The nurse is assessing a patient who has been immobilized for several weeks. What may occur as a result of prolonged immobility?
a. bone demineraliza-tion c. increased respiratory excursion
b. decreased cardiac workload d. increased peristalsis
A
Immobility increases the cardiac workload. Immobility limits chest expansion, reducing respiratory excursion. Bone demineralization occurs as early as 2 to 3 days after the onset of immobility and may lead to pathological fractures, renal calculi, and osteoporosis. Constipation and fecal impaction are frequent complications of immobility.
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A patient has recently been diagnosed with acromegaly. Using Maslow's hierarchy, which of the nursing diagnoses listed below should be of the highest priority in caring for him?
a. Ineffective coping b. Activity intolerance c. Risk for trauma d. Chronic low self-esteem
The nurse is instructing a client in a physician's office. Which instruction is most accurate when advising the client on the feelings of anger?
A) Suppressing anger and excessively expressing anger can negatively affect the body. B) Let your feelings of anger out so you can resolve the issues before they cause illness. C) Use physical exercise to channel your anger in another direction. D) Eliminate the sources of stress causing anger from your lifestyle.
A client with schizophrenia has recently begun a new medication, clozapine (Clozaril). Of which signs and symptoms of a potentially fatal side effect should a nurse teach the client?
A) Blurring vision and muscular weakness B) Sore throat, fever, and malaise C) Tremor, shuffling gait, and rigidity D) Fine tremor, tinnitus, and nausea
Many teenagers who give birth
1. Are middle class 2. Are honor students 3. Planned to get pregnant 4. See few advantages in delaying pregnancy