Exam 45: Mobility and Immobility

The nurse is assessing a patient 2 hours after a colonoscopy.Based on the procedure done,what focused assessment will the nurse include?

The nurse administers a cathartic to a patient.The nurse determines that the cathartic has had a therapeutic effect when the patient

A nurse is pouching an ostomy on a patient with an ileostomy.Which action by the nurse is most appropriate?

A nurse is educating a patient on how to irrigate an ostomy bag.Which statement by the patient indicates the need for further instruction?

The nurse is emptying an ileostomy pouch for a patient.Which assessment finding would the nurse report immediately?

The nurse would expect the least formed stool to be present in which portion of the digestive tract?

A patient is admitted to the medical unit following a CVA.There is evidence of left-sided hemiparesis,and the nurse will be following up on range-of-motion (ROM)and other exercises performed in physiotherapy.Which of the following principles of ROM exercises does the nurse correctly teach the patient and family members?

A patient with a hip fracture is having difficulty defecating into a bed pan while lying in bed.Which action by the nurse would assist the patient in having a successful bowel movement?

Which of the following is the best approach for the nurse to use to assess the presence of thrombosis in an immobilized patient?

A nurse is caring for a patient who has had diarrhea for the past week.Which additional assessment finding would the nurse expect?

A patient has been on prolonged bed rest,and the nurse is observing for signs associated with immobility.While assessing the patient,the nurse is alert to which of the following signs?

A patient informs the nurse that she was using laxatives three times daily to lose weight.After stopping use of the laxative,the patient had difficulty with constipation and wonders if she needs to take laxatives again.The nurse educates the patient that

Which one of the following should the nurse implement to reduce the chance of plantar flexion (footdrop)in a patient on prolonged bed rest?

Which of the following is an abnormal anteroposterior and lateral curvature of the spine?

A nurse is assisting a patient in making dietary choices that promote healthy bowel elimination.Which menu option should the nurse recommend?

A nurse is caring for an older adult patient with fecal incontinence due to cathartic use.The nurse is most concerned about which complication that has the greatest risk for severe injury?

The nurse would anticipate which diagnostic examination for a patient with black tarry stools?

The nurse is preparing to perform a fecal occult blood test.The nurse plans to properly perform the examination by

The nurse,who is caring for a 73-year-old female patient who has been hospitalized with a stroke,instructs the patient's daughter to continue to do passive ROM exercises with her mother on her affected side to prevent contractures.The nurse explains to the daughter that this is very important in an immobile older adult patient because contractures can form how quickly?

A patient expresses concerns over having black stool.The fecal occult test is negative.Which response by the nurse is most appropriate?