A nurse is caring for a patient that has limited mobility and spends majority of their day in bed or a chair. The nurse recognizes that the patient would be at risk for which of the following? (Select all that apply)

Muscle hypertrophy

Depression

Deep Vein Thrombosis (DVT)

Pneumonia

Diarrhea

Answer and Explanation

Correct Answer : B,C,D

A. Muscle hypertrophy: Muscle hypertrophy occurs with regular use and resistance training. For a patient with limited mobility, muscle atrophy occurs due to prolonged disuse, weakening muscles over time. Lack of movement results in loss of muscle mass, not growth.

B. Depression: Limited mobility and inactivity can lead to feelings of isolation, frustration, and helplessness, which can significantly increase the risk of depression. Lack of physical activity and reduced social interaction make mental health challenges more prominent.

C. Deep Vein Thrombosis (DVT): DVT is caused by prolonged immobility, which leads to blood stasis in the veins and promotes clot formation. With limited movement, the blood flow in the lower extremities slows, increasing the risk for deep vein thrombosis in these patients.

D. Pneumonia: Prolonged immobility impairs the ability to clear respiratory secretions, which increases the risk of aspiration and lung infections like pneumonia. The lack of lung expansion due to immobility can lead to atelectasis, further promoting susceptibility to respiratory infections.

E. Diarrhea: Immobility may cause gastrointestinal problems like constipation due to slowed digestion, but it is not linked to diarrhea, which is generally caused by infections, medications, or dietary changes rather than immobility.

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Correct Answer is C

Explanation

A. The charge nurse: While the charge nurse may assist in overseeing patient care, the responsibility for reporting changes in a specific patient's condition lies with the nurse assigned to that patient. Delegation does not remove the accountability of the primary nurse.

B. The nursing assistant: Nursing assistants are not licensed to interpret or report critical changes in a patient's condition. They may measure vital signs but must report abnormal findings to the licensed nurse, who is responsible for further action.

C. The nurse: The nurse caring for the client is ultimately responsible for assessing the situation, interpreting the data, and notifying the healthcare provider. Timely communication of significant changes in condition is a key nursing responsibility.

D. The client: Although the client may express concern about symptoms, it is not their responsibility to report changes to the provider. It is the nurse’s duty to act on clinical findings and initiate communication with the medical team.

Correct Answer is ["10"]

Explanation

Desired Dose: 500 mg

Available Concentration: 250 mg per 5 ml

Volume = (Desired Dose / Available Concentration in mg) ´ Volume per Concentration

= (500 mg / 250 mg) ´ 5 ml

= 2 ´ 5 ml

= 10 ml

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A nurse is caring for a patient that has limited mobility and spends majority of their day in bed or a chair. The nurse recognizes that the patient would be at risk for which of the following? (Select all that apply)

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Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on an older adult client and notices that the blood pressure has increased from 140/82 to 198/120 mm Hg. This is a significant difference in the client's baseline. Who is ultimately responsible for reporting this significant change to the health care provider?

Correct Answer is C

Explanation

A nurse is preparing to administer amoxicillin 500 mg PO every 12 hr. The amount available is amoxicillin 250 mg/5 mL suspension. How many mL should the nurse administer? (TYPE NUMBERS ONLY. Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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