The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat
respiratory alkalosis.
atelectasis.
hypostatic pneumonia.
low oxygen saturation.
The Correct Answer is C
A. Respiratory alkalosis.
Respiratory alkalosis is caused by hyperventilation, not by immobility. Deep breathing won't target this issue.
B. Atelectasis.
While deep breathing can help prevent atelectasis (lung collapse), the primary concern in immobilized patients is hypostatic pneumonia.
C. Hypostatic pneumonia.
Deep breathing promotes lung expansion and mobilizes secretions, helping prevent hypostatic pneumonia, which results from stasis of secretions due to immobility.
D. Low oxygen saturation.
While deep breathing may improve oxygen saturation, the primary goal is to prevent atelectasis and pneumonia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Reassess the area in 8 hours
Delaying action may result in wound dehiscence or further tissue damage.
B. Stop the machine and notify the primary care provider
Signs of wound stress (opening, tightness) require immediate discontinuation of the CPM and notification of the provider to prevent further damage.
C. Increase the angle of the flexion of the joint to change the pressure on the heel
Increasing the angle may worsen the wound separation and increase pressure on the incision.
D. Pad the portion of the machine that the heel rests on
Padding may prevent pressure injury but does not address the wound issue or tightness from movement.
Correct Answer is A
Explanation
A. False
The statement is false because all listed effects are known complications of prolonged immobilization.
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