNSG 1430
Mobility
Answer each question and provide rationale for answer. List all references in APA format.
1. A client who was in a car acci
...
RNSG 1430 Mobility Quiz 2020 – San Antonio
College
RNSG 1430
Mobility
Answer each question and provide rationale for answer. List all references in APA format.
1. A client who was in a car accident and broke his femur has been immobilized for 5 days. When the nurse gets this client out of bed for the first time, a nursing diagnosis related to the safety of this client will be:
A. Pain
B. Impaired skin integrity
C. Altered tissue perfusion
D. Risk for activity intolerance
Answer: D
Rationale: Patient is at risk for falling due to the immobilization of five days, weakness and loss of strength in his bones and muscles is closely related to extended period of time with inactivity.
2. The nurse is caring for a client who has right-sided weakness. The nurse needs to help the client walk. What should the nurse do while walking with the client?
A. Hold the client’s left hand while walking
B. Hold the client’s right hand while walking
C. Put a gait belt on the client and provide support on the left side
D. Put a gait belt on the client and provide support on the right side
Answer: D
Rationale: You must support a client on the affected side when using a gait belt to help the patient maintain balance. You must also stand behind the patient and hold on to the gait belt as they walk.
3. A client has been diagnosed with osteoarthritis (OA), tells a clinic nurse about the inability to ambulate and staying on bed rest because of hip stiffness. In addition to teaching the client measures to reduce joint stiffness, which referral for the client should the nurse plan to discuss with the health care provider?
A. Social worker
B. Occupational therapy
C. Arthritis Foundation
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