Fundamentals Exam 1: Potter & Perry Practice Questions
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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?

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

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

    <p>Pressure ulcers</p> 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?

    <p>Ambulate the patient to a chair in the hall</p> Signup and view all the answers

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

    <p>Use of incentive spirometer every 2 hours while awake</p> Signup and view all the answers

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

    <p>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.</p> 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.

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    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.

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