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The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

respiratory alkalosis.

atelectasis.

hypostatic pneumonia.

low oxygen saturation.

Answer and Explanation

The Correct Answer is C

A. Respiratory alkalosis.

Respiratory alkalosis is caused by hyperventilation, not by immobility. Deep breathing won't target this issue.

B. Atelectasis.

While deep breathing can help prevent atelectasis (lung collapse), the primary concern in immobilized patients is hypostatic pneumonia.

C. Hypostatic pneumonia.

Deep breathing promotes lung expansion and mobilizes secretions, helping prevent hypostatic pneumonia, which results from stasis of secretions due to immobility.

D. Low oxygen saturation.

While deep breathing may improve oxygen saturation, the primary goal is to prevent atelectasis and pneumonia.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

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.

A. hydrotherapy B. petal C. bivalve D. splint

Correct Answer is B

Explanation

A. hydrotherapy

Hydrotherapy involves water treatment, not related to smoothing cast edges.

B. petal

Petaling is the technique of applying smooth strips of tape (usually in a petal shape) over rough edges to prevent skin irritation.

C. bivalve

Bivalving is when a cast is cut into two halves, typically to relieve pressure—not to smooth edges.

D. splint

A splint is a temporary immobilizing device, not related to the care of cast edges.

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The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.

Correct Answer is ["A","B","C","D"]

Explanation

The nurse, in order to prevent the cast from chafing, will instruct the patient for home care to _______ the rough edges with adhesive tape.

Correct Answer is B

Explanation

A nurse is collecting data from a client who has required strict bed rest for 1 week. Which of the following findings should the nurse identify as an indication that the client is ready to ambulate?

A nurse is caring for a client who has a prescription for knee-length antiembolic stockings. Which of the following actions should the nurse take?

A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?

Please indicate whether the following statement is true or false. Decreased muscle mass, muscle tension, shortening of muscles, and loss of calcium are not effects of immobilization.

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