Author Question: The nurse identifies the problem of impaired physical mobility in a patient hospitalized with ... (Read 61 times)

tth · **on:** Jun 25, 2018

The nurse identifies the problem of impaired physical mobility in a patient hospitalized with traumatic injuries. Which intervention should the nurse identify as appropriate for this patient?

1. Provide active range-of-motion exercises to affected extremities every 8 hours.
2. Turn and reposition every hour.
3. Remove anti-embolic stockings for 3 hours every shift.
4. Administer tetanus toxoid.

Question 2

A patient is admitted with trauma to the integumentary system. Which type of skin trauma should the nurse prepare to assess?

Select all that apply.
1. cutaneous
2. abrasion
3. laceration
4. contusion
5. keloid

Jadwiga9 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

The patient with impaired physical mobility should have active range-of-motion exercises to the affected extremities once every 8 hours. The patient should be turned and repositioned every 2 hours. Anti-embolic stockings should be removed for 1 hour every shift. Administering the tetanus toxoid would be appropriate for reducing the risk for infection.

Answer to Question 2

Correct Answer: 2, 3, 4

Abrasions, or partial-thickness denudations of an area of integument, generally result from falls or scrapes. Lacerations are open wounds that result from sharp cutting or tearing. Contusions, or superficial tissue injuries, result from blunt trauma that causes the breakage of small blood vessels and bleeding into the surrounding tissue. Cutaneous is a term used to refer to the integument, not to trauma to the skin. A keloid is a type of scar.