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.
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Related Questions
Correct Answer is C
Explanation
A. A client upset about a change in routine does not present an immediate threat to their health.
B. Assistance with ADLs is important but not urgent compared to a possible adverse drug reaction.
C. A sore throat in a client taking clozapine may indicate agranulocytosis, a potentially life-threatening condition that requires immediate evaluation.
D. Mocking others is disruptive but not a priority over a potential medical emergency.
Correct Answer is D
Explanation
A. Advance directives do not address inheritance or distribution of possessions; those are covered by a will.
B. Advance directives designate a health care proxy or outline specific wishes, not the provider, to make decisions on behalf of the client.
C. Witness requirements for signing a living will vary by state, but typically, a neutral party (not a partner or family member) serves as a witness.
D. A living will is a type of advance directive that outlines the client’s preferences for medical care in the event they become unable to communicate their decisions.
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