The nurse is caring for a client who is on strict bed rest. Her medical history includes partial paralysis from a stroke suffered several years ago. There is also evidence of early dementia
The nurse correctly recognizes the client is at an increased risk for which complication?
A) Altered gait
B) Prone to fractures
C) Suffer from edema
D) Muscle atrophy
Ans: D
Feedback:
Disuse may be accompanied by muscle atrophy, which is a decrease in muscle size.
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The nurse is educating the family of a patient in the late stages of amyotrophic lateral sclerosis (ALS). What teaching point is most important for the nurse to include?
a. The patient's ability to move the upper limbs may be affected. b. The patient's cognitive and mental capacity will most likely remain intact throughout the disease progression. c. The patient's breathing should not be af-fected by the disease. d. The patient's ability to swallow will re-main intact.
Which client is at greatest risk for the development of the syndrome of inappropriate antidi-uretic hormone secretion (SIADH)?
A. 48-year-old man with an acute myocardial infarction B. 38-year-old woman taking oral contraceptives C. 68-year-old woman with diabetes mellitus D. 68-year-old man with chronic emphysema
To limit uncertainty in diagnostic decision making, the ratio of fact to conjecture must be:
a. positive. b. negative. c. negligible. d. inverse.
Which interventions are completed as a nurse "sets the stage" when assessing members of vulnerable population groups? Select all that apply
a. Creating a comfortable, non-threatening environment b. Providing culturally and linguistically competent assessment c. Collaborating with others as appropriate d. Providing financial and legal advice