and CORRECT DETAILED ANSWERS ALREADY
GRADED A+
List some psychosocial effects seen with immobility. - CORRECT ANSWER-1.
Social isolation
2. Helplessness
3. Loneliness
4. Depression
The state or quality of being mobile or movable - CORRECT ANSWER-Mobility
The state of not moving; motionless, not being able to move - CORRECT
ANSWER-Immobility
A term that encompasses similar concepts and includes nursing diagnoses related
to inactivity. Risks for this include impaired skin integrity, constipation, altered
respiratory function, altered peripheral tissue perfusion, activity intolerance,
,impaired physical mobility, injury, altered sensory perception, powerlessness, and
body image disturbance. - CORRECT ANSWER-Disuse syndrome
A general downslide of overall physical strength and endurance. Although most
patients might have a tweak of this after a big surgery or major illness, this term is
usually applied when a formerly independent, or mostly independent, person is
now not able to perform routine activities, like their ADLs, and IADLs, and their
progress continues to decline. - CORRECT ANSWER-Deconditioned
List two screening tools to detect mobility/immobility. - CORRECT ANSWER-1.
Osteoporosis
2. Fall risk assessment
When should fall assessment screening tools be used? - CORRECT ANSWER-
Look in Giddens
List some general care guidelines for a patient who is immobilized. - CORRECT
ANSWER-1. Frequent turning and changing positions every 2 hours in bed or 30
minutes in a chair.
2. Frequent skin assessment and skin care.
3. Range of motion exercises
,4. Deep breathing exercises
5. Weight bearing exercises if possible
5. Measures to optimize elimination, such as high fluids, high fiber, and laxatives
or stool softeners.
6. Ambulation, stretches, balance
What should you give to a patient before moving around to decrease pain when
moving their joints? - CORRECT ANSWER-Anti-inflammatory and pain
medications
A disruption or break in the continuity of bone - CORRECT ANSWER-Fracture
The break goes completely through the bone - CORRECT ANSWER-Complete
fracture
Occurs partly across a bone shaft but the bone is still intact - CORRECT
ANSWER-Incomplete fracture
Describe the metabolic changes that occur with immobility. - CORRECT
ANSWER-1. Decreases metabolic rate, altering the metabolism of carbs, fats, and
proteins
, 2. Fluid, electrolyte and calcium imbalances
3. Decreased appetite
4. Slowed peristalsis
5. Endocrine system is altered
6. Hypercalcemia, calcium is released from the bones in immobile patients, which
can cause pathologic fractures because there is not enough calcium in the bones!
You are caring for a patient who is immobile. Which of the following electrolyte
imbalances would you expect in a patient who has been immobile?
a. Hypercalcemia
b. Hypokalemia
c. Hyponatremia
d. Hypermagnesemia - CORRECT ANSWER-A (In immobile people, calcium is
released from their bones into their blood stream. Normally, your kidneys will
excrete this calcium but if they are unable to respond appropriately,
hypercalcemia results.)
List some gastrointestinal impairments caused by decreased mobility. -
CORRECT ANSWER-1. Constipation
2. Fluid intake decreases, risk for dehydration