A nurse knows that the major effect of immobility on the gastrointestinal system is the lack of natural movement of the intestines, which is known as
Atelectasis
Peristalsis
Shearing
Deep vein thrombosis
The Correct Answer is B
A. Atelectasis refers to the collapse of lung tissue due to blockage or pressure on the airways, commonly caused by immobility but primarily affects the respiratory system.
B. Peristalsis is the natural movement of the intestines that propels food and waste products through the digestive tract. Immobility can lead to decreased peristalsis, causing constipation and other gastrointestinal issues.
C. Shearing refers to the force that causes layers of tissue to move on each other, often leading to skin breakdown and pressure ulcers. It is not directly related to
the gastrointestinal system.
D. Deep vein thrombosis (DVT) is the formation of blood clots in deep veins,
typically in the legs, due to reduced blood flow and stasis caused by immobility. It primarily affects the circulatory system, not the gastrointestinal system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. Keep the client's personal items within reach.Keeping the client's personal items within reach can provide a sense of familiarity and comfort, which may reduce anxiety or disorientation, thereby decreasing the tendency to wander.
Incorrect options:
A. "Tell the family that someone should plan to stay with the client.": While family involvement is important, this suggestion may not always be feasible. Additionally, it’s the nurse’s role to ensure the safety of the client within the facility.
B. "Place the client in a quiet room at the end of the hallway.": Isolating the client may increase confusion and feelings of disorientation.
D. "Provide bright lighting in the client's room at night.": Bright lights at night can disrupt sleep and may cause further disorientation. Dim or soft lighting or use of night lights in the room is generally more appropriate to promote restful sleep.
Correct Answer is C
Explanation
A. While calcium supplementation is important for bone health, the recommended daily intake for adults at risk for osteoporosis is typically higher than 250 mg. The client may need a higher dose of calcium supplementation, along with other dietary sources of calcium.
B. While exercise is beneficial for bone health, vigorous exercise may not be suitable for all individuals, especially those at risk for osteoporosis who may have other health
concerns. Moderate-intensity exercise is generally recommended for bone health.
C. Performing moderate-intensity exercise for at least 150 minutes per week is
recommended for individuals at risk for osteoporosis. Weight-bearing and resistance exercises are particularly beneficial for improving bone density and strength.
D. Vitamin D supplementation is important for calcium absorption and bone health, but the recommended daily intake for adults at risk for osteoporosis is typically higher than 400 IU. Many healthcare providers recommend higher doses of vitamin D
supplementation, especially for individuals with low sun exposure or other risk factors for deficiency.
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