The nurse working with immobilized patients understands that monitoring for reports of pain with urination, changes in urination, and assessing fro frequency is essential in order to determine if an unwanted urinary problem is arising from her patient being immobile.
True
Maybe
Perhaps
False
The Correct Answer is A
A. True
Immobility can lead to urinary stasis, which increases the risk of urinary tract infections (UTIs). Monitoring for urinary symptoms is essential to detect these complications early.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Use metal clips to secure the wrap:
While metal clips are commonly provided with elastic bandages, they can easily become dislodged and may cause injury. Tape or self-adhesive wraps are often safer and more secure.
B. Adjust the pressure or tension as needed:
This allows for proper circulation and comfort. Bandages should be snug but not tight, and pressure may need to be adjusted for swelling or anatomical differences.
C. Overlap turns of the bandage equally:
This is a correct technique but not the most critical factor for effectiveness and safety. Equal overlapping helps provide uniform pressure, but adjusting tension as needed is more essential.
D. Face the patient and wrap from proximal to distal:
Wrapping should always go from distal to proximal to promote venous return and reduce edema. Wrapping proximal to distal is incorrect and can impair circulation.
Correct Answer is ["B","E"]
Explanation
A. Move overbed tables away from the bed
Overbed tables should be kept within reach so clients don’t overextend or stand unsafely to access them.
B. Instruct the clients to use the call light
Reinforcing use of the call light promotes help-seeking before unsafe mobility attempts.
C. Perform client checks every 4 hr
High-risk clients should be checked more frequently, typically every hour or two, especially overnight.
D. Keep the clients' rooms dark
Poor lighting increases fall risk. A night light should be used.
E. Place a fall risk wristband on each of the clients
Fall risk wristbands alert staff and ensure precautions are taken consistently.
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