The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.
Loss of calcium from bone matrix
Stasis of respiratory secretions
Increased cardiac workload
Decreased circulation from pressure
Increased mental activity
Correct Answer : A,B,C,D
A. Loss of calcium from bone matrix
Immobility causes bone demineralization, increasing the risk for osteoporosis and fractures.
B. Stasis of respiratory secretions
Lack of movement decreases chest expansion, leading to retained secretions and risk of pneumonia or atelectasis.
C. Increased cardiac workload
Immobilization leads to venous stasis and reduced venous return, increasing cardiac workload and risk of thromboembolism.
D. Decreased circulation from pressure
Prolonged pressure leads to reduced perfusion, increasing risk for pressure ulcers.
E. Increased mental activity
Immobilization often results in decreased mental stimulation, potentially leading to depression or confusion, especially in older adults.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Take off the rubber tips of the crutches while using stairs.
Rubber tips provide traction and prevent slipping; they must remain in place.
B. Bring the good leg up first when going up stairs.
The mnemonic “Up with the good, down with the bad” applies here. The stronger leg goes up first for stability.
C. Move the good leg and the crutches together.
Crutches move with the affected (bad) leg, not the good one.
D. Rest the axillae on the axillary bar of the crutch.
This can compress nerves and blood vessels. Weight should rest on the hand grips, not underarms.
Correct Answer is A
Explanation
A. Abduction:
Abduction refers to movement of a limb away from the midline of the body, such as raising the arm from the side outward and upward.
B. External rotation:
This refers to rotating a limb outward along its axis, not raising the arm overhead.
C. Internal rotation:
This refers to rotating the limb inward, which is not the action of lifting the arm above the head.
D. Adduction:
Adduction refers to moving a limb toward the midline, the opposite of abduction.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.