A nurse is caring for a client with acute renal failure who is on bed rest. What intervention should the nurse implement to prevent complications of immobility?
Encourage the client to perform active range-of-motion exercises.
Elevate the head of the bed to promote respiratory function.
Limit the client's fluid intake to reduce the need for frequent bathroom visits.
Administer pain medication before performing passive range-of-motion exercises.
The Correct Answer is A
A. Correct. Encouraging the client to perform active range-of-motion exercises can help prevent complications of immobility, such as muscle wasting and joint contractures.
B. Incorrect. Elevating the head of the bed primarily benefits respiratory function and does not directly address the complications of immobility.
C. Incorrect. Limiting fluid intake would not prevent complications of immobility and may lead to dehydration.
D. Incorrect. Administering pain medication before passive range-of-motion exercises is not a standard practice and does not directly prevent complications of immobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Incorrect. Cloudy dialysis fluid may indicate infection or peritonitis, which requires immediate attention and intervention.
B. Correct. Cloudy dialysis fluid may indicate infection or peritonitis, which can be a severe complication of peritoneal dialysis. The nurse should stop the procedure immediately and notify the healthcare provider for further assessment and management.
C. Incorrect. Administering antibiotics without a proper diagnosis and healthcare provider's order is not appropriate.
D. Incorrect. Increasing the dwell time would not address the issue of cloudy dialysis fluid and potential infection.
Correct Answer is B
Explanation
A. Incorrect. Increased heart rate and blood pressure are more commonly associated with metabolic alkalosis, not metabolic acidosis.
B. Correct. Muscle twitching and irritability are common clinical manifestations of metabolic acidosis. Acidosis can lead to an increase in excitability of nerve cells, causing muscle twitching and irritability.
C. Incorrect. Excessive thirst and frequent urination are not typically associated with metabolic acidosis.
D. Incorrect. Warm, flushed skin and headache are not directly related to metabolic acidosis.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.