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Avoid leg massages
Frequent repositioning of client
Increasing fiber content in food
Encouraging weight-bearing exercises

Ask by Wheeler Potter. in the United States
Mar 20,2025

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To prevent complications from immobility, avoid aggressive leg massages, frequently reposition the client, increase fiber in their diet, and encourage weight-bearing exercises.

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Mind Expander

Did you know that the advice to avoid leg massages, especially post-surgery or during certain medical conditions, stems from the concern over blood clots? Massaging can sometimes dislodge a clot, leading to serious complications. In such situations, it’s crucial to be cautious and consider non-invasive alternatives to promote circulation.
Repositioning clients frequently not only helps prevent pressure ulcers but also supports better circulation and lung function. Fun fact: In a hospital setting, the “turn every two hours” rule is like a dance — constantly moving and shifting allows for optimal comfort and health. So, make those turns and keep that groove going!

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Maintaining a dry environment Client scenario: A 61-year-old client with a history of COPD presents to the ED with a 2-day history of increased SOB, cough, and increased sputum production. At baseline, the client has a mild cough with scant sputum production. Denies fever, hemoptysis, and night sweats. In the ED, the client is unable to walk due to SOB, speaks in 1-word sentences, and is utilizing accessory muscles for breathing. PMH: - COPD ×10 years - 40-year pack history - Hip fracture - COPD exacerbations 2x/y yar Meds: - Albuterol QID PRN - Theophylline BID - Ipratropium inhaler - HCTZ daily Focused Exam: Accessory muscle use noted, barrel-chested, bilaterally decreased breath sounds w/ expiratory wheezing, cyanosis to nail beds (without clubbing noted). Skin is cool and clammy, diaphoretic. VS: T 37.0C, HR 133, BP 165/95, RR 34, SaO2 82% on RA ABG: pH7.12,PaCO254mmHg,PaO260mmHg,HCO330mEq/L PFT:FEV1 35\% expected, VC 50\% expected 14 Multiple Choice 1 point Given the client's history and presentation, which of the following conditions do you suspect? COPD exacerbation Pulmonary embolus Asthma attack Pneumothorax 15 Multiple Choice 1 point Select the answer choice that should go in the blanks: In COPD, destruction of the alveoli causes loss preventing complete membrane; inhalation surfactant; exhalation exhalation; inhalation 16 Multiple Answer 1 point Which disorders make up chronic obstructive pulmonary disorder (COPD)? Select all that apply. Emphysema Chronic bronchitis Asthma
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