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 B
Explanation
A. High-pitched stridor suggests airway obstruction, not heart failure.
B. Reduced right-sided breath sounds can indicate pleural effusion or pulmonary congestion, common in clients with heart failure.
C. Intercostal retractions indicate respiratory distress, usually associated with conditions like asthma or pneumonia.
D. Paradoxical chest movement is a sign of flail chest, not heart failure.
Correct Answer is C
Explanation
A. The NG tube should be flushed with 15-30 mL of water before and after medication administration, not 5 mL.
B. Medications should not be added directly to enteral feeding as it may alter the medication's effectiveness or cause tube clogging.
C. Using a syringe to allow medications to flow by gravity reduces the risk of pressure-related complications and ensures safe administration.
D. Medications should be dissolved separately to prevent interactions or clogging.
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