A nurse is providing teaching to a client about reducing the adverse effects of immobility.

Which of the following statements by the client indicates an understanding of the teaching?

"I will perform ankle and knee exercises every hour."

"I will have my partner help me change positions every 4 hours."

"I will remove my antiembolic stockings while I am in bed."

"I will hold my breath when rising from a sitting position."

Answer and Explanation

The Correct Answer is A

A.   Regular ankle and knee exercises help prevent muscle atrophy due to immobility.
B.   Changing positions every 4 hours is helpful, but more frequent movement is recommended.
C.   Antiembolic stockings should be worn when immobile to prevent blood clots.
D.   Holding breath during movement doesn't contribute to reducing adverse effects of immobility.

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Correct Answer is ["C","F"]

Explanation

A. Not directly related to osteoporosis risk. Lactose intolerance does not inherently increase the risk of osteoporosis.
B. No history of smoking was reported by the client.
C. The total 25-hydroxy D level is below the normal range, indicating insufficient vitamin D, which can increase the risk of osteoporosis.
D. Normal phosphorus levels are found in the client's diagnostic results.
E. The client reported not drinking alcohol, which is not a risk factor for osteoporosis.
F. The client's sedentary lifestyle and inability to adhere to the exercise program contribute to a higher risk of osteoporosis due to reduced bone strength from lack of physical activity.

A. Place the client in high-Fowler's position. B. Administer oxygen to the client. C. Stop the transfusion. D. Obtain a prescription for a diuretic. E. Administer epinephrine to the client.

Correct Answer is ["A","B","C"]

Explanation

A. Placing the client in high Fowler's position helps improve lung expansion and oxygenation.
B. Administering oxygen helps address hypoxia and supports adequate oxygenation.
C. Stopping the transfusion is crucial when signs of a transfusion reaction are present.
D. Administering a diuretic is not typically indicated for transfusion reactions involving lung crackles, hypoxia, and distended neck veins.
E. Epinephrine is not typically used to manage a blood transfusion reaction; it's more for severe allergic reactions like anaphylaxis.

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A nurse is providing teaching to a client about reducing the adverse effects of immobility. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client. Exhibits The nurse is reviewing the client's medical record. Which of the following findings places the client at risk for osteoporosis? (Select all that apply.)

Correct Answer is ["C","F"]

Explanation

A nurse is assessing a client who is receiving a blood transfusion. The nurse notes lung crackles, hypoxia, and distended neck veins. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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A nurse is providing teaching to a client about reducing the adverse effects of immobility.

Which of the following statements by the client indicates an understanding of the teaching?