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Continuous ____ motion machines flex and extend joints to mobilize them passively without the strain of active exercises.
Correct Answer: passive
Rationale: Continuous passive motion (CPM) machines flex and extend joints to mobilize them passively without the strain of active exercises. It is imperative that the CPM machine be set according to the health care provider's orders for the degree and the speed of flexion and extension for each individual patient to prevent damage to the joint or surgical site.
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The nurse is performing passive range of motion (ROM) for the patient. How will the nurse move the joint through ROM?
- A. The fullest extent.
- B. Place the joint in normal position.
- C. The point of pain.
- D. Relax the patient.
Correct Answer: C
Rationale: The joints are moved to the point of resistance or pain.
What is considered to be the minimum number of hours of daily activity necessary to prevent the negative consequences of immobility?
- A. 2 hours
- B. 4 hours
- C. 6 hours
- D. 8 hours
Correct Answer: A
Rationale: The amount of exercise required to prevent physical disuse syndrome is 2 hours in 24 hours.
The nurse receives a patient from the recovery room following total hip replacement surgery. What will the nurse include when assessing neurovascular status on this patient?
- A. Pupils
- B. Pain
- C. Sensation
- D. Color
- E. Skin temperature
Correct Answer: B,C,D,E
Rationale: One of the responsibilities of the nurse is to frequently monitor the patient's neurovascular function, or circulation, movement, and sensation (CMS) assessment. The LPN/LVN checks for skin color, temperature, movement, sensation, pulses, capillary refill, and pain. Pupil assessment is part of a neurologic assessment.
A newly hired group of graduate practical/vocational nurses are attending orientation at a long-term care facility. What information will be included regarding considerations of mobility and the older adult?
- A. The skin of older adults is more fragile and susceptible to injury.
- B. Always support older adults under the soft tissue when moving them in bed.
- C. Weakness and hypertension are common signs and symptoms noted in an older adult on bed rest.
- D. Aging tends to result in loss of flexibility and joint mobility.
- E. Older adults sometimes become fearful when hydraulic lifts are used for transfers.
Correct Answer: A,D,E
Rationale: The skin of older adults is more fragile and susceptible to injury. Aging tends to result in the loss of flexibility and joint mobility and older adults sometimes do become fearful with use of hydraulic lifts. Older adults should be supported under the joints when moving in bed. Weakness and hypotension are common signs and symptoms noted in an older adult on bed rest.
Where should the nurse place the load when carrying heavy objects?
- A. In a low position
- B. To the side of the body
- C. Close to the body midline
- D. With another's assistance
Correct Answer: C
Rationale: The nurse should carry objects close to the midline of the body.