Which assessment finding indicates a potential complication of immobility related to the respiratory system?
Increased muscle strength
Increased lung expansion
Diminished breath sounds
Normal respiratory rate
The Correct Answer is C
Diminished breath sounds may indicate decreased ventilation and impaired respiratory function, which can be a complication of immobility such as atelectasis or pneumonia.
Incorrect choices:
a. Increased muscle strength is not typically associated with respiratory complications of immobility.
b. Increased lung expansion is not commonly observed in individuals with immobility-related respiratory complications.
d. Although the respiratory rate can be normal, it does not provide direct information about potential complications of immobility on the respiratory system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Contractures, which are permanent shortening of muscles and tendons, can occur as a musculoskeletal complication of immobility. Contractures limit joint mobility and flexibility.
Incorrect choices:
a. Increased muscle tone is not typically associated with immobility and can be a manifestation of other conditions such as spasticity.
b. Active range of motion (ROM) suggests preserved joint mobility, which is not indicative of musculoskeletal complications of immobility.
d. Strong and flexible joints are not commonly observed in individuals experiencing immobility-related musculoskeletal complications.
Correct Answer is C
Explanation
Implementing bladder training programs, which involve scheduled voiding and promoting continence, is important in preventing urinary complications in immobilized patients, such as urinary retention or urinary tract infections.
Incorrect choices:
a. Encouraging increased fluid intake alone may not address the specific urinary complications associated with immobility.
b. Limiting toileting assistance can lead to urinary retention and complications.
d. Providing a bedpan or urinal for all voiding may not promote independence and can contribute to urinary complications.
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