NRS 233 Immobility EAQ Latest 2023 - 2024

NRS 233 Immobility EAQ (Latest 2023 - 2024) New Full Questions and Answers ( Included ) 100% Correct

• The nurse is positioning a patient in supported Fowler's position. Which action should the nurse

perform to prevent flexion contractures of the cervical spine?: Rest the head of the patient against the mattress

• he nurse is caring for a patient with acute respiratory distress syndrome. While positioning the

patient, the nurse observes hyperextension of the lumbar spine.Which patient positioning would likely

have caused this condition?-: prone position

• Which positioning aid decreases the shearing action from sliding across up and down in bed: trapeze

bar

• A patient with left-sided weakness asks the nurse, "Why are you walking on my left side? I can hold

on to you better with my right hand." What would be the best therapeutic response?: "By walking on your left side I can support you and help keep you from injury if you should start to fall. By holding your waist I would protect your shoulder if you should start to fall or faint.

• Which nursing intervention would increase the risk for joint dislocation in a patient with hemiplegia

who is immobile for an extended period?: Supporting the patient by holding the arm

• While positioning a patient in the supported supine position, the nurse places a pillow under the

upper shoulders. What is the rationale behind this intervention: maintain correct alignment

• Which positioning aid prevents external rotation of the hips when the patient is in the supine position:

Trochanter roll

• How many nurses would be required to place a patient in the semi-prone position?: 1
• After assessing a patient with immobility, the nurse observes that the pa- tient has acute respiratory

distress syndrome.Which positioning of the patient would be appropriate to improve oxygenation?: prone position

• The nurse is assisting a patient in the supported supine position. Which nursing action should the

nurse implement to reduce the rotation of the hip: Placing trochanter rolls parallel to the lateral surface of the thighs

• Which intervention should the nurse perform while positioning a patient in the supported Fowler's

position to decrease flexion of vertebrae?: place a small pillow at the lower back

• What is the desired outcome when the head of the bed is elevated to 60 degrees in supported

Fowler's position?: improves ventilation

• Which site is at risk for skin breakdown when the patient is in the side-lying position?: Trochanter
• Which positioning aid is contraindicated in a patient with spastic paraly- sis?: rolled wash cloths
• While caring for a patient with immobility, the nurse positions the patient in the supported supine

position. The nurse places pillows under the pronated forearms keeping the upper arms parallel to the patient's body. What is the reason for this nursing action: To reduce the internal rotation of shoulders

• While helping a patient move up in bed, the nurse turns the patient from side to side to place the

drawsheet under the patient. What is the reason for this nursing action?: To reduce the friction during the movement

• Which position would be beneficial for a patient who is suspected to have lung injury: prone

position

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