The nurse is caring for an immobile client after spinal surgery. Which action is most important for the nurse to take to prevent postoperative complications?
Progress diet slowly from ice chips to clear liquids.
Maintain intervascular infusion rate.
Apply intermittent pneumatic compression devices.
Obtain frequent pain level assessments.
The Correct Answer is C
A. Progressing the diet is important but does not address immobility-related complications.
B. Maintaining the IV infusion rate is necessary but not specific to preventing complications from immobility.
C. Applying intermittent pneumatic compression devices helps prevent deep vein thrombosis (DVT), a significant risk for immobile clients post-surgery. This is a critical preventative measure for immobility-related complications.
D. Frequent pain assessments are important but do not specifically prevent complications from immobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clients with Addison's disease need to understand situations that require an adjustment in their steroid dose, such as stress, infection, or surgery, to prevent an Addisonian crisis.
B. Daily temperature checks are not typically required for Addison's disease unless there is a concern for infection.
C. While daily weights can be helpful in some conditions, it is not the primary focus for managing Addison's disease.
D. Dietary modifications such as high fiber, low fat may be beneficial for overall health but are not specific to managing Addison's disease.
Correct Answer is ["9"]
Explanation
To calculate the new infusion rate in mL/hour for a prescription of 900 units/hour, one must first determine the concentration of the Heparin Sodium solution. The original concentration is 25,000 units in 250 mL, which means there are 100 units per mL. To deliver 900 units/hour, the nurse should program the infusion pump to deliver 9 mL/hour. This is because 900 units divided by the concentration of 100 units/mL equals 9 mL.
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