©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
NUR 1022C Exam #2 Study Guide Questions
And Answers 2025 Update.
Pathological influences on mobility - Answer✔Postural Abnormalities
Impaired muscle development
Damage to CNS
Musculoskeletal trauma
Mobility - Answer✔ability to move freely
Immobility - Answer✔inability to move freely
Bed rest - Answer✔an intervention that restricts patients for therapeutic reasons
Therapeutic reasons for bed rest - Answer✔Decreased oxygen consumption
Weakness
Safety
Rest a body part (ex: fracture)
Reduce pain
Equipment availability
Severity of condition
CBR - Answer✔Complete bed rest
1
,©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
BRP - Answer✔Bed rest with bathroom privileges
BSC - Answer✔Bed rest with bedside commode
OOB - Answer✔Out of bed (ad lib or w/ assistance
Levels of activity - Answer✔CBR
BRP
BSC
Dangle on side of bed
Up to bedside chair
OOB ad lib
OOB w/ assistance
Systemic effects of immobility: Metabolic - Answer✔Endocrine
Calcium absorption
GI function
Systemic effects of immobility: Respiratory - Answer✔Atelectasis - collapse of alveoli
hypostatic pneumonia - inflammation of lung from stasis or pooling of secretions
Systemic effects of immobility: Cardiovascular - Answer✔Orthostatic hypotension
thrombus formation
Systemic effects of immobility: Musculoskeletal - Answer✔loss of endurance and muscle mass
decreased stability and balance
Systemic effects of immobility: Muscle - Answer✔Muscle atrophy
2
,©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
Systemic effects of immobility: Skeletal - Answer✔impaired calcium absorption
joint abnormalities
Systemic effects of immobility: Urinary elimination - Answer✔Urinary stasis
Renal calculi
Systemic effects of immobility: Integumentary - Answer✔Pressure ulcer
ischemia
You notice a respiratory change in your immobilized patient. What type of change is this
alteration consistent with? - Answer✔Atelectasis
Nursing diagnosis (problems) associated with immobility: respiratory - Answer✔Ineffective
airway clearance
Ineffective breathing pattern
Impaired gas exchange
Nursing interventions for respiratory problems caused by immobility - Answer✔change position
every 2 hours
suction oropharyngeal airway prn
encourage deep breathing/coughing q1-2hr
Assess lung sounds for diminished/absent/adventitious(abnormal) sound
Assess for decreased ability to cough, accumulation of secretions, colored sputum, fever, SOB,
changes in skin color, changes in pulse oximetry.
incentive spirometer - Answer✔used to open patients alveoli
Metabolic changes: immobility - Answer✔immobility --> muscle atrophy --> negative nitrogen
balance --> further loss of mass --> increased weakness --> immobility
3
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
Cardiovascular changes: immobility - Answer✔orthostatic hypotension
increased cardiac workload
thrombus formation
Cardiovascular problems: DVT (immobility) - Answer✔immobility causes blood to pool (edema)
makes pts more prone to pressure injury
blood will clot faster (at risk for thrombus formation and embolism)
thromboembolism - Answer✔clot (thrombus) breaks off and travels to another part of the body
Orthostatic hypotension - Answer✔Hypotension when position is changed (typically from
sitting to standing position)
heart rate increases
symptoms = dizziness, lightheadedness, syncope, pallor
common in elderly, immobilized, and those with depleted blood volume
Treatment/management of orthostatic hypotension - Answer✔use of compression stockings
raise/lower HOB
Fowler's position (90 degrees) before getting out of bed
have client dangle legs over bed
Cardiovascular implementations: immobility - Answer✔progress from bed to chair to
ambulation
SCD (specific carb diet), TED hose (compression socks), and leg exercises
Musculoskeletal changes: immobility - Answer✔loss of lean body mass
muscle weakness/atrophy
skeletal effects
4
NUR 1022C Exam #2 Study Guide Questions
And Answers 2025 Update.
