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The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

respiratory alkalosis.

atelectasis.

hypostatic pneumonia.

low oxygen saturation.

Answer and Explanation

The Correct Answer is C

A. Respiratory alkalosis.

Respiratory alkalosis is caused by hyperventilation, not by immobility. Deep breathing won't target this issue.

B. Atelectasis.

While deep breathing can help prevent atelectasis (lung collapse), the primary concern in immobilized patients is hypostatic pneumonia.

C. Hypostatic pneumonia.

Deep breathing promotes lung expansion and mobilizes secretions, helping prevent hypostatic pneumonia, which results from stasis of secretions due to immobility.

D. Low oxygen saturation.

While deep breathing may improve oxygen saturation, the primary goal is to prevent atelectasis and pneumonia.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. 5 to 15 degrees

This angle is too small, indicating the walker might be too tall, potentially causing shoulder strain.

B. 45 to 60 degrees

This angle is too large, suggesting the walker is too short, forcing the client to hunch over.

C. 15 to 30 degrees

The ideal elbow flexion when holding a walker is 15 to 30 degrees, allowing proper weight distribution and stability.

D. 30 to 45 degrees

This angle is higher than recommended and could result in improper posture and safety risks.

A. Hold the crutches on your unaffected side when preparing to sit in a chair B. Hold the crutches 9 inches in front and to the side of each foot C. Lean on the crutches to support your body weight when standing D. Fully extend your arms when holding onto the hand grips

Correct Answer is A

Explanation

A. Hold the crutches on your unaffected side when preparing to sit in a chair

This helps maintain balance and control while transitioning from standing to sitting.

B. Hold the crutches 9 inches in front and to the side of each foot

The correct placement is approximately 6 inches (not 9) in front and 6 inches to the side of each foot for stability.

C. Lean on the crutches to support your body weight when standing

Weight should be supported by the hands on the handgrips, not the axillae, to avoid nerve injury (e.g., brachial plexus damage).

D. Fully extend your arms when holding onto the hand grips

The elbows should be slightly flexed (about 20-30 degrees) to allow proper support and shock absorption.

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The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is observing a patient in a skilled nursing facility using a walker. The nurse concludes that the walker is at proper height if the patient's elbows are bent to which angle while the patient is upright and grasping the handgrips?

Correct Answer is C

Explanation

A nurse in an emergency department is providing discharge teaching to a client who has a knee injury and will be using a pair of axillary crutches for the first time. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has required strict bed rest for 1 week. Which of the following findings should the nurse identify as an indication that the client is ready to ambulate?

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