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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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Assessing IV patency is important but comes after confirming the client is not allergic.

B. Checking compatibility ensures safe administration but is not the first priority.

C. Reviewing the client's allergy history is the priority to prevent a potentially life-threatening allergic reaction.

D. Obtaining the medication is necessary but only after confirming it is safe for the client.

A. Fibrinogen level B. INR C. Platelet count D. aPTT

Correct Answer is B

Explanation

A. Fibrinogen level: Fibrinogen is involved in clot formation but is not used to monitor warfarin.

B. INR: INR reflects the client’s clotting tendency and is essential for determining the appropriate warfarin dose. Therapeutic INR ranges typically vary based on the indication (e.g., 2.0–3.0 for atrial fibrillation).

C. Platelet count: Important for assessing bleeding risk, but it does not measure warfarin's efficacy.

D. aPTT: Used to monitor heparin therapy, not warfarin.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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