Chapter 16 - Exercise And Mobility

65 Questions | Total Attempts: 111

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Health Care Quizzes & Trivia

Nursing Interventions and Clinical Skills (5th Edition) by Perry, Potter and Elkin, pages 376-400. For any questions please email [email protected] Com


Questions and Answers
  • 1. 
    Definition of mobility
    • A. 

      Capacity for movement that provides means to perform activities of daily living

    • B. 

      Capacity for movement that provides a means of personal contact, sensation, exploration, pleasure and control

    • C. 

      Capacity for movement that allows personal contact using mobile devices and electronic gadgets

    • D. 

      Capacity for movement that provides a patient with the ability to ran away from the hospital and avoid unnecessary fees.

  • 2. 
    Which of the following is not a benefit of physical activity?
    • A. 

      Increased energy

    • B. 

      Improved sleep

    • C. 

      Better appetite

    • D. 

      Improved self-esteem

  • 3. 
    Elements essential for mobility. Select all that apply:
    • A. 

      Ability to move based on adequate muscle strength, control, coordination, and range of motion (ROM)

    • B. 

      The motivation to move

    • C. 

      Ability for airway movement, breathing and circulation

    • D. 

      The absence of barriers in the environment

  • 4. 
    Risk for orthostatic hypotension is primarily a concern for ....
    • A. 

      Patient safety

    • B. 

      Patient mobility

    • C. 

      Patient activity

    • D. 

      Patient civility

  • 5. 
    Signs and symptoms of orthostatic hypotension:
    • A. 

      Nausea and dizziness

    • B. 

      Light-headedness

    • C. 

      Tachycardia

    • D. 

      Presbycusis

    • E. 

      Pallor and fainting

  • 6. 
    Basis of the techniques used in transferring patients. Select all that apply:
    • A. 

      Patient's medical condition

    • B. 

      Patient's orientation

    • C. 

      Patient's cognitive status

    • D. 

      Patient's physical status

  • 7. 
    A leading cause of death in the United States and whose patients are most affected by physical inactivity.
    • A. 

      Osteoporosis

    • B. 

      Coronary heart disease

    • C. 

      Atherosclerosis

    • D. 

      Pancreatic Cancer

  • 8. 
    Referred to as exercise prescription
    • A. 

      Frequency, intensity, time and type of exercise

    • B. 

      Place, quality, quantity and days of exercise

    • C. 

      Location, quality, group and time of exercise

    • D. 

      Description, allocation, place and time of exercise

  • 9. 
    For an older adult, it is the least expensive yet effective way to prevent fractures, improve balance, reduce falls, and improve bone density.  
    • A. 

      Vitamins and minerals

    • B. 

      Exercise

    • C. 

      Nutrition

    • D. 

      Activities of daily living

  • 10. 
    Refers to the amount of movement that a person has at each joint
    • A. 

      ADL

    • B. 

      PROM

    • C. 

      ROM

    • D. 

      PMS

  • 11. 
    The skill of performing ROM exercises may be delegated to nursing assistive personnel (NAP).   
    • A. 

      True

    • B. 

      False

  • 12. 
    While doing a Range of Motion exercise and a new resistance is noted within a joint, what would you do next?
    • A. 

      Continue with the exercise and then consult a health care provider or physical therapist

    • B. 

      Do not force joint motion. Consult with health care provider or physical therapist

    • C. 

      Leave the patient alone and call the supervisor

    • D. 

      Offer the patient a PRN medication

  • 13. 
    A proper protocol in doing a Range of Motion exercise.
    • A. 

      Do it from distal to proximal. Repeat each movement twice.

    • B. 

      Do it in a head-to-toe sequence. Repeat each movement 8 times.

    • C. 

      Do it in a head-to-toe sequence. Repeat each movement 5 times.

    • D. 

      Do it in a random sequence. Repeat each movement 3 times.

  • 14. 
    When you bring chin to rest on your chest. What type of movement do you do? And what part of your body do you move? 
    • A. 

      Extension, neck

    • B. 

      Flexion, neck

    • C. 

      Rotation, head

    • D. 

