Mobility and Immobility

1. When describing the strong, flexible, inelastic fibrous bands that attach muscle to bone, the nurse would refer to this as: A. Tendons B. Ligaments C. Cartilage D. Joints Answer: The correct answer is A. Tendons are the strong fibrous bands that attach muscle to bone. 2. The underlying rationale for nurses to spread their feet apart when they prepare to help raise a patient from a chair would be to: A. Use the bodys weight to assist movement B. Make a long midriff C. Provide a wide base of support D. Facilitate use of the stronger back muscles Answer: The correct answer is C. Spreading the feet apart broadens the base of support and lowers the center of gravity. 3. A patient performs a rehabilitative exercise with resistance after a knee injury. The nurse interprets this type of exercise as which of the following? A. Isotonic B. Isokinetic C. Isometric D. Aerobic Answer: The correct answer is B. Isokinetic exercise involves muscle contraction with resistance. 4. Which of the following would the nurse expect to assess when a patient experiences a greater breakdown of protein than that which is manufactured? A. Fluid volume excess B. A contracture C. Osteoporosis D. Negative nitrogen balance Answer: The correct answer is D. Negative nitrogen balance results when the body excretes more nitrogen than it takes in.

5. An immobile patient experiences multiple urinary tract infections. Urinary bacteria are more likely to grow when urine is? A. Alkaline B. Dilute C. Aromatic D. Acidic Answer: The correct answer is A. Bacteria grow more easily in alkaline urine than acid. 6. Mr. Brown is experiencing some difficulty breathing. The nurse most appropriately assists him into the: A. Dorsal recumbent position B. Lateral position C. Fowlers position D. Sims position Answer: The correct answer is C. Fowlers position promotes maximal breathing space thoracic cavity and is the position of choice someone is having difficulty breathing. 7. While doing range-of-motion exercises with a patient who is bedridden, the nurse is aware that A. Neck hyperextension should be encouraged, particularly in older people. B. Exercises should be continued until the patient is fatigued. C. Exercises should be always be done frequently to lessen pain for the patient. D. Each joint is exercised to the point of resistance but not pain. Answer: The correct answer is D. Joints should be exercised slowly, smoothly, and rhythmically to the point of resistance but not pain. 8. The nurse is assisting a patient with conditioning exercises to prepare for ambulation. The nurse correctly instructs the patient to: A. Do full-body pushups in bed 6 to 8 times daily. B. Breathe in and out smoothly during quadriceps drills. C. Dangle on the side of the bed for 30-60 minutes D. Allow the nurse to bathe the patient completely to prevent fatigue Answer: The correct answer is B. breathing in and out smoothly during quadriceps drills maximize lung inflammation. 9. In many situations, a patient has sufficient strength to walk if he or she can A. Lie prone for 1 hour B. Bathe himself or herself C. Raise the foot off the bed 1 inch D. Sit up in bed for 1 hour The correct answer is C. Being able to raise the foot 1-inch off the bed frequently indicates sufficient strength for walking.

10. Mrs. Eden tells the nurse she feels faint while walking in the corridor with the nurse. The nurse; A. Instructs the patient to quicken her pace so they can return to her room B. Leaves her momentarily to find another nurse to help C. Advises her to look down at her feet to help maintain her balance D. Guides her to a nearby chair, easing her onto it to rest. Answer: The correct answer is D. Guiding the patient to a chair in the hall and easing her into it is the safest action.