Fundamentals Exam 1: Potter & Perry Practice Questions

Questions and Answers

A patient has been on bed rest for over 4 days. Which of the following is a sign associated with immobility?

Decreased heart rate

Increased blood pressure

Increased urinary output

Decreased peristalsis (correct)

In the first few postoperative days for an older adult who has had a fractured hip repaired, which nursing measure will best facilitate the resumption of activities of daily living?

Frequent family visits

Assisting the patient to a wheelchair once per day

Ensuring that there is an order for physical therapy

Encouraging the use of an overhead trapeze for positioning and transfer (correct)

If an older-adult patient has been bedridden for 2 weeks, which complaint indicates a complication of immobility?

Loss of appetite

Gum soreness

Difficulty swallowing

Left-ankle joint stiffness (correct)

Which menu should the nurse recommend to a patient whose calcium intake must increase due to risk factors for osteoporosis?

Cream of broccoli soup with whole wheat crackers, cheese, and tapioca for dessert Signup and view all the answers

A patient on prolonged bed rest is at increased risk of developing which common complication of immobility?

Pressure ulcers Signup and view all the answers

What is the most effective activity on the first postoperative day for a patient who has had abdominal surgery?

Ambulate the patient to a chair in the hall Signup and view all the answers

Which nursing intervention should be implemented to maintain a patent airway in a patient on bed rest?

Use of incentive spirometer every 2 hours while awake Signup and view all the answers

What is the correct order in which elastic stockings should be applied?

1 = Identify patient using two identifiers. 2 = Smooth any creases or wrinkles. 3 = Slide the remainder of the stocking over the patient's heel and up the leg. 4 = Turn the stocking inside out until heel is reached. 5 = Assess the condition of the patient's skin and circulation of the legs. 6 = Place toes into the foot of the stocking. 7 = Use tape measure to measure patient's legs to determine proper stocking size. Signup and view all the answers

Study Notes

Immobility and Complications

Immobility for over 4 days leads to decreased peristalsis, altering metabolic functioning.
Extended bed rest poses a risk for joint stiffness and muscle atrophy, particularly in bedridden patients.

Postoperative Care for Older Adults

Use of an overhead trapeze enhances patient independence post-hip fracture repair by allowing them to reposition and transfer more easily.

Symptoms of Immobility Complications

Joint stiffness is a key indicator of immobility complications; complications can arise after just two weeks of restricted mobility.

Nutritional Needs and Osteoporosis

Calcium-rich menu options like cream of broccoli soup, whole wheat crackers, and cheese are vital for patients at risk of osteoporosis.

Pressure Ulcers and Immobility

Immobility significantly increases the risk of pressure ulcers, necessitating proactive nursing interventions to maintain skin integrity.

Postoperative Mobility

Early ambulation the first postoperative day plays a crucial role in preventing complications of immobility, more so than frequent disruptive exercises.

Airway Management on Bed Rest

Incentive spirometry usage every two hours while awake is essential for maintaining a patent airway and preventing atelectasis in patients on bed rest.

Application of Elastic Stockings

Proper application of elastic stockings involves assessing skin condition, measuring for size, and ensuring a smooth fit to promote circulation and prevent complications.

Description

Prepare for your nursing fundamentals exam with these flashcards based on Potter & Perry's essential practices. Test your knowledge on the effects of immobility and other critical patient care concepts. Each question is designed to reinforce key learning points from the textbook.