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. Wearing well-fitted shoes at home helps prevent slips and falls.
B. Placing throw rugs over electrical cords increases the risk of tripping.
C. Area rugs with rubber backs prevent slipping, reducing the risk of falls in a postoperative client.
D. Marking doorways with tape is not necessary for a client after knee replacement and may be more applicable for clients with visual impairments.
Correct Answer is A
Explanation
A. Place the client's hands in warm water: This action can stimulate the client’s natural reflex to urinate. The warm water helps relax the muscles involved in urination.
B. Administer a benzodiazepine: Incorrect. Benzodiazepines are not indicated for difficulty urinating postpartum and can cause unnecessary sedation.
C. Place an ice pack on the client's perineum: Incorrect. An ice pack is typically used to reduce swelling or discomfort, but it is not a primary intervention for urinary retention.
D. Perform a fundal massage: Incorrect. Fundal massage is performed to assess uterine tone, not for urinary retention.
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