Hesi Mobility, Immobility, and Assistive Devices Exam Questions and Answers

Hesi Mobility, Immobility, and Assistive Devices Exam Questions and Answers Why maintaining body alignment for immobility - Answer-Correct body alignment reduces strain on muscles Maintains adequate muscle tone Contributes to balance and the conversation of energy Nursing responsibilities to prevent complications of immobility - Answer-Resp status Skin integ ROM A nurse caring for a client who is immobilized and restricted to the bed notes that the client is expectorating secretions that are clear but thicker than might be expected. The client's temperature is 98.6°F, and lung sounds are clear bilaterally. Which actions should the nurse take first? - Answer-Encouraging increased fluid intake (RATIONALE: The immobile client should take in at least 2000 mL of fluid daily, if not contraindicated, to help keep mucociliary clearance normal. ) Traction - Answer-Exertion of pulling force in two directions for the purpose of reducing and immobilizing a fracture Skeletal traction - Answer-mechanically applied to bone using pins, wires, or tongs nx implementation -monitor CMS -monitor redness, swelling or drainage