A client who experienced a myocardial infarction has been placed on be

A client who experienced a myocardial infarction has been placed on bed rest. The nurse caring for the client recognizes that the inactivity will result in certain assessment findings that include: (Select all that apply.)

1. Lethargy
2. Confusion
3. Depression
4. Poor appetite
5. Hypoactive bowel sounds
6. Decrease in baseline respiratory rate

ANSWER

ANS: 1, 4, 5, 6
Immobility disrupts normal metabolic functioning; decreasing the metabolic rate; altering the metabolism of carbohydrates, fats, and proteins; causing fluid, electrolyte, and calcium imbal-ances; and causing gastrointestinal disturbances such as decreased appetite and slowing of peri-stalsis. Cognitive and psychological alterations are not directly caused by the inactivity.