Author Question: The nurse is providing an education session regarding mobility for a client who has experienced a ... (Read 107 times)

iveyjurea · **on:** Jun 25, 2018

The nurse is providing an education session regarding mobility for a client who has experienced a myocardial infarction 10 days ago.

While reviewing for this educational session, the nurse should recognize that one of the following teaching points listed below would not be appropriate to discuss with this client?
A)
The reduced circulation of an individual who has been on bed rest can cause blood clots to form in the legs.
B)
The individual's heart, which has been consistently lying down, actually has to work harder than when standing up.
C)
An individual who has been on bed rest has a faster heart beat, and as a result, there can be an increase in his blood pressure.
D)
An individual staying in bed can experience excess fluid volume that may result in pitting edema of the lower extremities.

Question 2

About 30 minutes following the morning medication pass, the nurse's aide informs the nurse that one of the patients on their team is complaining of hot sweats.

The aide also states that his temperature is now 101.5 F. Knowing that some medications can cause hyperthermia, the nurse reviews his medications. From the following patient list, which patient is at high risk for developing an elevated temperature?
A)
Patient with hypertension being treated with Prinivil (Lisinopril).
B)
Suicidal patient who overdosed on his monoamine oxidase (MOA) inhibitor.
C)
Postoperative patient receiving Oxycodone (OxyContin) for his pain.
D)
Patient with C. difficile receiving Vancocin (Vancomycin) IV every 6 hours.

lorealeza · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
C

Feedback:

Inactivity in a supine position is not associated with hypertension. Immobility, however, can be associated with clot formation, increased cardiac workload, and inappropriate fluid collection in the inferior vena cava.

Answer to Question 2

Ans:
B

Feedback:

Overdoses of serotonin reuptake inhibitors or use in people taking MOA inhibitors can cause agitation, hyperactivity, and hyperthermia.