A nurse is providing education to a post-operative patient on the complications associated with immobility or prolonged bedrest. Which of the following would be included in the education? (Select all that apply)

Foot drop

Orthostatic Hypotension

Constipation

Decreased cardiac workload

Increased ventilation

Answer and Explanation

Correct Answer : A,B,C

A. Foot drop: Foot drop occurs when a person is unable to lift the front part of the foot due to weakness or paralysis of the muscles in the lower leg. Prolonged immobility can lead to contractures and muscle atrophy, increasing the risk of foot drop as the muscles weaken over time.

B. Orthostatic Hypotension: Orthostatic hypotension is a common complication of prolonged bedrest. The lack of movement and the reduced ability to adjust blood pressure upon standing can lead to dizziness, fainting, or falls in immobile patients.

C. Constipation: Constipation a common issue for patients on prolonged bedrest. The lack of movement reduces intestinal motility, leading to difficulty passing stools, which can become a serious concern if not managed properly.

D. Decreased cardiac workload: Immobility generally increases cardiac workload due to the body's need to compensate for the lack of activity. Prolonged bedrest leads to decreased circulation and muscle tone, placing additional strain on the heart.

E. Increased ventilation: Immobility leads to decreased ventilation, not increased. Prolonged bedrest can reduce lung expansion and the ability to clear secretions from the lungs, increasing the risk for respiratory complications such as atelectasis and pneumonia.

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Correct Answer is A

Explanation

A. Return demonstration: The nurse demonstrates the procedure to the client and then asks the client to perform the same procedure. This allows the nurse to assess the client’s ability to correctly execute the skill and provides an opportunity for feedback and correction.

B. Role play: Role play involves the client pretending to be in a certain situation or assuming a particular role, often to practice communication or problem-solving skills. In this case, the focus is on teaching the client a physical task, not engaging in a simulated scenario.

C. Discussion: Discussion is a verbal exchange where the nurse provides information and clarifies any doubts the client may have. While this is an important strategy for knowledge transfer, it does not involve the client physically practicing the procedure.

D. Questions and answer: A question-and-answer format helps to assess understanding and clarify misconceptions. However, it does not provide the client with the opportunity to demonstrate their ability to perform the task.

A. types and amounts of food eaten B. use of herbal supplements C. the effects of prescribed medications D. daily amount of intake and output

Correct Answer is B

Explanation

A. types and amounts of food eaten: While diet can influence drug absorption and metabolism, it does not provide specific insight into the potential for direct drug interactions compared to substances like supplements.

B. use of herbal supplements: Herbal products can interact with prescribed medications, either enhancing or diminishing their effects, and may pose significant safety risks if not disclosed and considered in care planning.

C. the effects of prescribed medications: Understanding a drug's effects is important for evaluating efficacy and side effects, but it does not directly assess the risk of interaction with other substances.

D. daily amount of intake and output: This is useful for monitoring fluid balance and organ function but does not contribute to identifying possible drug interactions.

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A nurse is providing education to a post-operative patient on the complications associated with immobility or prolonged bedrest. Which of the following would be included in the education? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about how to administer a topical medication. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse using?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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