A client has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. While assessing the client, the nurse is alert to which of the following signs?
a. Increased blood pressure
b. Decreased heart rate
c. Increased urinary output
d. Decreased peristalsis
D
Immobility causes gastrointestinal disturbances such as decreased appetite and slowing of peri-stalsis.
In the immobilized client, decreased circulating fluid volume, pooling of blood in the lower ex-tremities, and decreased autonomic response occur. These factors result in decreased venous re-turn, followed by a decrease in cardiac output, which is reflected by a decline in blood pressure.
Recumbency increases cardiac workload and results in an increased pulse rate.
Fluid intake can diminish with immobility, and this, combined with other causes, such as fever, increases the risk of dehydration. Urinary output may decline on or about the fifth or sixth day after immobilization, and the urine is often highly concentrated.
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The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for HSCT. What is a priority nursing diagnosis for this patient?
A) Fatigue related to altered metabolic processes B) Altered nutrition: less than body requirements related to anorexia C) Risk for infection related to altered immunologic response D) Body image disturbance related to weight loss and anorexia
Which practice would be least effective in promoting bonding and attachment?
A) Allowing unlimited visiting hours on maternity units B) Offering round-the-clock nursery care for all infants C) Promoting rooming-in D) Encouraging infant contact immediately after birth
As a general rule, researchers tend to use ____ level of significance
A. 99% B. 95% C. 50% D. none of the above
The first college in the United States to have a distance-learning nursing program (online) is:
a. University of Phoenix b. Minneapolis Community Technical College c. Excelsior College d. Lackawanna College