The client who has been hospitalized for a fractured femur expresses surprise that she is so tired arter sitting up in the chair for a short period of time. The nurse explains that:
1. Decreased mobility creates venous vasodilation and stasis
2. Decreased mobility may interfere with the normal exchange of oxygen and carbon dioxide
3. Decreased mobility may cause a negative calcium balance as a result of calcium loss from bone
4. Decreased mobility causes decreases in muscular strength
4
Rationale: Immobility causes venous vasodilation and stasis, but this would not account for the client's fatigue
You might also like to view...
During the preparation phase of a therapeutic relationship with a client, what is the main task to be completed by the nurse?
a. To establish with the client the purpose of the relationship b. To gather and review all possible information regarding the client c. To build trust with the client d. To obtain agreement from the client to work in conjunction with the nurse
The nurse must administer ear drops to an infant. How should she proceed?
a. Pull the pinna down and back before instilling the drops. b. Pull the pinna upward and outward before instilling the drops. c. Instill the drops directly; no special positioning is necessary. d. Position the patient supine with the head of the bed elevated 30°.
A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following is best for documentation of personnel problems?
a. Use of the performance appraisal on an annual basis b. Notes made immediately after an incident that include a description of the incident, actions taken, plans, and follow-up c. A tally sheet of medication errors and other specific problems that will be used at annual review d. Copies of reports, placed in his or her file, of all unusual occurrences involving the employee
Which pressure ulcer presents as a full-thickness loss with extensive involvement of supporting structures?
1) Stage I 2) Stage II 3) Stage III 4) Stage IV