HESI Fundamentals of Nursing - Chapter 47 - Review Questions with updated correct answers(2023/2024)

Fundamentals of Nursing - Chapter 47 - Review Questions with updated correct answers(2023/2024) An older adult has limited mobility as a result of a surgical repair of a fractured hip. During assessment you note that the patient cannot tolerate lying flat. Which of the following assessment data support a possible pulmonary problem related to impaired mobility? (Select all that apply.) a. B/P = 128/84 b. Respirations 26 per minute on room air c. HR 114 d. Crackles heard on auscultation e. Pain reported as 3 on scale of 0 to 10 after medication - ANSWER b. Respirations 26 per minute on room air c. HR 114 d. Crackles heard on auscultation Patients with reduced mobility are at risk for retained pulmonary secretions, and this risk increases in postoperative patients. As a result of retained secretions, the respiratory rate increases. The heart rate also increases because the heart is trying to improve oxygen levels. These symptoms are of concern for older adults because, if left untreated, further complications such as heart failure can occur. A patient has her call bell on and looks frightened when you enter the room. She has been on bed rest for 3 days following a fractured femur. She says, "It hurts when I try to breathe, and I can't catch my breath." Your first action is to: a. Call the health care provider to report this change in condition. b. Give the patient a paper bag to breathe into to decrease her anxiety. c. Assess her vital signs, perform a respiratory assessment, and be prepared to start oxygen. d. Explain that this is normal after such trauma and administer the ordered pain medication. - ANSWER c. Assess her vital signs, perform a respiratory assessment, and be prepared to start oxygen. These are signs of possible pulmonary emboli, which can be life threatening. You must assess your patient, be prepared to start oxygen, and have someone call the surgeon while you stay with the patient to continue to monitor her status. The nurse puts elastic stockings on a patient following major abdominal surgery. The nurse teaches the patient that the stockings are used after a surgical procedure to: a. Prevent varicose veins. b. Prevent muscular atrophy. c. Ensure joint mobility and prevent contractures.