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. Present the information in small segments: Older adults often process information more effectively when it is delivered in manageable portions. Breaking content into smaller segments allows for better understanding and retention, especially when learning new material like medication instructions.

B. Dim the lights in the client’s room: Dim lighting can impair visibility, particularly for older adults who may already have age-related vision changes. Adequate lighting is essential for promoting alertness and supporting clear reading and communication.

C. Provide reading material using blue-colored ink: Blue ink can be difficult to read for individuals with visual impairments or age-related vision decline. High-contrast colors, such as black print on a white background, are generally easier for older adults to see.

D. Avoid repeating information to the client: Repetition reinforces learning and helps with memory retention, particularly in older adults who may experience mild cognitive changes. Avoiding repetition can lead to misunderstanding or noncompliance with instructions.

A. Otosclerosis B. Cataracts C. Presbycusis D. Glaucoma

Correct Answer is B

Explanation

A. Otosclerosis: Otosclerosis refers to abnormal bone growth in the middle ear, leading to hearing loss, not vision problems. It affects hearing, not the eyes, and does not cause blurred or hazy vision.

B. Cataracts: Cataracts occur when the lens of the eye becomes clouded, leading to blurred or hazy vision, which is exactly what the client is describing. The clouding of the lens is a hallmark sign of cataracts, which typically cause gradual vision loss over time.

C. Presbycusis: Presbycusis is age-related hearing loss, not a visual issue. It typically manifests as difficulty hearing high-frequency sounds and is not associated with blurred vision or clouding of the lens.

D. Glaucoma: Glaucoma is characterized by increased intraocular pressure, which can lead to vision loss, but it typically causes peripheral vision loss, not blurred or hazy vision. The clouding of the lens described here is more indicative of cataracts than glaucoma.

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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)

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Naxlex Comprehensive Predictor Exams

A nurse is teaching an older adult client about a new medication. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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