What action should a nurse implement to prevent complications in a patient with hepatitis who has been prescribed bed rest?
Encourage turning, coughing, and deep breathing every 2 hours.
Raise the knee gatch to prevent the patient from sliding down in bed.
Provide undisturbed periods of 6 hours to encourage rest.
Restrict fluids.
The Correct Answer is A
A. Encourage turning, coughing, and deep breathing every 2 hours: Bed rest increases the risk of respiratory complications like atelectasis and pneumonia, so encouraging turning, coughing, and deep breathing helps prevent these complications by improving lung ventilation.
B. Raise the knee gatch to prevent the patient from sliding down in bed: While this may help position the patient, it is not the priority action to prevent complications related to bed rest and hepatitis.
C. Provide undisturbed periods of 6 hours to encourage rest: While rest is important, prolonged periods without movement can lead to complications like pneumonia or pressure ulcers. Movement should still be encouraged.
D. Restrict fluids: Fluid restriction is not necessary for most hepatitis patients unless there are specific complications like ascites or severe edema. Fluid intake should generally be encouraged to prevent dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "No. The color will fade gradually as liver inflammation decreases.": This response provides accurate information and reassurance, addressing the patient's concerns about her appearance while being supportive.
B. "Yes, but cosmetics can disguise the color.": This dismisses the patient’s concerns and is not empathetic or accurate, as jaundice usually resolves when liver function improves.
C. "Yes, but your sclera will return to their previous white color.": While the sclera may clear up, this does not address the entire issue of jaundice affecting skin color.
D. "No. The color will change to freckles.": This is misleading and untrue, potentially worsening the patient's anxiety.
Correct Answer is B
Explanation
A. Lie on the right side after meals: This position is not effective in reducing regurgitation. Lying on the left side or maintaining an upright position after eating is generally better for avoiding reflux.
B. Eat only small meals: Smaller meals reduce the risk of overfilling the stomach, which helps minimize regurgitation and pressure on the esophageal stent.
C. Keep the bed flat: Keeping the bed flat increases the risk of regurgitation by allowing stomach contents to flow backward into the esophagus.
D. Drink three glasses of fluid with each meal: Excessive fluid during meals may increase stomach volume and the risk of regurgitation.
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