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Exam (elaborations)

NSG 3023 CHAPTER 36 QUIZ | VERIFIED GUIDE

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An elderly patient was admitted to the hospital after falling in the nursing home. The patient has a fractured right femur and is awaiting surgery. The surgeon orders bed rest. The patient asks the nurse what this means. What is the nurse’s best explanation? a. “You are to be immobile.” b. “You cannot move.” c. “You need restraints.” d. “You have to remain in bed.” The patient is recovering from a cerebrovascular accident (stroke). The patient is having problems with balance and coordination. The patient asks the nurse what part of the brain has been damaged. How should the nurse respond? a. The hypothalamus has been damaged. b. The cerebellum has been damaged. c. The thalamus has been damaged. d. The medulla oblongata has been damaged. A student nurse is caring for a young adult patient who is immobile with a back injury. On auscultation, the student nurse hears rhonchi in the lower lobes. The student nurse reports this symptom because the patient is developing which complication? a. Increased lung expansion b. Hypostatic pneumonia c. Aspiration pneumonia d. Increased diuresis A young adult patient was involved in a motorcycle accident. The patient was in the intensive care unit of the hospital for 2 months with immobility and was just discharged to a rehabilitation hospital. The patient asks the nurse, “Why am I so weak?” What is the best response from the nurse? a. “When you are in bed for a long time, your body begins to break down its own protein.” b. “When you don’t use it, you lose it.” c. “You haven’t eaten much for the past couple of months.” d. “Your body has spent energy trying to heal itself by increasing the metabolic rate.”

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