Potter & Perry Fundamentals of Nursing:
Immobility Exam| Questions with 100%
Solutions | Verified
A patient is receiving 5000 units of heparin subcutaneously every 12 hours while
on prolonged bed rest to prevent thrombophlebitis. Because bleeding is a
potential side effect of this medication, the nurse should continually assess the
patient for the following signs of bleeding: (Select all that apply)
a.) bruising
b.) pale yellow urine
c.) bleeding gums
d.) coffee ground-like vomitus
e.) light brown stool - ANSWER A, C, D
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
recommend?
a.) cream of broccoli soup with whole wheat cracker, cheese, and tapioca for
dessert
b.) hot dog on whole wheat bun with a side salad and an apple for dessert
c.) low-fat turkey chili with sour cream with a side salad and fresh pairs
for dessert
d.) turkey salad on toast with tomato and lettuce and honey bun for dessert
- ANSWER A
, The nurse evaluates that the NAP has applied a patient's sequential
compression device (SCD) appropriately when which of the following is
observed? (Select all that apply)
a.) initial patient measurement is made around the calves
b.) inflation pressure averages 40mmHg
c.) patient's leg placed in SCD sleeve with back of knee aligned with
popliteal opening on the sleeve
d.) stockings are removed every 2 hours during application
e.) yellow light indicates SCD device is functioning - ANSWER B, C
A patient on prolonged bed rest is at an increased risk to develop this common
complication of immobility if preventive measure are not taken:
a.) myoclonus
b.) pathological fractures
c.) pressure ulcers
d.) pruritus - ANSWER C
The effects of immobility on the cardiac system include which of the following?
(Select all that apply)
a.) thrombus formation
b.) increased cardiac workload
c.) weak peripheral pulses
Immobility Exam| Questions with 100%
Solutions | Verified
A patient is receiving 5000 units of heparin subcutaneously every 12 hours while
on prolonged bed rest to prevent thrombophlebitis. Because bleeding is a
potential side effect of this medication, the nurse should continually assess the
patient for the following signs of bleeding: (Select all that apply)
a.) bruising
b.) pale yellow urine
c.) bleeding gums
d.) coffee ground-like vomitus
e.) light brown stool - ANSWER A, C, D
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
recommend?
a.) cream of broccoli soup with whole wheat cracker, cheese, and tapioca for
dessert
b.) hot dog on whole wheat bun with a side salad and an apple for dessert
c.) low-fat turkey chili with sour cream with a side salad and fresh pairs
for dessert
d.) turkey salad on toast with tomato and lettuce and honey bun for dessert
- ANSWER A
, The nurse evaluates that the NAP has applied a patient's sequential
compression device (SCD) appropriately when which of the following is
observed? (Select all that apply)
a.) initial patient measurement is made around the calves
b.) inflation pressure averages 40mmHg
c.) patient's leg placed in SCD sleeve with back of knee aligned with
popliteal opening on the sleeve
d.) stockings are removed every 2 hours during application
e.) yellow light indicates SCD device is functioning - ANSWER B, C
A patient on prolonged bed rest is at an increased risk to develop this common
complication of immobility if preventive measure are not taken:
a.) myoclonus
b.) pathological fractures
c.) pressure ulcers
d.) pruritus - ANSWER C
The effects of immobility on the cardiac system include which of the following?
(Select all that apply)
a.) thrombus formation
b.) increased cardiac workload
c.) weak peripheral pulses
