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Difficulty hearing some types of sounds:Hearing loss is not a complication of immobility. It may be age-related (presbycusis), but not directly related to being bedridden.

Stiffness in the lower extremities:While stiffness can occur with immobility, it is expected and not a complication. It doesn’t represent a pathologic change the way skin breakdown does.

Difficulty moving the upper extremities:This could be a residual effect of the stroke, not necessarily a complication of immobility.

Make sure the client has an intake of 2,000 to 3,000 mL of fluid per day:Important to prevent urinary stasis and constipation, but not as immediately critical as respiratory function.

Apply anti-embolic stockings:Helps prevent DVT, a significant risk of immobility, but comes after ensuring airway and breathing.

Perform range-of-motion exercises at least two to three times daily:Important for preventing contractures and muscle atrophy, but not the priority in terms of life-sustaining needs.

To confirm the placement of the NG tube:Tube placement should be confirmed by checking pH or x-ray initially, not by measuring residual volume.

To remove gastric acid that might cause dyspepsia:The purpose of checking residual is not to remove acid but to assess tolerance to feeding.

To determine the client's electrolyte balance:Electrolytes are checked via blood tests, not by measuring gastric residuals.

Genetic predisposition:Non-modifiable; a person cannot change their genetics.

Gender:Also non-modifiable; biological sex cannot be changed through lifestyle.

Age:Aging is inevitable and non-modifiable.

Participating in exercises such as jogging and running:High-impact activities can worsen joint damage in osteoarthritis. Low-impact exercise like swimming or walking is better.

Propping up the head with multiple pillows at night to promote restful sleep:This may lead to poor spinal alignment and doesn't help osteoarthritis.

Taking 5000 mg acetaminophen in divided doses each day:This exceeds the recommended daily dose (maximum 4,000 mg/day) and can cause liver toxicity.

CT scan of the hip:CT scans provide cross-sectional imaging but are not specific for assessing bone mass or diagnosing osteoporosis.

Long bone x-ray:X-rays may only detect bone loss after significant demineralization has occurred (typically >30%), making them less sensitive for early osteoporosis.

Serum calcium:While calcium levels may be checked to rule out other conditions, they do not confirm osteoporosis, as calcium levels may remain normal.

Promote active range-of-motion activities:Helpful for general mobility but less effective alone in directly relieving constipation.

Request that the provider prescribe a stool softener:May be appropriate, but dietary and lifestyle modifications are the first-line and safest approach before pharmacological interventions.

Avoid gas-producing foods:This may reduce bloating but does not address the underlying cause of constipation.

No stool noted in the collection bag:This can be normal in the first 24–48 hours after surgery due to the bowel being empty or sluggish after anesthesia.

Slight bleeding of the stoma site:Minor bleeding is normal due to increased vascularity of the stoma site and handling during surgery.

Edematous stoma:Mild to moderate edema is expected initially after surgery and usually resolves over time.

"Let me explain the purpose of the medication.":Education is important, but confirming the medication comes first to ensure accuracy before administering.

"Sometimes the same pill comes in a different color.":This may be true but can come off as dismissive without verifying the medication first.

"This is the medication that your doctor wants you to take.":This is dismissive of the client’s concern and bypasses necessary safety verification steps.

By directly pumping blood to increase blood pressure:Only the heart pumps blood. Kidneys regulate fluid balance but do not pump blood.

By filtering out excess glucose which can affect blood pressure:While glucose regulation affects blood vessels, this is not the main mechanism by which kidneys regulate BP.

By producing red blood cells to increase blood volume:Kidneys produce erythropoietin (for RBC production), which can influence BP indirectly, but it's not their primary mechanism.