Exam 12: Immobility

A nurse caring for a patient who has been prescribed bed rest for 1 week notices a reddened area on the patient's left hip.The skin is intact, but when the nurse presses on the area, the redness does not fade.How should this area of pressure be classified?

(Multiple Choice)

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Question 21

A nursing assistant is bathing a patient who has a stage I pressure ulcer on the right shoulder.What action by the health care team could cause that the tissue to become more damaged?

(Multiple Choice)

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Question 22

A nurse transcribes a discharge order for the patient with left-sided weakness after having a stroke indicating to teach the patient to perform range-of-motion exercises on affected extremities.The patient asks why she needs to do range-of-motion exercises.What is the nurse's best response?

(Multiple Choice)

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Question 23

A home health nurse instructs a family about boosting the patient in bed so that a(n)______ type of skin injury will not occur.

(Short Answer)

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Question 24

A nurse takes into consideration that such emotions as worry, anxiety, and depression can contribute to the common nutritional problem of ______.

(Short Answer)

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Question 25

What intervention is most appropriate to prevent respiratory complications resulting from immobility?

(Multiple Choice)

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Question 26

How does the National Pressure Ulcer Advisory Panel prefer to refer to skin breakdown?

(Multiple Choice)

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Question 27

A nurse is providing discharge instructions to the family of an older adult patient who is unable to get out of bed.What should the nurse instruct the family regarding the most effective way to prevent urinary incontinence associated with immobility?

(Multiple Choice)

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Question 28

A nurse's assessment reveals an area of erythema on an immobilized patient's sacrum.What is the initial nursing action?

(Multiple Choice)

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Question 29

What is the most effective intervention to prevent constipation in a patient who recently sustained a fractured femur and is currently in traction?

(Multiple Choice)

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Question 30

When preparing a plan care for an older adult patient, a nurse should consider the common problems associated with immobility.What should these problems be classified as?

(Multiple Choice)

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Question 31

During a skin integrity assessment, a nurse notices an area on the right heel that is black and draining purulent, foul-smelling exudate.How should the nurse document this as a pressure ulcer?

(Multiple Choice)

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(74)

Question 32

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Exam 12: Immobility

A nurse caring for a patient who has been prescribed bed rest for 1 week notices a reddened area on the patient's left hip.The skin is intact, but when the nurse presses on the area, the redness does not fade.How should this area of pressure be classified?

A nursing assistant is bathing a patient who has a stage I pressure ulcer on the right shoulder.What action by the health care team could cause that the tissue to become more damaged?

A nurse transcribes a discharge order for the patient with left-sided weakness after having a stroke indicating to teach the patient to perform range-of-motion exercises on affected extremities.The patient asks why she needs to do range-of-motion exercises.What is the nurse's best response?

A home health nurse instructs a family about boosting the patient in bed so that a(n)______ type of skin injury will not occur.

A nurse takes into consideration that such emotions as worry, anxiety, and depression can contribute to the common nutritional problem of ______.

What intervention is most appropriate to prevent respiratory complications resulting from immobility?

How does the National Pressure Ulcer Advisory Panel prefer to refer to skin breakdown?

A nurse is providing discharge instructions to the family of an older adult patient who is unable to get out of bed.What should the nurse instruct the family regarding the most effective way to prevent urinary incontinence associated with immobility?

A nurse's assessment reveals an area of erythema on an immobilized patient's sacrum.What is the initial nursing action?

What is the most effective intervention to prevent constipation in a patient who recently sustained a fractured femur and is currently in traction?

When preparing a plan care for an older adult patient, a nurse should consider the common problems associated with immobility.What should these problems be classified as?

During a skin integrity assessment, a nurse notices an area on the right heel that is black and draining purulent, foul-smelling exudate.How should the nurse document this as a pressure ulcer?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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