NS 660 NSG Prac: Process & Skills-Immobility
(Questions With Validated Solutions)
Body mechanics Correct Answer - coordinated efforts of the
musculoskeletal & nervous systems
gravity Correct Answer - weight force exerted on the body
friction Correct Answer - force that occurs in a direction opposite to
movement
alignment & balance Correct Answer - aka posture, positioning of joints
& tendons, ligaments and muscles, while standing,sitting., and lying.
*body alignment-individ's center of gravity is stable
mobility Correct Answer - a person's ability 2 move about freely
immobility Correct Answer - inability to move about freely
metabolic changes d/t immobility Correct Answer - 1. endocrine
metabolism
2. CA re-absorption
3. electrolyte imbalances
4.GI disturbances-decreased appetite, slowing of peristalis, constipation
resp changes d/t immobility Correct Answer - 1. atelectasis-collapsing
aveoli
a. mucus build up, worse w/ supine, prone, lateral
b. may lead 2 partial/full collapsed lung
2. hypostatic pneumonia-pooling of secretions
cardiac changes d/t immobiliy Correct Answer - 1. orthostatic
hypotension
2. heart works harder & less efficiently
3. thrombus risk
musculoskel changes d/t immobiliy Correct Answer - 1. joint
contractures
, 2. foot drop
3. lean body mass loss
4. muscle wkness/atrophy
5. dis-use osteoporosis-bone reabsorbtion ->less bone tissue density -
>patholigcal fx
urinary elim changes d/t immobiliy Correct Answer - 1. urinary stasis
2. urinary output decreases after day 5/6
3. renal calculi
4. UTI
Integumentary changes d/t immobiliy Correct Answer - 1. pressure
ulcers
a, inflamm
b. usually over bony prominence
c. Tegaderm helpful
psychosocial changes d/t immobiliy Correct Answer - 1. emotional &
behav responses
a. hostility, giddiness, fear, anxiety
2. sensory alterations
a. altered sleep patterns
3.changes in coping
a.depression, sadness, dejection
*Watch for change in personality
developmental changes changes d/t immobility-Infants/todd/pre Correct
Answer - 1. delays gross motor skills
2. intellectual development
3. musculoskel development
developmental changes changes d/t immobility-adole Correct Answer -
1. delays in gaining independence
2. accomplishing skills
3. social isolation
developmental changes changes d/t immobility-Adults Correct Answer -
1. physiological systems at risk
2. changes in family & social
(Questions With Validated Solutions)
Body mechanics Correct Answer - coordinated efforts of the
musculoskeletal & nervous systems
gravity Correct Answer - weight force exerted on the body
friction Correct Answer - force that occurs in a direction opposite to
movement
alignment & balance Correct Answer - aka posture, positioning of joints
& tendons, ligaments and muscles, while standing,sitting., and lying.
*body alignment-individ's center of gravity is stable
mobility Correct Answer - a person's ability 2 move about freely
immobility Correct Answer - inability to move about freely
metabolic changes d/t immobility Correct Answer - 1. endocrine
metabolism
2. CA re-absorption
3. electrolyte imbalances
4.GI disturbances-decreased appetite, slowing of peristalis, constipation
resp changes d/t immobility Correct Answer - 1. atelectasis-collapsing
aveoli
a. mucus build up, worse w/ supine, prone, lateral
b. may lead 2 partial/full collapsed lung
2. hypostatic pneumonia-pooling of secretions
cardiac changes d/t immobiliy Correct Answer - 1. orthostatic
hypotension
2. heart works harder & less efficiently
3. thrombus risk
musculoskel changes d/t immobiliy Correct Answer - 1. joint
contractures
, 2. foot drop
3. lean body mass loss
4. muscle wkness/atrophy
5. dis-use osteoporosis-bone reabsorbtion ->less bone tissue density -
>patholigcal fx
urinary elim changes d/t immobiliy Correct Answer - 1. urinary stasis
2. urinary output decreases after day 5/6
3. renal calculi
4. UTI
Integumentary changes d/t immobiliy Correct Answer - 1. pressure
ulcers
a, inflamm
b. usually over bony prominence
c. Tegaderm helpful
psychosocial changes d/t immobiliy Correct Answer - 1. emotional &
behav responses
a. hostility, giddiness, fear, anxiety
2. sensory alterations
a. altered sleep patterns
3.changes in coping
a.depression, sadness, dejection
*Watch for change in personality
developmental changes changes d/t immobility-Infants/todd/pre Correct
Answer - 1. delays gross motor skills
2. intellectual development
3. musculoskel development
developmental changes changes d/t immobility-adole Correct Answer -
1. delays in gaining independence
2. accomplishing skills
3. social isolation
developmental changes changes d/t immobility-Adults Correct Answer -
1. physiological systems at risk
2. changes in family & social
