Answer to Question 1
A
A patient's basal metabolic rate (BMR) decreases in response to reduced cellular energy because of the body's decreased ability to produce insulin and metabolize glucose. In the immobilized patient, a major shift in blood volume occurs, which causes diuresis (increased urine excretion). Diuresis causes the body to lose electrolytes, such as potassium and sodium. When the body is unable to metabolize glucose, it begins to break down protein stores for energy, resulting in negative nitrogen balance, not positive.
Answer to Question 2
A
Therapeutic reasons for bed rest include decreasing the body's oxygen needs, reducing cardiac workload, reducing pain, and allowing the debilitated or ill patient to rest. Restraining an unstable patient in bed is not a reason for therapeutic immobilization. Restraining is a last resort. The body loses muscle strength when muscles are inactive; therapeutic immobilization does not strengthen joints and muscles. Bed rest is to limit active movement of the body, not to increase it.
A nurse shows empathy to a client.
Nursing assessment questions
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A pacemaker in a patient’s chest.
Risk assessment analyzes