A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility?
Increased blood pressure
Decreased serum calcium levels
Swollen area on calf
Urinary frequency
The Correct Answer is C
A. Immobility more commonly leads to orthostatic hypotension rather than increased blood pressure.
B. Immobility typically leads to increased calcium levels due to bone demineralization.
C. A swollen area on the calf may indicate a deep vein thrombosis (DVT), a serious complication of immobility.
D. Urinary stasis and retention, rather than frequency, are common complications of immobility.
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Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Place a nonadherent dressing on the right knee abrasion: While minor abrasions should be cleaned and dressed, it is not a priority compared to managing the child's pain and fracture care.
B. Administer Ibuprofen 200 mg: Ibuprofen is an appropriate analgesic and anti-inflammatory medication to manage the child's pain (rated 5/10) and reduce swelling. Prompt pain relief is essential for the child’s comfort.
C. Apply ice packs to the fingers and along the right forearm: Applying ice helps reduce edema, pain, and inflammation at the fracture site. It also minimizes soft tissue damage.
D. Elevate the affected forearm with pillows: Elevating the arm helps reduce swelling and promotes venous return, which is essential for minimizing discomfort and preventing complications like compartment syndrome.
E. Review cast care instructions with the child's parents: Reviewing cast care is essential but should be done after the cast is applied, not at this stage of care.
F. Explain the cast application procedure to the child: This is important but not an immediate priority. The nurse should first address pain, swelling, and proper limb positioning before discussing the procedure.
Correct Answer is C
Explanation
A. Take your temperature every night before going to bed: Nighttime readings are not basal body temperatures.
B. Take your temperature 1 hour after getting out of bed: This does not reflect the true basal temperature.
C. Take your temperature immediately after waking and before getting out of bed: This ensures an accurate basal temperature, as any activity can alter the reading.
D. Take your temperature within 30 minutes after your first morning void: BBT should be measured before any activity, including voiding.
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