A nurse is assessing a client whose therapy has included bed rest for several weeks.
Which of the following findings should the nurse identify as the priority?

Loss of appetite

Left lower extremity tenderness

Increased heart rate during physical activity

Musculoskeletal weakness

Answer and Explanation

The Correct Answer is B

A.   While decreased appetite may be concerning, it is not typically considered a priority over potential complications related to immobility.
B.   Left lower extremity tenderness could indicate deep vein thrombosis (DVT), a serious complication of prolonged bed rest that requires immediate attention to prevent pulmonary embolism.
C.   Increased heart rate during physical activity may be expected after a period of bed rest and can be addressed with gradual reconditioning.

D.   Musculoskeletal weakness is a common consequence of immobility and would be addressed as part of the client's rehabilitation but is not an immediate priority compared to potential complications like DVT.

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Correct Answer is ["A","C","E"]

Explanation

A. Hypocalcemia can lead to paresthesia, including tingling sensations around the lips.
B. Abdominal distention is not typically associated with hypocalcemia.

C. Hypocalcemia can result in a positive Trousseau's sign, where carpal spasm is induced by inflating a blood pressure cuff above the systolic pressure for a few minutes.
D. Chvostek's sign is typically positive in hypocalcemia, not negative.

E. Hypocalcemia can cause muscle cramps due to increased neuromuscular excitability.

A. Pupils that are 8 to 9 mm in diameter B. Eyelids that blink involuntarily 30 to 35 times per minute C. Eyelashes that curl slightly outward. D. Corneas with an opaque appearance

Correct Answer is C

Explanation

A. Pupil size can vary but is typically around 3 to 5 mm in diameter under normal conditions.
B. The normal rate of involuntary blinking (spontaneous blinking) is approximately 15 to 20 times per minute.
C. Outwardly curling eyelashes are a normal anatomical variation and do not indicate any pathology.

D. Corneas should appear clear and transparent under normal conditions. Opacity of the cornea can indicate various eye disorders.

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A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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A nurse is assessing a client whose therapy has included bed rest for several weeks. Which of the following findings should the nurse identify as the priority?

A nurse is assessing a client whose therapy has included bed rest for several weeks.
Which of the following findings should the nurse identify as the priority?