NR 224 Week 2 Supplemental Assignment; Mobility

Mobility and Immobility Adam, a 54-year-old client on bed rest, has a Stage 1 pressure injury on the coccyx. Which interventions should the nurse implement? Provide proper skin care. Reposition the client every 1 to 2 hours. Get the client a specialty air or foam mattress. A 77-year-old is recovering from spinal surgery and using a walker as an assistive device. The client states, "I don't want any visitors or to go anywhere. No one should see me using a walker. I want to be left alone." What is the most appropriate nursing diagnosis? Social isolation An 80-year-old fell at home and was not found for three days. The client was admitted to the hospital with a fractured hip. Which complications can occur due to immobility? Embolus Urinary retention Muscle atrophy The nurse is assessing a client who recently had surgery. Lung sounds on the right base are diminished and there are no breath sounds in the left base. What complication does the nurse suspect? Atelectasis Kari Ann (preferred pronouns: she, her), a 32-year-old female, is hospitalized with multiple sclerosis. Her condition has worsened and she will need a wheelchair from now on. She is divorced with four children. Which statement indicates a need for immediate follow-up by the nurse? "I won’t need any help at home." A client has been on prolonged bed rest but now is able to get up. What should the nurse assess for? Activity tolerance Gait Range of motion (ROM) Strength Carol (preferred pronouns: she, her) is a new resident of a long-term care facility. She has severe arthritis and is wheelchair-bound. Recent complications led Carol to be hospitalized and then transferred to a care facility. She appears very depressed and withdrawn. What is the nurse's best action? Bring Carol to the common area to meet other residents. Mary Brenner is a 60-year-old client who is less than 24 hours post-operative from abdominal surgery. To prevent immobility complications, what priority nursing intervention should be implemented? Ambulate the client in the hall. The nurse notices that a client with impaired mobility in the lower extremities has decreased skin turgor and hypoactive bowel sounds. Which factor may contribute to these signs in the immobilized client? Inadequate fluid intake A nurse works on an orthopedic surgical floor in a hospital. The nurse understands that clients are at risk of which physiological complication of immobility? Decreased lung expansion An unlicensed assistive personnel (UAP) is putting compression stockings on a client following major surgery. The client asks why they have to wear them. What is the UAP's best answer? "They promote circulation to the heart." An 18-year-old victim of a motor vehicle crash with a fractured femur has been immobilized for six days. The nurse is getting the client out of bed for the first time. Which nursing diagnosis is applicable to this action? Risk for activity intolerance Marissa is a 4-year-old with cerebral palsy. In the nurse's assessment, which finding would indicate a developmental complication? Marissa cannot say their