you notice a respiratory change in your immobilize
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Nursing 299
Nursing 299
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Nursing 299 Exam 4 Questions
and Answers 100% Correct
You notice a respiratory change in your immobilized postoperative patient.
The change you note is most consistent with:
A. atelectasis.
B. hypertension.
C. orthostatic hypotension.
D. coagulation of blood. - ANSWER-A. atelectasis.
which of the following is a potential hazard that you should assess when a
patient is in prone position?
A. Plantar flexion
B. Increased cervical flexion
C. Internal rotation of shoulder
D. unprotected pressure points at sacrum and heels - ANSWER-A. Plantar
flexion- foot drop
,Which of the following is a physiological effected of prolonged bed rest?
A. Increased cardiac output
B. A decrease in lean body mass
C. A decrease in lung expansion
D. A decrease in urinary excretion of nitrogen - ANSWER-C. A decrease in
lung expansion- cough and deep breath frequently a
all of the following are used to assess for deep vein thrombosis except:
A. checking for positive homan's sign
B. Asking patient about the presence of calf pain
C. Observing dorsal aspect of lower extremities for reddness, warmth and
tenderness
D. Measuring the circumference of each leg daily - ANSWER-A. checking for
positive homan's sign
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a nurse is evaluating teaching on a client who has a new perscription for a
sequential compression device. which statement shows the client
understands the teaching?
a. the device keeps me from getting sores on my skin
,b. this thing will keep the blood pumping through my leg
c. with this on my legs my muscles wont get weak
d. this device will keep my joints in good shape - ANSWER-b. this thing will
keep the blood pumping through my leg
a nurse is instructing a client who has an injury on the lower left extremity
about the use of a cane. which instructions should be included?
a. hold the cane on the right side
b. keep the two points of support on the floor
c. place the cane 15 in in front of the feet before advancing
d. advance the stronger leg so that it aligns with the cane - ANSWER-a. hold
the cane on the right side
b. keep the two points of support on the floor
d. advance the stronger leg so that it aligns with the cane
Which of the following is an appropriate intervention to maintain the
respiratory system of an immobilized patient?
A. Turn patient every 4 hrs
B. Maintain fluid intake of 1500 ml/day
C. Apply abdominal binder continously while patient is in bed
, D. Encourage patient to deep breathe and cough every 1-2 hrs - ANSWER-D.
Encourage patient to deep breathe and cough every 1-2 hrs
a nurse is caring for a patient who has been sitting in a chair for 1 hr. Which
of the following complications is the greatest risk to the client?
a. decreases subcutaneous fat
b. Muscle atrophy
c. Pressure ulcer
D. fecal impaction - ANSWER-c. Pressure ulcer
A nurse is caring for a client is postoperative. Which of the following
interventions should the nurse take to reduce risk of thrombus development?
A. instruct the patient not to perform Valsalva maneuver
b. apply elastic stockings
c. review lab values for protein level
d. place pillows under patients knees and lower extremities
e. assist client to change position often - ANSWER-b. apply elastic stockings
e. assist client to change position often
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