      Hyperextension, head

  • 15. 
    When you move your arm behind your body, keeping the elbow straight, what type of movement do you do and what body part do you move?
    • A. 

      Extension, arms

    • B. 

      Flexion, shoulder

    • C. 

      Hyperextension, shoulder

    • D. 

      Hyperextension, arms

  • 16. 
    Designed to exercise many different joints, including hips, shoulder, wrist, and fingers
    • A. 

      Continuous Passive Motion (CPM)

    • B. 

      Circulatory Positional Machines (CPM)

    • C. 

      Controlled Pressure on Muscles (CPM)

    • D. 

      Channeled Passive Motion (CPM)

  • 17. 
    Uses of a CPM machine: application and procedures. Check all that apply: 
    • A. 

      After a total knee arthoplasty (replacement)

    • B. 

      May be initiated on the day of surgery or the first postoperative day.

    • C. 

      Often used in outpatient physical therapy

    • D. 

      Now being looked at as a therapy for burn patients in the prevention and treatment of scar tissue contractures

    • E. 

      Improve facial muscles and decrease degeneration of tissues

  • 18. 
    Purposes and benefits of a CPM machine. Select all that apply:
    • A. 

      Mobilize the knee joint to prevent contracture, muscle atrophy, venous stasis, and thromboembolism.

    • B. 

      Improves cartilage nutrition and reduces edema

    • C. 

      Accelerate venous blood flow

    • D. 

      Stimulate circulation in synovial fluids

    • E. 

      Lowers risk for deep vein thrombosis

  • 19. 
    Typical initial setting of CPM machine
    • A. 

      30 to 40 degrees of flexion and full extension (0 degrees) at 3 cycles per minute

    • B. 

      2 to 3 degrees of flexion and full extension (0 degrees) at 2 cycles per second

    • C. 

      20 to 30 degrees of flexion and full extension (0 degrees) at 2 cycles per minute

    • D. 

      20 to 30 degrees of extension and full flexion (0 degrees) at 2 cycles per hour

  • 20. 
    Before starting a CPM machine intervention, which of the following vitals need priority assessment?
    • A. 

      Height and weight

    • B. 

      Temperature and respiration

    • C. 

      Skin color and circulation

    • D. 

      Heart rate and blood pressure

  • 21. 
    Possible reasons why a patient may develop DVT. Select all that apply:
    • A. 

      Injury to a vein from a broken bone or surgery

    • B. 

      Immobility caused by a cast or sitting a long time

    • C. 

      Inherited clotting disorders

    • D. 

      Obesity, smoking and family history

    • E. 

      Culture, race and gender

  • 22. 
    Three factors of a Virchow's triad (factors that contribute to a DVT development). Select all that apply: 
    • A. 

      Hypercoagulability of the blood

    • B. 

      Low pH values of blood plasma

    • C. 

      Venous wall damage

    • D. 

      Blood flow stasis

  • 23. 
    A patient who used to be a medical scientist asks, "What are these elastic stockings for? Can I have another color or design? They seem not to match my attire". What would be your best response?
    • A. 

      You need these elastic stockings to avoid DVT, but I will see if we have other colors to match your hospital gown

    • B. 

      Elastic stockings pump blood into veins and remove pooled blood, thus preventing venous stasis

    • C. 

      Elastic stockings help reduce blood stasis and venous wall injury by promoting venous return and limiting venous dilation, which decreases the risk of endothelial tears.

    • D. 

      They are there to help you were your shoes better. There are no other designs or colors

  • 24. 
    SCD (Sequential compression device)
    • A. 

      Reduce blood stasis and venous wall injury

    • B. 

      Pump blood into deep veins, thus removing pooled blood and preventing venous stasis

    • C. 

      Compresses muscles to avoid muscles dystrophy

    • D. 

      Tightens tissues on lower extremities to prevent decubitus

  • 25. 
    Promotes circulation by mimicking the natural action of walking
    • A. 

      Elastic Stockings

    • B. 

      SCD

    • C. 

      Venous plexus foot pumps

    • D. 

      CPM

  • 26. 
    Normal walking posture. Select all that apply:
    • A. 

      The head is erect

    • B. 

