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?

Swollen area on calf.

Increased blood pressure.

Decreased serum calcium levels.

Urinary frequency.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

A swollen area on the calf can indicate deep vein thrombosis (DVT), which is a serious complication of immobility. Immobilization can lead to blood stasis in the veins, increasing the risk of clot formation. DVT can result in severe complications, such as pulmonary embolism, making it a critical concern that requires immediate attention.

Choice B rationale:

Increased blood pressure is not a direct complication of immobility. However, immobility can contribute to hypertension over time due to factors such as weight gain and reduced cardiovascular fitness. While hypertension is a concern, it is not an acute complication of immobility that necessitates immediate intervention.

Choice C rationale:

Decreased serum calcium levels are not a direct complication of immobility. Immobility can lead to bone density loss and potential fractures due to reduced weight-bearing activities, but it does not cause an acute decrease in serum calcium levels.

Choice D rationale:

Urinary frequency is not a typical complication of immobility. Immobility can affect the urinary system, potentially leading to urinary stasis and increased risk of urinary tract infections, but urinary frequency is not a direct result of immobility.

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Correct Answer is B

Explanation

Choice A rationale:

Including any adverse effects of the medications the client might develop is important but does not cover the entire scope of medication reconciliation. It is essential to compare new prescriptions with the list of current medications to prevent drug interactions, duplications, or omissions.

Choice B rationale:

Comparing new prescriptions with the list of medications the client reports is the correct approach to medication reconciliation. This helps identify discrepancies, ensuring that the client's current medications are accurately documented and preventing medication errors.

Choice C rationale:

Excluding nutritional supplements from the list of medications the client reports is incorrect. Nutritional supplements, herbal remedies, and over-the-counter medications are essential components of the medication list. These items can interact with prescribed medications and affect the client's overall health.

Choice D rationale:

Encouraging the client to make his own list after he returns home is not recommended. Patients might not have complete knowledge of the medications they are taking, including dosages and frequencies. Relying solely on the patient-generated list can lead to inaccuracies and potential harm.

A. Hypostatic pneumonia. B. Anemia. C. Fluid volume overload. D. Immobility. F. Calorie deficiency.

Correct Answer is ["A","D"]

No explanation

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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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Correct Answer is B

Explanation

A nurse is caring for a client in an acute care setting. Exhibits The client is at risk for ________ as evidences by __________. Complete the following sentence by using the list of options. Pick 2 choices.

Correct Answer is ["A","D"]

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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?