A client with chronic obstructive pulmonary disease is bedridden at home and gets little exercise. The nurse should assess the client for which of the following?
1. Increased sodium retention.
2. Increased calcium excretion.
3. Increased insulin use.
4. Increased red blood cell production.
Prolonged inactivity causes the body to excrete excessive calcium. This leads to breakdown of bone tissue; as a result, the bones become brittle and fracture easily a condition known as osteoporosis. The excessive calcium excretion that occurs during bed rest also predisposes the client to formation of renal calculi. Prolonged bed rest does not increase sodium retention, insulin use, or red blood cell production.
CN: Physiological adaptation; CL: Analyze
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