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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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Widened pulse pressure (not narrowed) is associated with increased ICP.

B. Bradycardia (not tachycardia) is commonly seen in increased ICP due to Cushing’s triad.

C. An increasingly severe headache is a key sign of rising ICP due to increased pressure on pain-sensitive structures.

D. Hypertension, not hypotension, is a characteristic of increased ICP.

A. Encourage physical activity prior to bedtime. B. Replace the carpet with hardwood floors. C. Wear clothing with zippers instead of buttons. D. Place locks at the tops of exterior doors.

Correct Answer is D

Explanation

A. Physical activity should be scheduled earlier in the day to prevent overstimulation and promote restful sleep.

B. Hardwood floors increase the risk of falls; carpets provide better traction and cushioning.

C. Zippers can be difficult for clients with Alzheimer's; clothing with Velcro or simple fasteners is preferred.

D. Placing locks at the tops of doors reduces the risk of wandering, a common safety concern in clients with Alzheimer's.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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