Hesi Mobility, Immobility, and Assistive
Devices Exam Questions and Answers
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
Nursing respons. For skeletal traction - Answer-Monitor: color, motion and insertion site
for redness, swelling, and drainage
Internal fixation - Answer-Follows open reduction
provides immediate bone strength
risk of infection
External Fixation - Answer-Involves the application of an external farm
Provides more freedom of movement than does traction
Buck traction - Answer-Used to alleviate muscle spasms
Straight pull of the limb with the use of weight to immobilize leg
Boot appliance to attach to the traction
Elevate the foot of the bed
Respiratory complications for immobility - Answer-Atelectasis
Pneumonia
Reduced gas exchange
Cardiovascular complication for. Immobility - Answer-Thrombus formation
Thrombophlebitis
Devices Exam Questions and Answers
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
Nursing respons. For skeletal traction - Answer-Monitor: color, motion and insertion site
for redness, swelling, and drainage
Internal fixation - Answer-Follows open reduction
provides immediate bone strength
risk of infection
External Fixation - Answer-Involves the application of an external farm
Provides more freedom of movement than does traction
Buck traction - Answer-Used to alleviate muscle spasms
Straight pull of the limb with the use of weight to immobilize leg
Boot appliance to attach to the traction
Elevate the foot of the bed
Respiratory complications for immobility - Answer-Atelectasis
Pneumonia
Reduced gas exchange
Cardiovascular complication for. Immobility - Answer-Thrombus formation
Thrombophlebitis
