What action(s) should a person take to prevent complications of immobility? (Select all that apply)
Wear compression stockings
Drink plenty of water every day
Avoid eating high-fiber foods
Conduct weight-bearing exercise
Perform deep breathing exercises
Correct Answer : A,B,D,E
Choice A reason: Compression stockings promote venous return, preventing blood stasis and deep vein thrombosis, a common immobility complication. They support circulation in immobile limbs, making this a correct preventive action.
Choice B reason: Adequate hydration prevents dehydration, maintaining blood fluidity and reducing clot risk. It also supports urinary and bowel function, preventing complications like constipation, making this a correct action for immobility.
Choice C reason: Avoiding high-fiber foods increases constipation risk, a complication of immobility. High-fiber diets promote bowel motility, so this choice is incorrect as it worsens, not prevents, immobility complications.
Choice D reason: Weight-bearing exercise maintains muscle and bone strength, preventing atrophy and osteoporosis in immobility. It also improves circulation, reducing clot risk, making this a correct preventive action.
Choice E reason: Deep breathing exercises prevent atelectasis and pneumonia by promoting lung expansion and mucus clearance in immobile individuals, improving oxygenation and reducing infection risk, making this a correct action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
A. Hernia causes mechanical bowel obstruction by physically trapping or compressing the intestine, preventing content passage. This aligns with the patient’s hernia, creating a structural blockage consistent with clinical findings.
B. Hypokalemia leads to functional bowel obstruction by disrupting intestinal motility through electrolyte imbalances, impairing muscle contractions without physical blockage. This matches the patient’s hypokalemia, exacerbating adynamic ileus.
C. Anesthesia from surgery causes functional bowel obstruction by slowing intestinal peristalsis, often resulting in postoperative ileus. This aligns with the patient’s recent anesthesia exposure, disrupting coordinated muscle contractions.
D. Intestinal tumor results in mechanical bowel obstruction by physically blocking or compressing the intestinal lumen, impeding content flow. The patient’s tumor aligns with this mechanism, a common cause of mechanical obstruction.
E. Pancreatitis contributes to functional bowel obstruction by causing inflammation or retroperitoneal irritation, leading to adynamic ileus without physical blockage. This matches the patient’s pancreatitis, disrupting intestinal motility.
F. Adhesions cause mechanical bowel obstruction by forming fibrous bands that kink or compress the intestine, blocking content passage. The patient’s adhesion history aligns with this, a leading cause of small bowel obstruction
Correct Answer is C
Explanation
Choice A reason: Acidosis does not enhance gastrointestinal potassium absorption. Hyperkalemia in acidosis results from cellular shifts, not increased absorption, as hydrogen ions affect potassium movement, making this choice incorrect.
Choice B reason: Acidosis does not increase renal potassium excretion; it causes hyperkalemia by shifting potassium out of cells. Hypokalemia may occur in alkalosis, not acidosis, making this choice incorrect.
Choice C reason: Acidosis causes hyperkalemia as excess hydrogen ions enter cells to buffer pH, displacing potassium into the bloodstream. This cellular shift elevates serum potassium, making this the correct choice.
Choice D reason: Acidosis promotes potassium release from cells, not uptake, causing hyperkalemia. Hypokalemia occurs in alkalosis, where potassium enters cells, making this choice incorrect for acidosis effects.
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