QUESTIONS WITH CORRECT ANSWERS AND
RATIONALES
◉ Effects of Immobility. Answer: -Immobility occurs as a result of
lack of activity and movement
-Restricted movements- body systems immediately react
-Prolonged bed rest can include coma, trauma, long intensive care
stays, severe weakness, infection
-Complications resulting from bed rest are preventable
◉ Complications of Immobility. Answer: -blood clots
-pneumonia
-bone demineralization
-kidney stones
-constipation
-pressure ulcers
-urinary retention
-depression
◉ Body Systems Affected by Immobility. Answer: -musculoskeletal
-cardiovascular
-respiratory
-gastrointestinal
-urinary
, -integumentary
-neurological
-psychological effects
◉ Effects on Musculoskeletal System. Answer: -muscle atrophy
-osteoporosis
-Connective tissue such as ligaments and tendons undergoes changes
after 4-6 days, this can lead to decreased joint flexibility, decreased
ROM, and contractures or shortening and tightening of the muscles
due to disuse
◉ Muscle Atrophy. Answer: muscle decreases in size, tone, and
strength as a result of disuse
◉ Osteoporosis. Answer: occurs due to loss of bone minerals, can
lead to an increased risk of skeletal fractures, can begin as early as 2-3
days from onset of immobility. Ca leaves the bones and enters blood
stream, increasing risk for kidney stones
◉ Preventing Musculoskeletal Complications. Answer: -Maintain
proper body alignment; keep the head, trunk, and hips in a straight
line
-Prevent the legs from rotating in the hip socket medially or laterally
-maintain arms in correct alignment with the shoulders
-supine position
-dorsiflexion of the foot, foot drop
◉ Nursing Actions to Prevent Contractures and Osteoporosis.
Answer: -Perform ROM exercises every 8 hours