*TEST BANK FOR FUNDAMENTALS OF NURSING 11TH EDITION POTTER PERRY CHAPTER 1-50 |COMPLETE GUIDE A+ QUESTIONS AND WELL EXPLAINED COMPLETE ANSWERS 100%
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A patient has been on bed rest for over 4 days. On assessment, the nurse identifies the following as a sign associated with immobility:*
A. Decreased peristalsis
B. Decreased heart rate
C. Increased blood pressure
D. Increased urinary output *Answer: A*
Rationale: Immobility disrupts normal metabolic functioning: decreasing the metabolic rate; altering the metabolism of carbohydrates, fats, and proteins; causing fluid, electrolyte, and calcium imbalances; and causing gastrointestinal disturbances such as decreased appetite and slowing of peristalsis.
*A nurse is caring for an older adult who has had a fractured hip repaired. In the first few postoperative days, which of the following nursing measures will best facilitate the resumption of activities of daily living for this patient?*
A. Encouraging use of an overhead trapeze for positioning and transfer.
B. Frequent family visits
C. Assisting the patient to a wheelchair once per day
D. Ensuring that there is an order for physical therapy *Answer: A*
Rationale: The trapeze bar allows the patient to pull with the upper extremities to raise the trunk off the bed, aid in transfer from bed to wheelchair, or perform upper-arm exercises. It increases independence and maintains upper body strength to help in performing activities of daily living.
*An older-adult patient has been bedridden for 2 weeks. Which of the following complaints by the patient indicates to the nurse that he or she is developing a complication of immobility?*
A. Loss of appetite
B. Gum soreness
C. Difficulty swallowing
D. Left-ankle joint stiffness *Answer: D*
Rationale: Patients whose mobility is restricted require range-of-motion (ROM) exercises daily to reduce the hazards of immobility. Temporary immobilization results in some muscle atrophy, loss of muscle tone, and joint stiffness. Two weeks of joint immobilization without ROM can quickly result in contractures.
*The nurse is caring for a patient whose calcium intake must increase because of high risk factors for osteoporosis. Which of the following menus should the nurse recom [Show Less]