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Please indicate whether the following statement is true or false.
Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

False

True

Maybe

Perhaps

Answer and Explanation

The Correct Answer is A

A. False

The statement is false because all listed effects are known complications of prolonged immobilization.

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Correct Answer is A

Explanation

A. Extend one leg and allow the client to slide down the leg to the floor.

It helps to control the fall, protects the client from injury, and allows the nurse to safely guide the client to the floor without using excessive force.

B. Move both feet together when the client begins to fall.

Keeping the feet together reduces stability and increases the risk of both the client and nurse falling.

C. Wrap both arms around the client's arm and shoulders.

This could cause injury to the client’s upper body and doesn't provide support for a safe fall.

D. Protect the client's extremities while lowering them to the floor.

While protecting extremities is important, the nurse’s primary action should be to use proper body mechanics (like extending one leg) to safely lower the client.

A. maintaining strength in muscles. B. compression of muscles on venous walls. C. vasodilation. D. increased metabolism.

Correct Answer is B

Explanation

A. maintaining strength in muscles.

This is a benefit of ROM exercises, but it does not directly explain how venous return improves.

B. compression of muscles on venous walls.

Muscle contraction compresses veins, helping to push blood back toward the heart, improving venous return.

C. vasodilation.

Vasodilation increases blood flow, but doesn’t directly enhance venous return in the context of ROM.

D. increased metabolism.

Increased metabolism is a systemic benefit of exercise but is not the primary mechanism of improved venous circulation.

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Please indicate whether the following statement is true or false. Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the ambulation of a client with the use of a gait belt, who becomes light-headed and begins to fall. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

The nurse explains that range of motion exercises are necessary so that movement improves venous circulation by:

Correct Answer is B

Explanation

Mr. Milby is a 69-year-old patient who underwent a total knee replacement 3 days ago. The orders fro the continuous passive motion (CPM) machine are to set it at 45 degrees of flexion and 0 degrees of extension for Mr. Milby. Select all the options that need to be reported to the responsible nurse.

A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?

A nurse in an urgent care center is caring for a client who fell and injured her ankle. The ankle appears swollen and ecchymotic. While the client waits for the x-ray technician, which of the following actions should the nurse take? (Select all that apply.)

A patient who fractured a leg several weeks ago is scheduled for cast removal after he returns home. The nurse should explain to the patient to expect the skin underneath the cast to appear:

The nurse placing a patient following knee replacement surgery into a continuous passive motion (CPM) machine has the responsibility to:

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

A nurse is assisting a client with range-of-motion exercises of the neck. Which of the following terms should the nurse use when documenting the client touching her chin to her chest?

A nurse is caring for a client whose right leg is in Buck's traction. Which of the following should the nurse implement to promote mobility?

Please indicate whether the following statement is true or false.
Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.