Exam 36: Immobility

A patient is recovering from an abdominal aortic bypass graft.To reduce the effects of orthostatic hypotension,what is the most appropriate action for the nurse to take?

A nurse is caring for a patient in Buck's traction on bed rest for a fracture of the femur.Which action should the nurse take to help preserve skin integrity?

Which assessment finding should the nurse expect to observe on an immobilized patient?

A nurse notes a typical cardiovascular change in an immobilized postoperative patient.Which of the following did the nurse find upon assessment?

Which patient is most at risk for developing a urinary tract infection?

A young adult patient was involved in a motorcycle accident.The patient was in the intensive care unit of the hospital for 2 months with immobility and was just discharged to a rehabilitation hospital.The patient asks the nurse,"Why am I so weak?" What is the best response from the nurse?

An elderly patient was admitted to the hospital after falling in the nursing home.The patient has a fractured right femur and is awaiting surgery.The surgeon orders bed rest.The patient asks the nurse what this means.What is the nurse's best explanation?

A young adult was involved in a motor vehicle accident and suffers from brain trauma.The patient has decrease mobility in all joints.The nurse should assess for which common,debilitating contracture?

The nurse working with a new nursing assistive personnel (NAP),is explaining about the importance of repositioning immobile patients to prevent pressure ulcers.At a minimum,the nurse tells the NAP to reposition patients how often?

Which patient is most likely to have developmental effects due to prolonged immobility?

An elderly nursing home resident fell 2 weeks ago and has been on bed rest.The patient has become increasingly fatigued during activities of daily living (ADLs).The family is concerned about the patient's declining condition.The best explanation that the nurse can give the family is that the patient's fatigue is caused by which of the following?

The patient was involved in a motor vehicle accident.The patient has a fractured right hip and is on bed rest.Because of the prolonged immobility the nurse is concerned about complications such as which of the following? (Select all that apply.)

Patients on prolonged bed rest are at risk for a deep vein thrombosis.Which information indicates the nurse needs more teaching about the factors in Virchow's triad?

Which patient is at greatest risk for developing a pressure ulcer?

While planning care for an immobilized patient,which physiological process will the nurse consider about the patient's musculoskeletal system?

A nurse has finished preoperative teaching for a surgical patient.Which statement by the patient indicates teaching was successful about the use of elastic stockings?

When completing the assessment of an immobilized patient,the most likely place for the nurse to assess edema includes which of the following? (Select all that apply.)

Which action should the nurse implement to help prevent thrombus formation in postsurgical patients?

Immobilized patients often become depressed.A nurse can best combat this effect of immobilization by doing which of the following? (Select all that apply.)

A student nurse is caring for a young adult patient who is immobile with a back injury.On auscultation,the student nurse hears rhonchi in the lower lobes.The student nurse reports this symptom because the patient is developing which complication?