Which of the following laboratory values would you expect in a client experiencing prolonged immobility?
1. Elevated calcium
2. Decreased sodium
3. Elevated hemoglobin
4. Elevated potassium
1. Elevated calcium
A client has been on bed rest for several days. The client stands, and the nurse notes that the client's systolic pressure drops 20 mm Hg. Which of the following should the nurse document in the medical record?
1. Rebound hypotension
2. Positional hypoten
3. Orthostatic hypotension
The nurse puts elastic stockings on a client following major abdominal surgery. The nurse teaches the client that the stockings are used after a surgical procedure to:
1. prevent varicose veins
2. prevent muscular atrophy
3. ensure joint mobility and prev
4. facilitate the return of venous blood to the heart
You are caring for a client who has osteoporosis. The nurse is teaching her about ways to prevent fractures. Which of the following client statements reflects a need for further education?
1. "I usually go swimming with my family at the YMCA 3 times a wee
4. "The more frequently i walk, the more likely i will be to fall and break my leg. I think i will get a wheelchair so i don't have to walk any more.
The client at greatest risk for developing adverse effects of immobility is a:
1. 3-year-old child with a fractured femur
2. 78-year-old man in traction for a broken hip
3. 48-year-old woman following a thyroidectomy
4. 38-year-old woman undergoing a hyst
2. 78-year-old man in traction for a broken hip
A client who was in a car accident and broke his femur has been immobilized for 5 days. When the nurse gets this client out of bed for the first time, a nursing diagnosis related to the safety of this client will be:
1. Pain
2. Impaired skin integrity
3.
4. Risk for activity intolerance
A client had a left- sided cerebral vascular accident 3 days ago and is receiving 5000 units of heparin subcutaneously every 12 hours to prevent thrombophlebitis. The client is receiving enternal feedings through a small-bore nasogastric tube because of d
1. Hematuria
A home care nurse is preparing the home for a client who is going home following a left hip replacement. The client is cooperative and can partially bear weight. What should the nurse order from the home medical supply company to help the client move from
2. A small transfer board
The nurse is caring for a client who has right-sided weak-ness. The nurse needs to help the client walk. What should the nurse order from the home medical supply company to help the client move from the bed to the chair?
1. Hold the client's left hand whi
4. Put a gait belt on the client and provide support on the right side
Before transferring a client from the bed to a stretcher, which assessment data does the nurse need to gather?
(choose all that apply)
1. The client's weight
2. How cooperative the client is
3. The client's nutritional status
4. The presence of intravenou
1. The client's weight
2. How cooperative the client is
4. The presence of intravenous (IV) tubes