Assistive Devices
A patient who has left side weakness is going to use a cane for ambulation. What demonstrates appropriate use?
A. Hold cane on left side of body and advance with left leg
B. Hold cane on right side of body and advance with left leg
C. Hold cane on right side of body and advance with right leg
D. Hold cane on left side of body and advance with right leg
B. Hold cane on right side of body and advance with left leg
Name at least two Musculoskeletal effects of immobility.
Options:
Disuse Osteoporosis
Disuse Atrophy
Contractures
Joint Pain & Stiffness
The nurse is turning the soles of each foot medially. What ROM is being performed?
Foot Inversion
The nurse is moving the patients arm forward, up, back, and down in a full circle. What ROM exercise is being performed?
Shoulder Circumduction
Which of the following is a correct interpretation of a 4-point crutch gait?
A. Move both crutches and weak leg forward, then move stronger leg forward
B. Move left crutch and right foot together, move right crutch and left foot together
C. Move both crutches together and then swing to the crutches
D. Move right crutch, move left foot, move left crutch, move right foot
D. Move right crutch, move left foot, move left crutch, move right foot
(4 different points on the ground. Most stable crutch gait of them all).
Name at least two cardiovascular effects of immobility.
Options:
Diminished cardiac reserve
Increased Valsalva maneuver
Orthostatic hypotension
Venous vasodilation/stasis
Dependent edema
Thrombus formation (DVT)
The nurse is telling the patient to bend at the waist to the left side. What ROM is being performed?
Trunk Lateral Flexion
The nurse is taking the thumb and touching the top of each finger of the same hand. What ROM is being perfromed?
Thumb opposition
A nurse is teaching a patient on how to go down stairs safely while on crutches. What demonstrates correct technique?
A. Patient places weak leg and crutches on the step first and then brings strong leg to meet them
B. Patient places strong leg on the step first and then brings weak leg and crutches to meet them
C. Patient places strong leg with crutches and then hops to with weak leg
D. Patient places weak leg down first and then hops to with strong leg and crutches
A. Patient places weak leg and crutches on the step first and then brings strong leg to meet them
Name at least two Respiratory effects of immobility.
Options:
Decreased respiratory movement
Pooling of secretions
Atelectasis
Pneumonia
The nurse is moving the leg forward and upward. What ROM is being performed?
Hip flexion
The nurse is taking the thumb and reaching across the palmar surface of the hand towards the fifth finger. What ROM is being performed?
Thumb Flexion
A nurse is teaching use of a walker. What demonstrates correct technique.
A. Move walker and strong leg forward at the same time
B. Move walker and weak leg forward at the same time
C. Move walker then both legs forward
D. The walker should stay about 12in ahead of legs
B. Move walker and weak leg forward at the same time
Name at least two Urinary System/Renal effects of immobility.
Options:
Urinary stasis
Renal Calculi
Urinary retention
UTI
The nurse is moving the arm from a resting position at the side of the body, backwards behind the body. What ROM is being performed?
Shoulder Hyperextension
The nurse is pointing the toes of each foot downward. What ROM is being performed?
Ankle Extension (Plantar Flexion)
Which of the following statements regarding crutches is incorrect?
A. Weight should be borne by the forearms, not the axillae
B. Crutches should stay 6in to the front and 6in to the side of the leg
C. Rubber soled shoes are good for patients to wear because they reduce the incidence of slipping
D. Elbow should be bent at 45 degrees at all times
D. Elbow should be bent at 45 degrees at all times
Elbow should only be bent at 30 degrees for best technique.
Name at least two Psychoneurologic effects of immobility.
Options:
Low self-esteem
Dependence on others
Depression
Exaggerated emotional reactions
Impaired problem solving and decision making
Anxiety
The nurse is bending each leg, bringing the heel towards the back of the thigh/buttocks. What ROM is being performed?
Knee Flexion
The nurse is spreading the fingers of each hand apart. What ROM is being performed?
Finger Abduction