Mobility and Immobility Paper Essay

Mobility and Immobility Paper

5. The patient at greatest risk for developing multiple adverse
effects of immobility is a:
1. 1-year-old child with a hernia repair.
2. 80-year-old woman who has suffered a hemorrhagic cerebrovascular accident (CVA).
3. 51-year-old woman following a thyroidectomy.
4. 38-year-old woman undergoing a hysterectomy.
6. An older adult who was in a car accident and fractured his
femur has been immobilized for 5 days. Which nursing diagnosis is related to patient safety when the nurse assists this
patient out of bed for the first time?
1. Chronic pain
2. Impaired skin integrity
3. Risk for ineffective cerebral tissue perfusion
4. Risk for activity intolerance
7. A patient had a left-sided cerebrovascular accident 3 days
ago and is receiving 5000 units of heparin subcutaneously
every 12 hours to prevent thrombophlebitis. The patient is
receiving enteral feedings through a small-bore nasogastric
(NG) tube because of dysphagia. Which of the following
symptoms requires the nurse to call the health care provider
immediately?
1. Pale yellow urine
2. Unilateral neglect
3. Slight movement noted on the R side
4. Coffee ground–like aspirate from the feeding tube
8. A home care nurse is preparing the home for a patient who is
discharged to home following a left-sided stroke. The patient
is cooperative and can ambulate with a quad-cane. Which of
the following must be corrected or removed for the patient’s
safety? (Select all that apply.)
1. The rubber mat in the walk-in shower
2. The three-legged stool on wheels in the kitchen
3. The braided throw rugs in the entry hallway and between
the bedroom and bathroom
4. The night-lights in the hallways, bedroom, and bathroom
5. The cordless phone next to the patient’s bed
9. The nurse is caring for a patient whose calcium intake must
increase because of high risk factors for osteoporosis. The
nurse would recommend which of the following menus?
1. Cream of broccoli soup with whole wheat crackers and
tapioca for dessert
2. Hamburger on soft roll with a side salad and an apple for
dessert
3. Low-fat turkey chili with sour cream and fresh pears for
dessert
4. Chicken salad on toast with tomato and lettuce and honey
bun for dessert

Mobility and Immobility Paper Essay

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