A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility?
Increased blood pressure
Decreased serum calcium levels
Swollen area on calf
Urinary frequency
The Correct Answer is C
A. Immobility more commonly leads to orthostatic hypotension rather than increased blood pressure.
B. Immobility typically leads to increased calcium levels due to bone demineralization.
C. A swollen area on the calf may indicate a deep vein thrombosis (DVT), a serious complication of immobility.
D. Urinary stasis and retention, rather than frequency, are common complications of immobility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"}}
Explanation
|
Finding |
Preeclampsia |
HELLP syndrome |
|
Blood pressure |
✓ |
✓ |
|
Elevated alanine aminotransferase (ALT) |
✓ |
|
|
Platelet count |
✓ |
|
|
Hemoglobin |
✓ |
Rationale:
Preeclampsia: Characterized by hypertension and proteinuria.
HELLP syndrome: A severe form of preeclampsia, characterized by hemolysis, elevated liver enzymes (ALT, AST), and low platelet count.
Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A,B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B"}}
Explanation
|
Assessment Findings |
Sprain |
Fracture |
Dislocation |
|
Ecchymosis |
✅ |
✅ |
✅ |
|
Pain level |
✅ |
✅ |
✅ |
|
Edema |
✅ |
✅ |
✅ |
|
Sensation |
✅ |
✅ |
Rationale:
Ecchymosis (bruising):
Sprain: Common due to soft tissue damage.
Fracture: Frequently present due to bone and soft tissue injury.
Dislocation: Bruising often accompanies joint dislocation.
Pain level:
Sprain: Moderate pain, often exacerbated by movement.
Fracture: Pain is typically sharp and worsens with movement or weight-bearing.
Dislocation: Severe pain due to misalignment of the joint.
Edema:
Sprain: Common due to inflammation from ligament injury.
Fracture: Swelling is typical around the fracture site.
Dislocation: Edema occurs due to joint misalignment and tissue trauma.
Sensation (tingling):
Sprain: Nerve compression or irritation may cause tingling.
Fracture: Tingling can result from nerve involvement or swelling near the fracture site.
Dislocation: Tingling is less common unless nerve damage occurs, which is more serious and often leads to numbness or motor impairment.
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