Mobility - Exam IV

Question 1

What are the physiological and psychosocial changes of immobility

Answer 1

• postural abnormalities
• muscle abnormalities
• damage to CNS
• joint diseases
• metabolic changes
• respiratory changes
• cardiovascular changes
• musculoskeletal changes
• urinary elimination changes
• skin changes

Question 2

Respiratory consideration od immobility consequences:

Answer 2

• impaired lung expansion leads to stasis of secreation and a deacrease in gas exchange, lead to respiratory tract infections, pneumonia
  distress/failure
  pulmonary emoblism

Question 3

Respiratory consideration of immobility prevention

Answer 3

• early ambulation
• deep breath and cough Q 2 hrs while awake
• incentive spirometry 10/hr while awake
  manage pain
  hydration
  elevate HOB to promote lung expnasions

Question 4

Cardiovascular consideration related to immobility consequences:

Answer 4

orthostatic hypotension
cardia muslce atrophy
venous stats
DVT
Virchow’s triad: venous stasis, hypercoagulability, vessel injury

Question 5

Cardiovascular consideration related to immobility preventions

Answer 5

• early ambulation, change positions slwoly, ROM to promote circulation, no pillows under knees, compression stocking,
  cluster care

Question 6

Elimination considerations related to immobility consequences

Answer 6

• constipation, fecla impaction, diarrhea, alrered nutriton, urinary statis, incomplete emptying, UTIs, renal calculi, functional incontinence

Question 7

Elimination considerations related to immobility prevention

Answer 7

• early ambulation
• stool softeners
• hydration
• high fiber diet
• hygiene
  straight cath if needed
• remove indwelling cath ASAP

Question 8

Musculoskeletal and skin consideration related to immobility consequences:

Answer 8

boen demineralization.
altered metabolism,
muscle atrophy
joint pain
altered gati, balance, stability
contractures
foot drop
pressure inuries
impaired wound healing

Question 9

Musculoskeletal and skin consideration related to immobility prevention

Answer 9

• early ambulation