Which client does the nurse recognize to be at highest risk for impaired mobility?

Questions 46

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Nursing Assessment Questions Questions

Question 1 of 5

Which client does the nurse recognize to be at highest risk for impaired mobility?

Correct Answer: A

Rationale: An unrepaired hip fracture (A) severely impairs mobility. Asthma (B) and arm fracture (D) have minimal impact. Bedrest (C) is temporary.

Question 2 of 5

Which nurse is demonstrating the assessment phase of the nursing process?

Correct Answer: B

Rationale: Asking about lunch intake (B) is part of assessment gathering data. Pain relief observation (A) is evaluation repositioning (C) is intervention and goal-setting (D) is planning.

Question 3 of 5

The nurse is changing the bed linen of a patient on bed rest. When the nurse is ready to make the other side of the bed, what will the nurse do before having the patient turn onto the side that has already been made?

Correct Answer: B

Rationale: Raising the side rails (B) ensures patient safety during turning by preventing falls. Lowering the head (A) or applying the top sheet (C) is premature, and discarding linen (D) can wait until after the turn.

Question 4 of 5

An interprofessional team is caring for a client on a rehabilitation unit. Which team members are paired with the correct roles and responsibilities? (Select one that apply..)

Correct Answer: A

Rationale: Correct pairings include speech-language pathologist (A) physical therapist (B), Recreational therapists (C) focus on leisure not assisting PTs. Vocational counselors (D) address employment not just head injuries.

Question 5 of 5

A nurse begins discharge planning for a rehabilitation client who will be discharged in a wheelchair. Which would the nurse include in this predischarge assessment? (Select one that apply.)

Correct Answer: C

Rationale: Doorway widths (A) feelings/concerns (C) and ADLs assess home accessibility emotional readiness and functional ability for discharge. Nutrition (B) and vital signs (D) are less directly tied to wheelchair discharge needs.

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