Pathological influences on mobility - Answer✔Postural Abnormalities
Impaired muscle development
Damage to CNS
Musculoskeletal trauma
Mobility - Answer✔ability to move freely
Immobility - Answer✔inability to move freely
Bed rest - Answer✔an intervention that restricts patients for therapeutic reasons
Therapeutic reasons for bed rest - Answer✔Decreased oxygen consumption
Weakness
Safety
Rest a body part (ex: fracture)
Reduce pain
Equipment availability
Severity of condition
CBR - Answer✔Complete bed rest
1
,©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
BRP - Answer✔Bed rest with bathroom privileges
BSC - Answer✔Bed rest with bedside commode
OOB - Answer✔Out of bed (ad lib or w/ assistance
Levels of activity - Answer✔CBR
BRP
BSC
Dangle on side of bed
Up to bedside chair
OOB ad lib
OOB w/ assistance
Systemic effects of immobility: Metabolic - Answer✔Endocrine
Calcium absorption
GI function
Systemic effects of immobility: Respiratory - Answer✔Atelectasis - collapse of alveoli
hypostatic pneumonia - inflammation of lung from stasis or pooling of secretions
Systemic effects of immobility: Cardiovascular - Answer✔Orthostatic hypotension
thrombus formation
Systemic effects of immobility: Musculoskeletal - Answer✔loss of endurance and muscle mass
decreased stability and balance
Systemic effects of immobility: Muscle - Answer✔Muscle atrophy
2
,©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
Systemic effects of immobility: Skeletal - Answer✔impaired calcium absorption
joint abnormalities
Systemic effects of immobility: Urinary elimination - Answer✔Urinary stasis
Renal calculi
Systemic effects of immobility: Integumentary - Answer✔Pressure ulcer
ischemia
You notice a respiratory change in your immobilized patient. What type of change is this
alteration consistent with? - Answer✔Atelectasis
Nursing diagnosis (problems) associated with immobility: respiratory - Answer✔Ineffective
airway clearance
Ineffective breathing pattern
Impaired gas exchange
Nursing interventions for respiratory problems caused by immobility - Answer✔change position
every 2 hours
suction oropharyngeal airway prn
encourage deep breathing/coughing q1-2hr
Assess lung sounds for diminished/absent/adventitious(abnormal) sound
Assess for decreased ability to cough, accumulation of secretions, colored sputum, fever, SOB,
changes in skin color, changes in pulse oximetry.
incentive spirometer - Answer✔used to open patients alveoli
Metabolic changes: immobility - Answer✔immobility --> muscle atrophy --> negative nitrogen
balance --> further loss of mass --> increased weakness --> immobility
3
, ©THEBRIGHT 2025 ALL RIGHTS RESERVED 10:54PM.
Cardiovascular changes: immobility - Answer✔orthostatic hypotension
increased cardiac workload
thrombus formation
Cardiovascular problems: DVT (immobility) - Answer✔immobility causes blood to pool (edema)
makes pts more prone to pressure injury
blood will clot faster (at risk for thrombus formation and embolism)
thromboembolism - Answer✔clot (thrombus) breaks off and travels to another part of the body
Orthostatic hypotension - Answer✔Hypotension when position is changed (typically from
sitting to standing position)
heart rate increases
symptoms = dizziness, lightheadedness, syncope, pallor
common in elderly, immobilized, and those with depleted blood volume
Treatment/management of orthostatic hypotension - Answer✔use of compression stockings
raise/lower HOB
Fowler's position (90 degrees) before getting out of bed
have client dangle legs over bed
Cardiovascular implementations: immobility - Answer✔progress from bed to chair to
ambulation
SCD (specific carb diet), TED hose (compression socks), and leg exercises
Musculoskeletal changes: immobility - Answer✔loss of lean body mass
muscle weakness/atrophy
skeletal effects
4
