Question 1 of 6
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Which device does the nurse expect the occupational therapist to suggest to help a patient with left-sided weakness after a stroke who has difficulty with donning clothing while self-dressing?
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- ButtonhookButtonhooks help the patient with weak finger mobility to button shirts.
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- Gel padGel pads are used to keep plates from slipping and moving.
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- Foam buildupsFoam buildups are devices that are attached to eating utensils to assist patients who have difficulty grasping utensils.
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- Long-handled reacherA long-handled reacher allows the person to obtain items that are located on high shelves.
Question 2 of 6
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Which disorder may cause decreased mobility in the older adult?
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- StrokeMany disorders may cause decreased mobility in the older adult, such as stroke, spinal cord injury, lower extremity amputation, head injury, multiple traumas, major burns, and fractures of the knee.
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- Minor burnsMinor burns are not among the disorders that may cause decreased mobility.
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- Carpal tunnel syndromeCarpal tunnel syndrome is not among the disorders that may cause decreased mobility.
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- Dissociative identity disorderDissociative identity disorder is not among the disorders that may cause decreased mobility.
Question 3 of 6
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Which complication of decreased mobility may occur in the leg of a patient who is having the cast for a broken leg removed after 8 weeks of no weight bearing?
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- EdemaEdema of the leg may occur, but the atrophy may be alarming to the patient who is not prepared for it.
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- AtrophyBeing in a cast prevents use of the muscles, which results in atrophy. Patients who have not used an extremity for an extended period often require physical therapy to assist in the rebuilding of muscle.
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- StretchingThe cast would not cause stretching of the leg muscles.
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- HypertrophyThe cast would not cause hypertrophy of the leg muscles.
Question 4 of 6
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Which intervention would help prevent osteoporosis for a patient with decreased mobility?
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- Restricting hot fluid intakeRestricting hot fluid intake would not prevent osteoporosis.
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- Encouraging the use of compression hoseEncouraging the use of compression hose would not prevent osteoporosis.
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- Propping pillows under the knees to keep the hips in alignmentPropping pillows under the knees to keep the hips in alignment would not prevent osteoporosis.
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- Having the patient press the feet against a footboard several times per dayRange-of-motion and ambulation activities are preferred interventions to prevent osteoporosis in immobilized patients. Having patients press their feet against a footboard several times per day is one intervention that simulates ambulation and provides range-of-motion activity.
Question 5 of 6
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Which result is an early effect of decreased mobility? Select all that apply. One, some, or all responses may be correct.
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- Increase in muscle massA decrease in muscle strength and atrophy can occur with decreased mobility.
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- Abdominal distentionAbdominal distention can occur as a result of the constipation that often occurs with decreased mobility.
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- Risk for venous thromboembolism (VTE)Decreased mobility can lead to venous stasis and risk for developing a VTE.
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- DiarrheaConstipation is a greater risk with decreased mobility caused by the slower gastrointestinal motility.
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- Generalized weaknessGeneralized weakness can occur as a result of the loss of overall muscle strength that occurs with decreased mobility.
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- Susceptibility to fracturesBecause of the lack of weight-bearing exercises that occurs with decreased mobility, patients are at risk for fractures.
Question 6 of 6
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Which condition should the nurse recognize has the greatest fall risk potential?
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- HypertensionA patient with postural hypotension would be a greater risk for fall than patients with elevated blood pressure because hypotension can cause dizziness.
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- DysarthriaPatients with dysarthria might have more trouble communicating their needs; however, this would not make them a greater fall risk.
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- Peripheral neuropathyA patient with peripheral neuropathy might not have adequate sensation in their feet, and this makes them a great risk for falls.
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- Sleep apneaA patient with sleep apnea might need oxygen at night; however, this would not make them a greater fall risk.