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NUR 353 Exam 4 Questions With Correct Answers

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NUR 353 Exam 4 Questions With Correct Answers The state or quality of being mobile or movable - answerMobility The state of not moving; motionless, not being able to move - answerImmobility A term that encompasses similar concepts and includes nursing diagnoses related to inactivity. Risks for...

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  • October 18, 2024
  • 102
  • 2024/2025
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  • NUR 353
  • NUR 353
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©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM



NUR 353 Exam 4 Questions With Correct
Answers


The state or quality of being mobile or movable - answer✔Mobility


The state of not moving; motionless, not being able to move - answer✔Immobility


A term that encompasses similar concepts and includes nursing diagnoses related to inactivity.

Risks for this include impaired skin integrity, constipation, altered respiratory function, altered

peripheral tissue perfusion, activity intolerance, impaired physical mobility, injury, altered

sensory perception, powerlessness, and body image disturbance. - answer✔Disuse syndrome


A general downslide of overall physical strength and endurance. Although most patients might

have a tweak of this after a big surgery or major illness, this term is usually applied when a

formerly independent, or mostly independent, person is now not able to perform routine

activities, like their ADLs, and IADLs, and their progress continues to decline. -

answer✔Deconditioned


List two screening tools to detect mobility/immobility. - answer✔1. Osteoporosis


2. Fall risk assessment


When should fall assessment screening tools be used? - answer✔Look in Giddens

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


List some general care guidelines for a patient who is immobilized. - answer✔1. Frequent

turning and changing positions every 2 hours in bed or 30 minutes in a chair.

2. Frequent skin assessment and skin care.

3. Range of motion exercises

4. Deep breathing exercises

5. Weight bearing exercises if possible

5. Measures to optimize elimination, such as high fluids, high fiber, and laxatives or stool

softeners.

6. Ambulation, stretches, balance

What should you give to a patient before moving around to decrease pain when moving their

joints? - answer✔Anti-inflammatory and pain medications


A disruption or break in the continuity of bone - answer✔Fracture


The break goes completely through the bone - answer✔Complete fracture


Occurs partly across a bone shaft but the bone is still intact - answer✔Incomplete fracture


Describe the metabolic changes that occur with immobility. - answer✔1. Decreases metabolic

rate, altering the metabolism of carbs, fats, and proteins

2. Fluid, electrolyte and calcium imbalances

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


3. Decreased appetite

4. Slowed peristalsis

5. Endocrine system is altered

6. Hypercalcemia, calcium is released from the bones in immobile patients, which can cause

pathologic fractures because there is not enough calcium in the bones!

You are caring for a patient who is immobile. Which of the following electrolyte imbalances

would you expect in a patient who has been immobile?




a. Hypercalcemia

b. Hypokalemia

c. Hyponatremia


d. Hypermagnesemia - answer✔A (In immobile people, calcium is released from their bones into

their blood stream. Normally, your kidneys will excrete this calcium but if they are unable to

respond appropriately, hypercalcemia results.)


List some gastrointestinal impairments caused by decreased mobility. - answer✔1. Constipation


2. Fluid intake decreases, risk for dehydration

3. Anorexia

, ©SIRJOEL EXAM SOLUTIONS
12/3/2024 11:27AM


List two respiratory changes that occur with immobility. - answer✔1. Atelectasis (Collapse of

alveoli)

2. Hypostatic pneumonia (Inflammation of the lung from stasis or pooling of secretions)


List three cardiovascular changes that occur with immobility. - answer✔1. Orthostatic

hypotension

2. Thrombus formation

3. Decreased cardiac output, resulting in increased workload


List some musculoskeletal changes associated with immobility. (6) - answer✔1. Loss of

endurance, strength and muscle mass and decreased stability and balance

2. Decreased muscle mass

3. Joint abnormalities (contractures--From muscle disuse, atrophy and shortening of the muscle

fibers)

4. Disuse osteoporosis (Osteoporosis from immobility)

5. Pathological fractures from disuse osteoporosis

6. Impaired calcium metabolism


List 3 urinary complications associated with immobility. - answer✔1. Urinary stasis from lack of

gravity pulling the urine from the renal pelvis into the ureters to the bladder.

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