MDC 1 EXAM 2 EXAM SCRIPT FINAL PAPER
ACTUAL QUESTIONS AND ANSWERS FULLY
SOLVED PREMIUM RESOURCE
●● What are nursing interventions for orthostatic hypotension?
Answer: Dangling, compression stockings, rising slowly with
supervision, hydration, avoid hot environments.
●● What is Virchow's Triad and its relevance to immobility?
Answer: Stasis, vessel injury, hypercoagulability — all intensified by
immobility.
●● How can nurses prevent venous thromboembolism in immobile
patients?
Answer: Isometric exercises, flex/extend feet, ROM, SCDs.
●● What respiratory complications are associated with immobility?
Answer: Atelectasis, hypostatic pneumonia, pooled secretions, reduced
ciliary clearance.
●● What are nursing interventions to promote respiratory health in
immobile patients?
,Answer: Repositioning, coughing/deep breathing (C&DB), incentive
spirometry, CPT, vibration, breathing exercises.
●● What are musculoskeletal effects of immobility?
Answer: Muscle atrophy, contractures, stiff joints, footdrop, disuse
osteoporosis.
●● What causes footdrop in immobile patients?
Answer: Prolonged foot extension from disuse and bed linen weight.
●● What metabolic changes occur due to immobility?
Answer: Negative nitrogen balance, hypercalcemia, muscle wasting,
delayed healing.
●● GI effects of immobility include:
Answer: Constipation, slowed peristalsis, decreased abdominal wall
strength.
●● What urinary complications can immobility cause?
Answer: Stasis, UTIs, renal calculi.
●● What causes UTIs in immobile patients?
Answer: Urinary stasis.
, ●● What are early signs of pressure injuries?
Answer: Non-blanchable erythema.
●● Why does immobility lead to pressure injuries?
Answer: Capillary flow is obstructed over bony prominences.
●● What psychological effects can immobility cause?
Answer: Depression, anxiety, altered self-concept, sensory deprivation.
●● Nursing interventions to support psychosocial health include:
Answer: Promoting autonomy, validating emotions, engaging in ADLs.
●● Name common risk factors for immobility.
Answer: Neurological impairment, chronic illness, pain, fatigue, aging,
hospitalization.
●● Key symptoms to assess in immobile patients include:
Answer: Non-blanchable skin, abnormal lung sounds, muscle wasting,
decreased urine, sluggish bowel sounds.
●● What are immobility concerns in children?
Answer: Delayed development, regression, anxiety, dependence.
ACTUAL QUESTIONS AND ANSWERS FULLY
SOLVED PREMIUM RESOURCE
●● What are nursing interventions for orthostatic hypotension?
Answer: Dangling, compression stockings, rising slowly with
supervision, hydration, avoid hot environments.
●● What is Virchow's Triad and its relevance to immobility?
Answer: Stasis, vessel injury, hypercoagulability — all intensified by
immobility.
●● How can nurses prevent venous thromboembolism in immobile
patients?
Answer: Isometric exercises, flex/extend feet, ROM, SCDs.
●● What respiratory complications are associated with immobility?
Answer: Atelectasis, hypostatic pneumonia, pooled secretions, reduced
ciliary clearance.
●● What are nursing interventions to promote respiratory health in
immobile patients?
,Answer: Repositioning, coughing/deep breathing (C&DB), incentive
spirometry, CPT, vibration, breathing exercises.
●● What are musculoskeletal effects of immobility?
Answer: Muscle atrophy, contractures, stiff joints, footdrop, disuse
osteoporosis.
●● What causes footdrop in immobile patients?
Answer: Prolonged foot extension from disuse and bed linen weight.
●● What metabolic changes occur due to immobility?
Answer: Negative nitrogen balance, hypercalcemia, muscle wasting,
delayed healing.
●● GI effects of immobility include:
Answer: Constipation, slowed peristalsis, decreased abdominal wall
strength.
●● What urinary complications can immobility cause?
Answer: Stasis, UTIs, renal calculi.
●● What causes UTIs in immobile patients?
Answer: Urinary stasis.
, ●● What are early signs of pressure injuries?
Answer: Non-blanchable erythema.
●● Why does immobility lead to pressure injuries?
Answer: Capillary flow is obstructed over bony prominences.
●● What psychological effects can immobility cause?
Answer: Depression, anxiety, altered self-concept, sensory deprivation.
●● Nursing interventions to support psychosocial health include:
Answer: Promoting autonomy, validating emotions, engaging in ADLs.
●● Name common risk factors for immobility.
Answer: Neurological impairment, chronic illness, pain, fatigue, aging,
hospitalization.
●● Key symptoms to assess in immobile patients include:
Answer: Non-blanchable skin, abnormal lung sounds, muscle wasting,
decreased urine, sluggish bowel sounds.
●● What are immobility concerns in children?
Answer: Delayed development, regression, anxiety, dependence.
