NUR 1022C Exam #2 Study Guide Questions And Answers 2025 Update.

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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



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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

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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

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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

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