A nurse in a long term care facility is caring for a bedridden client. which of...

A nurse in a long term care facility is caring for a bedridden client. which of the following findings should alert the nurse to a potential complication of the clients immobility

A. blurred vision

b. confusion

c. polyuria

d. diarrhea

Solutions

Expert Solution

A. Blurred vision.

Because in a person with prolonged immobilty, orthostatic hypotension occurs. It will take 3 week of immobilty for this to occur.

It is due to excessive pooling of blood in lower limb and decreased circulating blood volume.

So this will lead to decreased blood supply to eye and causes blurred vision.

Other complications of prolonged immobilization:

1.Musculoskeletal:

In muscle, disuse atropy occur. In bone, osteoporosis, increased risk of fracture, dorsal kyphosis and chronic back pain occur.

2.Cardiovascular: decreased heart rate, decreased coronary blood flow, decreased cardiac output and stroke volume.

3.Genitourinary: decreased voiding which leads to urinary stasis. Increased risk of UTI, calculus formation, frequency of urination or overflow incontinence.

4.Gastrointestinal : constipation, loss of appetiteappetite , loss of weight, decreased peristalsis.

5.Endocrine : decreased BMR, hypercalcemia, hypoparathyroidism, increased aldosterone and plasma renin secretion.

6.Nervous: weakness, loss of Independence, depression, anxiety, apathy, mood swings.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

2. You are a nurse providing nursing care for the residents of the long-term care facility...

2. You are a nurse providing nursing care for the residents of the long-term care facility where you practice nursing. The wing in which you are currently working is the assisted-living unit where you are continually surprised with the vitality of the residents, even at advanced ages. a. On which two principles should gerontologic nursing care be based? b. How can the acronym SPICES assist you, specifically, in your gerontologic nursing practice? c. Social gatherings, travel, attending sporting events, and...

A nurse in a long-term care facility must understand the nutritional needs of older adults to...

A nurse in a long-term care facility must understand the nutritional needs of older adults to prevent nutritional deficits in patients. Preventing dietary difficulties is often much easier than trying to treat conditions resulting from dietary insufficiencies. (Learning Objectives #2 & #3) Why is it important to increase or maintain water consumption in older adults? Which nutritional activities can be altered in older adults due to physiologic changes brought about by aging? Outline factors that can contribute to malnutrition in...

Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North.

Registered Nurse Christine works in a large long-term care facility and is the nurse manager of Unit 2 North. A registered nurse colleague and Unit 2 West manager, Sylvia, calls Christine and asks her to come to Unit 2 West to help with a computer problem at the nurses’ station. As Christine walks down the hall of Sylvia’s unit, she hears a resident crying out very loudly. The cry sounds like an expression of pain. Christine enters the resident’s room...

The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term...

The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term care facility for treatment of an infected, stage 4 pressure ulcer. (20 points each) Identify the different stages of pressure ulcers, describing the assessment findings for each of the 4 stages. Discuss the risk factors for clients in the development of pressure ulcers, including the effects of aging on the immune system. Describe how the nurse uses the Braden Score for client assessment, when...

The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term...

The nurse is caring for an 88-year-old diabetic client who has been admitted from a long-term care facility for treatment of an infected, stage 4 pressure ulcer. Identify the different stages of pressure ulcers, describing the assessment findings for each of the 4 stages. Discuss the risk factors for clients in the development of pressure ulcers, including the effects of aging on the immune system. Describe how the nurse uses the Braden Score for client assessment, when the Braden Score...

As the charge nurse of a unit within a long-term health care facility, explain what principles...

As the charge nurse of a unit within a long-term health care facility, explain what principles you would use to prioritize the coordination of care when assigning and delegating tasks among the nursing and unlicensed personnel staff. Include in your response how you would continue to assess patient care throughout your shift

Mr. William, 85 years old male client is living in a long-term care facility. He is...

Mr. William, 85 years old male client is living in a long-term care facility. He is having progressive dementia over the past seven years and is unable to care for himself independently due to cognitive decline. He has got visual and hearing impairment. Identify actual and potential nursing interventions to improve the self-care ability of Mr. William in relation to the following cognitive decline and sensory deficits in 50-60 words)

Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse,...

Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse, "I have an ache in my right foot." He offers an explanation, suggesting, "I must have stepped on something or twisted my ankle. Maybe I got bit by a bug when I was outside yesterday." The nurse notes the medical aspect of Mr. Rogers's right ankle to be reddened, slightly swollen, and warm. His temperature is within normal limits. He has strong pedal pulses...

An 82-year-old female patient admitted in a long-term care facility tells the nurse that she became...

An 82-year-old female patient admitted in a long-term care facility tells the nurse that she became at least 2 inches shorter in the last couple years. The nurse understands that she became shorter because of the following: (SELECT ALL THAT APPLY) A. Postural changes associated with aging B. Lower back pain and joint stiffness C. Intervertebral discs thinning D. Bone resorption an ongoing osteoporosis E. Possible untreated congenital deformities

A nurse is caring for a client who has a drainage evacuator. Which of the following...

A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? A. Discontinue the drainage system when it becomes full. B. Ensure the drainage suction is set on high pressure. C. Measure drainage by emptying into a graduated cylinder. D. Check the volume of the drainage every 24 hours.

Subjects