A nurse is providing care to a group of patients. Which patient will the nurse see first?

a. A patient with a hip replacement on prolonged bed rest reporting chest pain and dyspnea
b. A bedridden patient who has a reddened area on the buttocks who needs to be turned
c. A patient on bed rest who has renal calculi and needs to go to the bathroom
d. A patient after knee surgery who needs range of motion exercises


ANS: A
A patient on prolonged bed rest will be prone to deep vein thrombosis, which can lead to an embolus. An embolus can travel through the circulatory system to the lungs and impair circulation and oxygenation, resulting in tachycardia and shortness of breath. Venous emboli that travel to the lungs are sometimes life threatening. While the patient with a reddened area needs to be turned, a patient with renal calculi needing the restroom, and a patient needing range of motion, these are not as life threatening as the chest pain and dyspnea.

Nursing

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