immobility

Froggy Jumps

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fundamentals

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Christi Ellis

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immobility


Froggy Jumps immobilityVersión en línea fundamentals por Christi Ellis 1 A nurse is caring for an immobile client who is at high risk for atelectasis and respiratory tract infections. Which nursing interventions should be included in the client's care plan to prevent these complications? a A) Encourage regular use of an incentive spirometer and deep breathing exercises. b B) Restrict oral fluid intake to prevent pulmonary fluid overload. c C) Keep the client flat in bed to reduce respiratory effort. 2 A nurse is implementing interventions to prevent deep vein thrombosis (DVT) and postural hypotension in a client on prolonged bed rest. Which of the following measures should the nurse take? a A) Maintain strict continuous bed rest without position changes. b Utilize TED hose, sequential compression devices (SCDs), and leg exercises to promote circulation c C) Encourage a low-protein, low-calorie diet to reduce metabolic demand. 3 An immobile client is exhibiting signs of constipation and urinary retention. Which dietary and fluid modifications are most appropriate for this client? a A) High-protein, high-calorie diet with low fiber and restricted fluids b B) High-fiber diet with adequate hydration and monitoring of intake and output c C) Clear liquid diet restricted to 1,000 mL per day 4 A nurse is caring for a client on prolonged bed rest who is at high risk for integumentary skin breakdown. How frequently should the nurse reposition the client to prevent pressure ulcers? a A) Every 4 to 6 hours b B) Every 1 to 2 hours c C) Once per nursing shift 5 To prevent musculoskeletal complications such as contractures, muscle atrophy, and weakness in an immobile client, which nursing actions should be prioritized? a A) Complete active or passive range of motion (ROM) to all body parts and ambulate when allowed b B) Keep all joints immobilized in a fixed position using rigid splints c C) Limit physical movement entirely to prevent joint strain 6 A nurse is monitoring an immobile client for potential cardiovascular complications. Which finding is commonly associated with prolonged bed rest and immobility? a A) Hypertension and bounding peripheral pulses b B) Postural (orthostatic) hypotension and cardiac muscle atrophy c C) Hyperactive cardiac output and tachycardia at rest 7 An immobile client is at risk for metabolic complications, including glucose intolerance. Which nutritional support strategy should the nurse anticipate for this client? a A) Low-protein, low-calorie diet supplemented with simple sugars b B) High-protein, high-calorie diet along with vitamins B and C c C) Strict fasting protocols to manage glucose levels 8 To address potential neuro and cognitive complications such as depression, anxiety, and confusion in a long-term immobile client, what is an essential nursing approach? a A) Isolate the client completely to minimize external stimuli b B) Provide engaging therapy, social interaction, and mental stimulation c C) Administer high-dose sedative medications routinely 9 A nurse notes that an immobile client is developing early signs of muscle weakness and stiffness. Which intervention helps prevent contractures? a A) Continuous bed rest with joints held in flexion b B) Active or passive range of motion (ROM) exercises c C) Application of heavy weighted sandbags to immobilize limbs 10 When providing skin care for an immobile client at high risk for pressure ulcers, which intervention is most effective? a A) Massaging reddened bony prominences vigorously b B) Using specialty air or foam mattresses along with proper skin care c C) Applying alcohol wipes frequently to dry out moisture

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immobility

Froggy Jumps

Sobre esta actividad

Creada por

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Froggy Jumps

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Froggy Jumps

El valle de los lobos

Froggy Jumps

immobilityVersión en línea

por Christi Ellis

A nurse is caring for an immobile client who is at high risk for atelectasis and respiratory tract infections. Which nursing interventions should be included in the client's care plan to prevent these complications?

A nurse is implementing interventions to prevent deep vein thrombosis (DVT) and postural hypotension in a client on prolonged bed rest. Which of the following measures should the nurse take?

An immobile client is exhibiting signs of constipation and urinary retention. Which dietary and fluid modifications are most appropriate for this client?

A nurse is caring for a client on prolonged bed rest who is at high risk for integumentary skin breakdown. How frequently should the nurse reposition the client to prevent pressure ulcers?

To prevent musculoskeletal complications such as contractures, muscle atrophy, and weakness in an immobile client, which nursing actions should be prioritized?

A nurse is monitoring an immobile client for potential cardiovascular complications. Which finding is commonly associated with prolonged bed rest and immobility?

An immobile client is at risk for metabolic complications, including glucose intolerance. Which nutritional support strategy should the nurse anticipate for this client?

To address potential neuro and cognitive complications such as depression, anxiety, and confusion in a long-term immobile client, what is an essential nursing approach?

A nurse notes that an immobile client is developing early signs of muscle weakness and stiffness. Which intervention helps prevent contractures?

When providing skin care for an immobile client at high risk for pressure ulcers, which intervention is most effective?