Final MDC1 Exam #2 Rasmussen
Questions with All Solved Solutions
2025-2026 Edition.
- effect of immobility (cardiovascular system) - Answer -increased cardiac workload
-increased risk for orthostatic hypotension
-increased risk for venous thrombosis
- effect of immobility (Respiratory system) - Answer -decrease depth of respiration
-decrease rate of respiration
-pooling of secretions
-impaired gas exchange
- effect of immobility (GI system) - Answer -disturbance in appetite
-altered protein metabolism
-altered digestion and utilization of nutrients
-decreased paristalsis
- effect of immobility (urinary system) - Answer - increased urinary stasis
-increased risk for renal calculi
-decreased bladder muscle tone
- effect of immobility (Musculoskeletal system) - Answer - decrease muscle size, tone and
strenght
-decrease joint mobility, flexibility
-bone demineralization
-decreased endurance, stability
-increased risk for contracture formation
- effect of immobility (metabolic system) - Answer -increased risk for electrolyte imbalance, -
altered exchange of nutrients and gases
, Neurovascular assessment - Answer -CMS (circulation, movement, sensation)
-Assess for skin color, temperature, sensation, mobility, pain, cap refill, and pulses
-Monitor 6 P's (pain, pallor, pulselessness, paresthesia, paralysis, pressure)
Pain assessment - Answer P: provocation/palliation
Q: quality/quantity
R: region/radiation
S: severity scale
T: timing
Osteomyelitis - Answer -S/S: pain (constant, localized pulsating sensation that is worst with
movement), fever grater than 101 F, edema, erythema, warmth, elevated WBC count, elevated
erythrocyte sedimentation rate (ESR), may have a positive blood culture indicating sepsis along
with the osteomyelitis
-Treatment: 4-6 weeks of antibiotics for acute osteomyelitis, may require wound irrigation and
medicated beads that are directly in contact with the wound
-may be placed in contact isolation precautions if area is draining copious amount of drainage
-hyperbaric oxygen therapy
-Surgical treatment: wound debridement and bone excision followed by a bone graft taken from
the iliac crest or fibula
-requires frequent neurovascular assess
-LAST RESORT...AMPUTATION!
Osteomyelitis Nursing interventions - Answer -educate about medications
-encourage compliance and to follow regimen (take full course of medications)
-inform about S/S
-provide comfort during rest and with positioning
-Assist with ADL
-Coordinate PT while in the hospital to help improve mobility, especially after surgery
-provide mobility assisted devices
Medical term for bunion - Answer -hallux valgus
-the greater toe shifts laterally, and the first metatarsal head of the great to enlarges
Questions with All Solved Solutions
2025-2026 Edition.
- effect of immobility (cardiovascular system) - Answer -increased cardiac workload
-increased risk for orthostatic hypotension
-increased risk for venous thrombosis
- effect of immobility (Respiratory system) - Answer -decrease depth of respiration
-decrease rate of respiration
-pooling of secretions
-impaired gas exchange
- effect of immobility (GI system) - Answer -disturbance in appetite
-altered protein metabolism
-altered digestion and utilization of nutrients
-decreased paristalsis
- effect of immobility (urinary system) - Answer - increased urinary stasis
-increased risk for renal calculi
-decreased bladder muscle tone
- effect of immobility (Musculoskeletal system) - Answer - decrease muscle size, tone and
strenght
-decrease joint mobility, flexibility
-bone demineralization
-decreased endurance, stability
-increased risk for contracture formation
- effect of immobility (metabolic system) - Answer -increased risk for electrolyte imbalance, -
altered exchange of nutrients and gases
, Neurovascular assessment - Answer -CMS (circulation, movement, sensation)
-Assess for skin color, temperature, sensation, mobility, pain, cap refill, and pulses
-Monitor 6 P's (pain, pallor, pulselessness, paresthesia, paralysis, pressure)
Pain assessment - Answer P: provocation/palliation
Q: quality/quantity
R: region/radiation
S: severity scale
T: timing
Osteomyelitis - Answer -S/S: pain (constant, localized pulsating sensation that is worst with
movement), fever grater than 101 F, edema, erythema, warmth, elevated WBC count, elevated
erythrocyte sedimentation rate (ESR), may have a positive blood culture indicating sepsis along
with the osteomyelitis
-Treatment: 4-6 weeks of antibiotics for acute osteomyelitis, may require wound irrigation and
medicated beads that are directly in contact with the wound
-may be placed in contact isolation precautions if area is draining copious amount of drainage
-hyperbaric oxygen therapy
-Surgical treatment: wound debridement and bone excision followed by a bone graft taken from
the iliac crest or fibula
-requires frequent neurovascular assess
-LAST RESORT...AMPUTATION!
Osteomyelitis Nursing interventions - Answer -educate about medications
-encourage compliance and to follow regimen (take full course of medications)
-inform about S/S
-provide comfort during rest and with positioning
-Assist with ADL
-Coordinate PT while in the hospital to help improve mobility, especially after surgery
-provide mobility assisted devices
Medical term for bunion - Answer -hallux valgus
-the greater toe shifts laterally, and the first metatarsal head of the great to enlarges
