Mobility

Which of the following is a complication of immobility?

• Increased bone density

• Muscle atrophy

• Enhanced flexibility

• Improved circulation

Answer explanation

Muscle atrophy is a common complication of immobility, as lack of movement leads to the weakening and wasting away of muscles. In contrast, immobility does not increase bone density, enhance flexibility, or improve circulation.

What is the role of unlicensed assistive personnel (UAP) in the care of immobilized patients?

• Diagnosing medical conditions

• Providing hands-on care under supervision

• Prescribing medication

• Conducting physical therapy sessions

Answer explanation

Unlicensed assistive personnel (UAP) provide essential hands-on care to immobilized patients under the supervision of licensed healthcare professionals, ensuring safety and proper support.

What is the purpose of ROM activities for patients confined to bed?

• To increase muscle mass

• To prevent physical disuse syndrome

• To improve cardiovascular health

• To enhance mental health

Answer explanation

The purpose of ROM activities for patients confined to bed is primarily to prevent physical disuse syndrome, which can occur due to prolonged inactivity. This helps maintain joint flexibility and muscle function.

Which position is used when a patient is lying on their side?

• Prone

• Fowler

• Side-lying

• Lithotomy

Answer explanation

The side-lying position refers to a patient lying on their side, making it the correct choice. The prone position is face down, Fowler's position is sitting up, and lithotomy is for gynecological exams.

Which position is described as the patient lying supine with the head elevated?

• Prone

• Semi-Fowler

• Sim's

• Trendelenburg

Answer explanation

The Semi-Fowler position involves the patient lying supine with the head elevated at an angle, typically between 30 to 45 degrees. This is distinct from the other positions listed, making it the correct answer.

What is one purpose of assistive devices?

• Increase activity level

• Decrease activity level

• Increase immobility

• Decrease muscle strength

Answer explanation

One purpose of assistive devices is to increase activity level by helping individuals perform tasks they may struggle with otherwise, promoting independence and mobility.

What is a transfer/slide board primarily used for?

• Increasing friction during transfers

• Preventing bed-linen changes

• Reducing friction to facilitate transfers

• Immobilizing patients

Answer explanation

A transfer/slide board is primarily used for reducing friction to facilitate transfers, making it easier to move patients between surfaces, such as from a bed to a wheelchair.

What should be included in the documentation of patient response during transfer?

• The patient's favorite TV show

• Musculoskeletal strength and integumentary assessment

• The patient's shoe size

• The patient's meal preferences

Answer explanation

During patient transfer, it's crucial to document musculoskeletal strength and integumentary assessment to ensure safe handling and identify any potential risks. Other options are not relevant to patient safety.

What is the primary purpose of using a Hoyer lift?

• To increase patient independence

• To assist in safe patient transfers

• To improve patient flexibility

• To enhance patient comfort

Answer explanation

The primary purpose of a Hoyer lift is to assist in safe patient transfers, ensuring that patients are moved securely and comfortably, reducing the risk of injury for both the patient and the caregiver.

A nurse is caring for a 25-year-old quadriplegic patient. Which of the following treatments would the nurse perform to decrease the risk of joint contracture and promote joint mobility?

• Active range of motion (ROM)

• Passive ROM

• Turning the patient every 2 hours

• Administering glucosamine supplements

Answer explanation

Passive ROM is essential for quadriplegic patients to maintain joint mobility and prevent contractures, as they cannot perform active movements themselves. This treatment helps preserve range of motion effectively.