      Cervical, thoracic and lumbar vertebrae are aligned

    • C. 

      Hips and knees have slight flexion

    • D. 

      Arms swing freely

    • E. 

      Feet shuffles once in a while

  • 27. 
    The physician has ordered that a second day  post surgery patient be ambulated at least once before discharge.  This patient has an intravenous medication that cannot be taken out. How do you proceed with ambulation?  
    • A. 

      Place the IV pole on the opposite site of infusion and instruct patient to hold and push the pole while ambulating.

    • B. 

      Place the IV pole on the same side as the site of infusion and instruct patient to hold and push the pole while ambulating.

    • C. 

      Place the IV pole on the same side as the site of infusion and instruct patient to hold and pull the pole while ambulating.

    • D. 

      Place the IV pole on the opposite side as the site of infusion and instruct patient to hold and pull the pole while ambulating.

  • 28. 
    A patient with a Foley Catheter needs to ambulate. How should you proceed to help this patient.
    • A. 

      Place bag below the level of the bladder and prevent tension on tubing

    • B. 

      Place bag on the lap of patient and prevent tension on tubing

    • C. 

      Place bag on an intravenous post and prevent tension on tubing

    • D. 

      Place bag behind patient and avoid tension on tubing

  • 29. 
    When helping a patient ambulate through a hallway, where do you position the patient?
    • A. 

      Position patient between yourself and the wall.

    • B. 

      Position patient on your left side away from the wall

    • C. 

      Position the patient in front of you and the wall

    • D. 

      Position the patient to your stronger side for full support

  • 30. 
    Indications for the use of assistive devices. Select all that apply:
    • A. 

      Instability

    • B. 

      Poor balance

    • C. 

      Pain in weight bearing

    • D. 

      Cardiac disorders

  • 31. 
    Requires the patient to support weight on the assistive device and the unaffected limb. The affected leg is kept off the floor at all times. 
    • A. 

      Non-weight bearing status

    • B. 

      Weight-bearing status

    • C. 

      Partial weight-bearing status

    • D. 

      Total weight-bearing status

  • 32. 
    Closely approximates normal walking, except that less weight is placed on the affected limb. 
    • A. 

      Total weight bearing

    • B. 

      Partial weight bearing

    • C. 

      Non-weight bearing

    • D. 

      Weight bearing

  • 33. 
    Allows patient to distribute equal weight between each limb with minimal weight on assistive device. 
    • A. 

      Total weight bearing

    • B. 

      Partial weight bearing

    • C. 

      Non-weight bearing

    • D. 

      Weight bearing

  • 34. 
    Before anything else, where does a patient hold a cane and how far from the side of the foot
    • A. 

      On weak side, 4 to 6 inches (10 - 15 cm) to side of foot

    • B. 

      On strong side, 4 to 6 inches (10 - 15 cm) to side of foot

    • C. 

      On strong side, 4 to 6 inches (10 - 15 cm) to the front of foot

    • D. 

      On weak side, 4 to 6 inches (10 - 15 cm) to the back of foot

  • 35. 
    Crutch measurement includes three areas. What are they? Select all that apply
    • A. 

      Patient's height

    • B. 

      Distance between crutch pad and axilla

    • C. 

      Measurement of arms and forearms

    • D. 

      Angle of elbow flexion

  • 36. 
    What are the possible consequences when crutches are too long?  Select all that apply:
    • A. 

      Places pressure on axilla

    • B. 

      Patient cannot push off the ground

    • C. 

      May cause paralysis of elbow and wrist extensors (crutch palsy)

    • D. 

      Shoulders are forced upwar

    • E. 

      Patient's height will decrease

  • 37. 
    Ideal distance of crutch pad under axilla 
    • A. 

      Crutch pad is 2 to 3 inches under axilla

    • B. 

      Crutch pad is 2 to 3 centimeters under axilla

    • C. 

      Crutch pad is 2 to 3 finger widths under axilla

    • D. 

      Crutch pad is 2 to 3 millimeters under axilla

  • 38. 
    For a patient who has crutches, before standing up from a sitting position, where will the crutches be held? 
    • A. 

