Exam 29: Immobility

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Which is the appropriate intervention for a patient with risk for constipation related to prolonged immobility?

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B

Which action of the nurse will help to reduce the effects of orthostatic hypotension?

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B

Which is the best position for a patient who is acutely short of breath?

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C

Which is the appropriate outcome for the patient with the nursing diagnosis risk for ineffective peripheral tissue perfusion related to prolonged immobility?

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Which position should be avoided for a patient who is unconscious?

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Which assessment finding indicates that the patient developed osteoporosis after a long period of immobility?

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Which intervention will be most effective for prevention of foot drop in an immobile patient?

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The nurse is to transfer an obese,hemiplegic patient from the bed to the chair.Which is the safest way for the nurse to do this?

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The nurse is caring for a patient who is recovering from a cerebrovascular accident.Which assessment finding indicates that the patient's cerebellum was damaged by the stroke?

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Which is an appropriate outcome for an elderly patient with the nursing diagnosis adult failure to thrive related to placement in extended care agency after right hip fracture?

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The nurse is caring for a patient with nonblanchable redness of the coccyx after a lengthy surgical procedure in the supine position.Which nursing diagnosis is appropriate for this patient?

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Which outcome is appropriate for the patient with the nursing diagnosis ineffective protection related to use of anticoagulant medications?

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The nurse suspects that the postoperative patient has developed a deep vein thrombosis.Which is the priority action of the nurse?

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The nurse is caring for a patient who suffered a fractured arm.Which assessment finding is expected after the patient's cast is removed after 6 weeks?

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The nurse is caring for a pregnant mother of two small children who is on bed rest for several months until the baby is born.Which outcome is most appropriate to address the diagnosis of compromised family coping related to mother's prolonged bed rest?

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The nurse is caring for a patient who must lay flat in bed for several days after spinal surgery.Which is the priority nursing diagnosis for this patient?

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Which outcome is most appropriate for a patient with the diagnosis impaired wheelchair mobility related to neuromuscular impairment and fatigue?

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Which is the appropriate intervention for the patient with the diagnosis powerlessness related to pain and weakness after right hip fracture?

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Which are the appropriate interventions for the patient with the diagnosis impaired bed mobility related to hemiplegia after stroke?

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Which assessment findings place the patient at high risk of pulmonary embolism due to immobility?

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