NU435 Final Exam 3 Test Questions
with Guaranteed Pass Solutions 2025-
2026 Edition.
musculoskeletal effects of immobilization - Answer -loss of muscle strength
-bone demineralization
-loss of joint mobility and contractures
-tissue breakdown
-> decrease in circulation especially at skin over bony prominences
-> assess for prolonged redness and later decreased temp in area, blistering, or purplish color
developmental effects of immobilization - Answer infants
-deprives of the sensory stimulation that facilitates cognitive development
toddlers
-removes ability to explore and imitate, limiting development of autonomy
pre-schoolers
-initiative stems from ability to undertake it through movement
school-aged
-mastery strongly associated with physical activity and competition
adolescents
-may result In separation from peers, dependency when independence is the goal
systemic effects of immobilization - Answer respiratory system:
-decreased lung expansion and impaired gas exchange
-retained secretions, ineffective cough, and increased risk of infection
nutrition and gastrointestinal system:
,musculoskeletal system;
-decreased muscle strength and tone
-lack of coordination, altered gait, and increased risk of falls
-decreased range of motion and joint flexibility
-pain and activity intolerance
-osteopenia and osteoporosis
cognitive and nervous system:
-sensory deprivation
-confusion, anxiety, stress, disturbed sleep
-delayed development
-disturbed sleep patterns
-disturbed self concept and body image
cardiovascular system:
-increased cardiac workload
-orthostatic hypotension
-pooling of blood and thrombus formation
urinary system;
-decreased bladder tone and stasis of urine
-increased risk of urinary tract infection and renal calculi
integumentary system;
-pressure ulcers
-pain
-infection
cast care - Answer -elevation
-circle staining
, -know when to call the provider
purposes of traction - Answer -fatigue muscles and reduce muscle spasms to facilitate
realignment
-realign the distal and proximal ends of the bone to facilitate healing
-immobilize until there has been realignment and the patient can be splinted or casted
-prevent or improve contracture deformity
-immobilization of specific areas
traction - Answer nursing implications
-position child in alignment to maintain correct line
-check weights to confirm accordance with orders
-keep skin dry, wrinkle free sheets, pressure reduction mattress
-active ROM, positioning (may require supervision)
-check ropes for fraying, knots, bolts for tightness
-care of the immobilized child
-pin care for those with pin-site traction
treatment of sprains and strains - Answer R-rest
I-ice
C-compression
E-elevation
S-support
salter-Harris classifications of fractures - Answer type I
-common, growth plate undisturbed, growth disturbances rare
type II
-most common, growth disturbances rare
type III
with Guaranteed Pass Solutions 2025-
2026 Edition.
musculoskeletal effects of immobilization - Answer -loss of muscle strength
-bone demineralization
-loss of joint mobility and contractures
-tissue breakdown
-> decrease in circulation especially at skin over bony prominences
-> assess for prolonged redness and later decreased temp in area, blistering, or purplish color
developmental effects of immobilization - Answer infants
-deprives of the sensory stimulation that facilitates cognitive development
toddlers
-removes ability to explore and imitate, limiting development of autonomy
pre-schoolers
-initiative stems from ability to undertake it through movement
school-aged
-mastery strongly associated with physical activity and competition
adolescents
-may result In separation from peers, dependency when independence is the goal
systemic effects of immobilization - Answer respiratory system:
-decreased lung expansion and impaired gas exchange
-retained secretions, ineffective cough, and increased risk of infection
nutrition and gastrointestinal system:
,musculoskeletal system;
-decreased muscle strength and tone
-lack of coordination, altered gait, and increased risk of falls
-decreased range of motion and joint flexibility
-pain and activity intolerance
-osteopenia and osteoporosis
cognitive and nervous system:
-sensory deprivation
-confusion, anxiety, stress, disturbed sleep
-delayed development
-disturbed sleep patterns
-disturbed self concept and body image
cardiovascular system:
-increased cardiac workload
-orthostatic hypotension
-pooling of blood and thrombus formation
urinary system;
-decreased bladder tone and stasis of urine
-increased risk of urinary tract infection and renal calculi
integumentary system;
-pressure ulcers
-pain
-infection
cast care - Answer -elevation
-circle staining
, -know when to call the provider
purposes of traction - Answer -fatigue muscles and reduce muscle spasms to facilitate
realignment
-realign the distal and proximal ends of the bone to facilitate healing
-immobilize until there has been realignment and the patient can be splinted or casted
-prevent or improve contracture deformity
-immobilization of specific areas
traction - Answer nursing implications
-position child in alignment to maintain correct line
-check weights to confirm accordance with orders
-keep skin dry, wrinkle free sheets, pressure reduction mattress
-active ROM, positioning (may require supervision)
-check ropes for fraying, knots, bolts for tightness
-care of the immobilized child
-pin care for those with pin-site traction
treatment of sprains and strains - Answer R-rest
I-ice
C-compression
E-elevation
S-support
salter-Harris classifications of fractures - Answer type I
-common, growth plate undisturbed, growth disturbances rare
type II
-most common, growth disturbances rare
type III
