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7 Cards in this Set
- Front
- Back
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Which of the following lab values would you expect in a client who is immobile?
A. Elevated Ca B. Decreased Sodium C. Elevated Hgb D. Elevated K |
A
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A client has been on bed rest for several days. The client stands and the nurse notes that the systolic pressure dropped 20 mmHg. What is that called?
A. Rebound Hypotension B. Positional Hypotnsion C. Orthostatic Hypotension D. Central venous Hypotension |
C
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The nurse puts elastic stockings on a client following major abdominal surgery. The nurse teaches the client that the stocking are used for:
A. Prevent varicose veins B. Prevent muscular atrophy C. Ensure joint mobility & prevent contractures D. Facilitate the return of venous blood to the heart |
D
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You are caring for a client with osteoporosis. The nurse is teaching her ways to prevent fx. Which of the following statements reflects the need for further education?
A. I usually go swimming 3 x per week. B. I need to have a DEXA scan this year C. If i dont drink milk at dinner I will eat broccoli. D. The more I walk to more likely I will be to fall and break my leg. I think I need a wheelchair. |
D
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The client at greatest risk for developing adverse effects of immobility?
A. 3 y/o with fx femur B. 78 y/o in traction with brkn hip C. 48 y/o women following thyroidectomy D. 23 y/o woman undergoing a hysterectomy |
B
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A client who was in a car accident and broke his femur has been immobilized for 5 days. When the nurse gets the client out of bed for the first time what should the priority nursing diagnosis be?
A. Pain B. Impaired skin integrity C. Altered tissue perfusion D. RF activity intolerance |
D
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Pt had a left sided CVA 3 days ago and is receiving 5000u of heparin SQ q 12hrs to prevent VTE. Client is getting enteral feeding via NG tube. Which symptom calls for immediate concern?
A. Hematuria B. Unilateral neglect C. Limited ROM in R hip D. Coughing up a moderate amount of clear, thin sputum |
A
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