Immobility 1

Question 1

Some cause of immobility

Answer 1

1. Growth and development
2. Nutrition
3. Prescribed limitations
4. Medical conditions
5. Mental health

Question 2

Reason for bed rest

Answer 2

1. To reduce physical activity and resultant oxygen needs of body
2. To reduce pain (post op pain too)
3. To promote safety for pt
4. To allow rest for seriously ill

Question 3

Systems affected by immobility

Answer 3

1. Musculoskeletal (UN rest and activity)
2. Cardiovascular
3. Respiratory
4. Urinary
5. Metabolic
6. GI
7. Integumentary
8. Psycho neurological

Question 4

Conditions on MSK

Answer 4

1. Disuse osteoporosis
2. Disuse atrophy
3. Contractures
4. Stiffness and pain of joint

Question 5

Effects of immobility on un rest and activity

Answer 5

1. Altered sleep pattern
2. Decrease muscle size, tone, strength
3. Decrease im endurance
4. Increase risk of contracture formation
5. Increase bone demineralization

Question 6

Assessment of msk

Answer 6

1. Muscle tone
2. ROM of major joints
3. Falls risk
4. Subjective symptoms (pain, stiffness, weakness)

Question 7

Assessment of rest and activity

Answer 7

Activity tolerance

Question 8

Nursing interventions for msk/rest activity

Answer 8

1. Implement appropriate exercise program
2. Encourage active participation
3. Position patient in proper alignment
4. If not strictly immobile ambulate pt

Question 9

Rom benefits

Answer 9

Passive: keeps joints mobility
Isotonic: maintains circulation, joint mobility, increase muscle tone
Isotonic: maintains muscle tone

Question 10

Immobility on cardiovascular

Answer 10

1. Decreased cardiac reserve -> tachycardia
2. Orthostatic hypotension
3. Increased valsalva maneuver
4. Dependent edema
5. Venous dilation and stasis
6. Thrombus formation

Question 11

Assessment for cvs

Answer 11

1. Assess s&s of DVT
2. Monitor OH
3. Capillary refill

Question 12

Interventions for cvs related to immoblity

Answer 12

1. Fall prevention for OH
2. Education (valsalva maneuver)
3. TED or pneumatic stockings
4. Leg and ankle exercise
5. Anticoagulation therapy
6. Turning snd positioning q2h

Question 13

Effects of immobility on respiratory system

Answer 13

1. Decreased ventilation
2. Pooling of secretion
3. Atelectasis
4. Pneumonia

Question 14

Assessment of resp system

Answer 14

1. Auscultation of lungs
2. Resp vitals
3. Subjectiv data
4. Facial coloration

Question 15

Intervention resp system

Answer 15

1. Turn position q2h
2. Deep breathing and coughing
3. Incentive spirometry
4. Pain management to promote resp exercise

Question 16

Effects on urinary syst

Answer 16

1. Urinary stasis
2. Urinary retention
3. Urinary infection
4. Renal calculi
5. Urinary reflux

Question 17

Assessment for urinary syst

Answer 17

1. Intake and output
2. Vitals
3. Assess bladder distention
4. Assess characteristics of urine
5. Bladder scan or PVR
6. Subjective data

Question 18

Intervention on urinary

Answer 18

1. Offer BR frequently
2. Increase hydration to 2L/day
3. Pour warm water on perineum
4. Catheterization of bladder