Concept 23: Mobility My Nursing Test Banks

Concept 23: Mobility

Test Bank

MULTIPLE CHOICE

1. A patient who has been in the hospital for several weeks is about to be discharged. The patient is weak from the hospitalization and asks the nurse to explain why this is happening. The nurses best response is You are weak because

a.

your iron level is low. This is known as anemia.

b.

of your immobility in the hospital. This is known as deconditioning.

c.

of your poor appetite. This is known as malnutrition.

d.

of your medications. This is known as drug induced weakness.

ANS: B

When a person is ill and immobile the body becomes weak. This is known as deconditioning. Anemia, malnutrition, and medications may have an adverse effect on the body, but this is not known as deconditioning.

REF: 239

OBJ: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation

2. A patient is talking with the nurse about hip fractures. The patient would like to know the best approach to strengthen the bones. The nurses best response is which of the following?

a.

Walk at least 5 miles every day for exercise.

b.

Wear proper fitting shoes to prevent tripping.

c.

Talk with your physician about a calcium supplement.

d.

Stand up slowly so you dont feel faint.

ANS: C

Calcium strengthens the bones. A calcium supplement will help strengthen bones as they may be affected by aging, illness, or trauma. Walking several miles will help strengthen the bones but a calcium supplement is a good addition. Wearing proper shoes and standing slowly to prevent dizziness is important but they will not prevent fractures.

REF: 244 OBJ: NCLEX Client Needs Category: Physiological Integrity

3. Mobility for the patient changes throughout the life span; this is known as the process of

a.

aging and illness.

b.

illness and disease.

c.

health and wellness.

d.

growth and development.

ANS: D

Growth and development happens from infancy to death. Muscular changes are always happening, and these changes affect the individual and his or her performance in life. Aging, illness, health, and wellness do have an effect on a person, but they dont always affect mobility.

REF: 241 OBJ: NCLEX Client Needs Category: Physiological Integrity

4. The nurse is talking to the unlicensed assistive personnel about moving a patient in bed. The nurse knows the unlicensed assistive personnel understands the concept of mobility and proper moving techniques when he or she states, Patients must

a.

have a trapeze over the bed to move properly.

b.

move themselves in bed to prevent immobility.

c.

always have a two-person assist to move in bed.

d.

be moved correctly in bed to prevent shearing.

ANS: D

Patients must be moved properly in bed to prevent shearing of the skin. Having a trapeze over the bed is only functional is the patient can assist in the moving process. A two-person assist is good, but the patient still needs to be moved properly. A patient may move himself or herself if he or she is able, but shearing may still occur.

REF: 241 OBJ: NCLEX Client Needs Category: Physiological Integrity

5. The nurse and a student nurse are discussing the effects of bed immobility on patients. The nurse knows that the student nurse understands the concept of mobility when she states, Patients with impaired bed mobility

a.

have an increased risk for pressure ulcers.

b.

like to have extra visitors.

c.

need to have a mechanical soft diet.

d.

are prone to constipation.

ANS: A

Patients who cannot move themselves in bed are more susceptible to pressure ulcers because they cannot relieve the pressure they feel. Extra visitors or diet consistency do not have any bearing on mobility. Constipation should not be a by-product of immobility if a bowel regimen is instituted.

REF: 241 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance

6. What percentage of hip fractures are the result of falls?

a.

50%

b.

80%

c.

90%

d.

100%

ANS: C

About 90% of falls end with a hip fracture.

REF: 241 OBJ: NCLEX Client Needs Category: Health Promotion and Maintenance

COMPLETION

1. The lack of weight bearing leads to bone _________ and __________ from the skeletal system.

ANS:

demineralization, calcium loss

calcium loss, demineralization

Weight bearing helps to strengthen the bone. Lack of weight bearing means that the bone is losing minerals and calcium that strengthen it.

REF: 240 OBJ: NCLEX Client Needs Category: Physiological Integrity

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