      Place both crutches resting against the lap

    • B. 

      Place both crutches in the strong hand

    • C. 

      Place both crutches in the hand on the involved side

    • D. 

      Place both crutches on the floor

  • 39. 
    With respect to the proper use of a walker, what would be the approximate height of the walker for a patient?
    • A. 

      When patient folds their arms at the side of their body, the top of the walker should line up with the crease on the inside of the wrist.

    • B. 

      When patient relaxes the arms at the side of their body, the top of the walker should line up with the crease on the inside of the wrist.

    • C. 

      When patient relaxes the arms at the side of their body, the top of the walker should line up with the crease on their thumb.

    • D. 

      When patient relaxes the arms in front of their body, the top of the walker should line up with the crease on the inside of the wrist.

  • 40. 
    If a patient uses a walker and is hemiplegic (one-sided paralysis) or has hemiparesis (one-sided weakness) and you needed to assist him/her, where do you stand?
    • A. 

      If a patient is hemiplegic or has hemiparesis, stand next to his/her strong side

    • B. 

      If a patient is hemiplegic or has hemiparesis, stand next to his/her weak side

    • C. 

      If a patient is hemiplegic or has hemiparesis, stand next to his/her right side

    • D. 

      If a patient is hemiplegic or has hemiparesis, stand next to his/her left side

  • 41. 
    Which of the following are true regarding the use of a cane? Select all that apply:
    • A. 

      Use cane on the dominant side

    • B. 

      Ensure that walking surface is clean and dry

    • C. 

      Instruct patient to walk barefoot

    • D. 

      Avoid flexion of elbow when ambulating

  • 42. 
    The husband of a patient is concerned about his wife's ambulation. What would you suggest him to do? 
    • A. 

      Give the wife an opioid analgesic just before ambulating

    • B. 

      Encourage his wife to bend forward when walking

    • C. 

      Schedule daily activities so there is time between them.

    • D. 

      Have his wife hold her breath when rising to a standing position

  • 43. 
    A nurse is educating older adults who live on a fixed income about the importance of exercise. Which activity does the nurse suggest? 
    • A. 

      Join a local fitness club

    • B. 

      Form a walking group

    • C. 

      Organize a book-readers club

    • D. 

      Invest in home exercise equipment

  • 44. 
    Which of the following are indications of orthostatic hypotension? Select all that apply
    • A. 

      Pallor

    • B. 

      Bradycardia

    • C. 

      Nausea

    • D. 

      Dizziness

    • E. 

      Irritability

  • 45. 
    The nurse teaches a patient ROM exercises for the shoulder. For abduction, how high is the patient taught to raise the arm? 
    • A. 

      120 degrees

    • B. 

      140 degrees

    • C. 

      180 degrees

    • D. 

      220 degrees

  • 46. 
    A child with cerebral palsy can experience difficulty with movement, loss of balance, and lack of muscle control. Which gait does the nurse instruct the parents of a child with cerebral palsy to use for crutch walking?
    • A. 

      Four-point

    • B. 

      Three-point

    • C. 

      Two-point

    • D. 

      Swing-to

  • 47. 
    Which of the following actions prevents injury when the nurse is lifting a patient? Select all that apply 
    • A. 

      Keep knees in locked position

    • B. 

      Avoid twisting

    • C. 

      Move the patient without assistance

    • D. 

      Use arms and legs, not the back

    • E. 

      Encourage patient to help if able

  • 48. 
    The patient has returned to the nurse's unit following total knee replacement surgery. What should the nurse do as he begins to apply the CPM?
    • A. 

      Inject analgesic medication on the knee

    • B. 

      Position the machine's knee hinge 4 inches (10 cm) above the patient's knee.

    • C. 

      Support the patient's leg above, below, and at the knee

    • D. 

      Instruct the patient to expect to feel severe discomfort during the therapy

  • 49. 
    Which situation is a contraindication for the use of elastic stockings?
    • A. 

      Prior use of stockings within 3 months

    • B. 

      Recent skin graft to the lower leg

    • C. 

      Increased circulation of lower extremities

    • D. 

      Immobility for more than 1 week