NU 435 Exam 3 Questions With Correct
Answers
musculoskeletal effects of immobilization - ANSWER✔✔✔--loss of| | | | | | |
muscle strength |
-bone demineralization
|
-loss of joint mobility and contractures
| | | | |
-tissue breakdown
|
-> decrease in circulation especially at skin over bony prominences
| | | | | | | | |
-> assess for prolonged redness and later decreased temp in area,
| | | | | | | | | | |
blistering, or purplish color | | |
developmental effects of immobilization - ANSWER✔✔✔-infants
| | | | |
-deprives of the sensory stimulation that facilitates cognitive
| | | | | | | |
development |
toddlers
-removes ability to explore and imitate, limiting development of
| | | | | | | | |
autonomy
pre-schoolers
,-initiative stems from ability to undertake it through movement
| | | | | | | | |
school-aged
-mastery strongly associated with physical activity and competition
| | | | | | |
adolescents
-may result In separation from peers, dependency when independence
| | | | | | | | |
is the goal
| |
systemic effects of immobilization - ANSWER✔✔✔-respiratory system:
| | | | | |
-decreased lung expansion and impaired gas exchange
| | | | | |
-retained secretions, ineffective cough, and increased risk of infection
| | | | | | | |
nutrition and gastrointestinal system:
| | |
-decreased intestinal tone and motility leading to constipation
| | | | | | |
-decreased metabolic rate | |
-anorexia, nausea, negative nitrogen balance
| | | |
musculoskeletal system; |
-decreased muscle strength and tone
| | | |
-lack of coordination, altered gait, and increased risk of falls
| | | | | | | | |
,-decreased range of motion and joint flexibility
| | | | | |
-pain and activity intolerance
| | |
-osteopenia and osteoporosis | | |
cognitive and nervous system:
| | |
-sensory deprivation
|
-confusion, anxiety, stress, disturbed sleep
| | | | |
-delayed development
|
-disturbed sleep patterns| |
-disturbed self concept and body image
| | | | | |
cardiovascular system: |
-increased cardiac workload
| |
-orthostatic hypotension |
-pooling of blood and thrombus formation
| | | | | |
urinary system;
|
-decreased bladder tone and stasis of urine
| | | | | |
-increased risk of urinary tract infection and renal calculi
| | | | | | | |
integumentary system; |
, -pressure ulcers |
-pain
-infection
cast care - ANSWER✔✔✔--elevation
| | |
-circle staining
|
-distal CSM assessment q15-30 min/1-2 hrs, q 1-2 hrs/22hrs
| | | | | | | |
-cast edge irritation interventions
| | |
-clean and dry - bag when bathing
| | | | | | |
-nothing under the cast - no powders, oitments, object
| | | | | | | | |
-know when to call the provider
| | | | |
purposes of traction - ANSWER✔✔✔--fatigue muscles and reduce
| | | | | | | |
muscle spasms to facilitate realignment
| | | | |
-realign the distal and proximal ends of the bone to facilitate healing
| | | | | | | | | | | |
-immobilize until there has been realignment and the patient can be
| | | | | | | | | | |
splinted or casted | | |
-prevent or improve contracture deformity
| | | |
-immobilization of specific areas | | |
traction - ANSWER✔✔✔-nursing implications
| | |
-position child in alignment to maintain correct line
| | | | | | |
Answers
musculoskeletal effects of immobilization - ANSWER✔✔✔--loss of| | | | | | |
muscle strength |
-bone demineralization
|
-loss of joint mobility and contractures
| | | | |
-tissue breakdown
|
-> decrease in circulation especially at skin over bony prominences
| | | | | | | | |
-> assess for prolonged redness and later decreased temp in area,
| | | | | | | | | | |
blistering, or purplish color | | |
developmental effects of immobilization - ANSWER✔✔✔-infants
| | | | |
-deprives of the sensory stimulation that facilitates cognitive
| | | | | | | |
development |
toddlers
-removes ability to explore and imitate, limiting development of
| | | | | | | | |
autonomy
pre-schoolers
,-initiative stems from ability to undertake it through movement
| | | | | | | | |
school-aged
-mastery strongly associated with physical activity and competition
| | | | | | |
adolescents
-may result In separation from peers, dependency when independence
| | | | | | | | |
is the goal
| |
systemic effects of immobilization - ANSWER✔✔✔-respiratory system:
| | | | | |
-decreased lung expansion and impaired gas exchange
| | | | | |
-retained secretions, ineffective cough, and increased risk of infection
| | | | | | | |
nutrition and gastrointestinal system:
| | |
-decreased intestinal tone and motility leading to constipation
| | | | | | |
-decreased metabolic rate | |
-anorexia, nausea, negative nitrogen balance
| | | |
musculoskeletal system; |
-decreased muscle strength and tone
| | | |
-lack of coordination, altered gait, and increased risk of falls
| | | | | | | | |
,-decreased range of motion and joint flexibility
| | | | | |
-pain and activity intolerance
| | |
-osteopenia and osteoporosis | | |
cognitive and nervous system:
| | |
-sensory deprivation
|
-confusion, anxiety, stress, disturbed sleep
| | | | |
-delayed development
|
-disturbed sleep patterns| |
-disturbed self concept and body image
| | | | | |
cardiovascular system: |
-increased cardiac workload
| |
-orthostatic hypotension |
-pooling of blood and thrombus formation
| | | | | |
urinary system;
|
-decreased bladder tone and stasis of urine
| | | | | |
-increased risk of urinary tract infection and renal calculi
| | | | | | | |
integumentary system; |
, -pressure ulcers |
-pain
-infection
cast care - ANSWER✔✔✔--elevation
| | |
-circle staining
|
-distal CSM assessment q15-30 min/1-2 hrs, q 1-2 hrs/22hrs
| | | | | | | |
-cast edge irritation interventions
| | |
-clean and dry - bag when bathing
| | | | | | |
-nothing under the cast - no powders, oitments, object
| | | | | | | | |
-know when to call the provider
| | | | |
purposes of traction - ANSWER✔✔✔--fatigue muscles and reduce
| | | | | | | |
muscle spasms to facilitate realignment
| | | | |
-realign the distal and proximal ends of the bone to facilitate healing
| | | | | | | | | | | |
-immobilize until there has been realignment and the patient can be
| | | | | | | | | | |
splinted or casted | | |
-prevent or improve contracture deformity
| | | |
-immobilization of specific areas | | |
traction - ANSWER✔✔✔-nursing implications
| | |
-position child in alignment to maintain correct line
| | | | | | |
