Podcast
Questions and Answers
Which statement is true regarding muscle abnormalities
Which statement is true regarding muscle abnormalities
The laboratory reports of an immobilized patient indicate the presence of thrombus. Which changes in the body are responsible for this condition in the patient?
The laboratory reports of an immobilized patient indicate the presence of thrombus. Which changes in the body are responsible for this condition in the patient?
The registered nurse is teaching a nursing student about the development changes that occur because of immobility. Which statement by the nursing student indicates the need for further learning?
The registered nurse is teaching a nursing student about the development changes that occur because of immobility. Which statement by the nursing student indicates the need for further learning?
A 60 year old female patient sustained a femur fracture because of al fall in the bathroom. Which mineral supplement is likely to be added to the patients prescription to manage osteoporosis?
A 60 year old female patient sustained a femur fracture because of al fall in the bathroom. Which mineral supplement is likely to be added to the patients prescription to manage osteoporosis?
Signup and view all the answers
A patient who has attained menopause is diagnosed with osteoporosis. Which consequence of osteoporosis would the nurse consider in the patient?
A patient who has attained menopause is diagnosed with osteoporosis. Which consequence of osteoporosis would the nurse consider in the patient?
Signup and view all the answers
A patient is undergoing treatment in a long-term care facility. Which type of immobility complication is likely to develop in the immobilized patient?
A patient is undergoing treatment in a long-term care facility. Which type of immobility complication is likely to develop in the immobilized patient?
Signup and view all the answers
Which metabolic change is observed in immobile patients?
Which metabolic change is observed in immobile patients?
Signup and view all the answers
Place the assessments of patient mobility performed by the nurse in correct order.
Place the assessments of patient mobility performed by the nurse in correct order.
Signup and view all the answers
Which physiological change in observed in a patient when the head of the bed is elevated to 60 degrees. Select all that apply
Which physiological change in observed in a patient when the head of the bed is elevated to 60 degrees. Select all that apply
Signup and view all the answers
Which condition does the nurse infer from the given figure
Which condition does the nurse infer from the given figure
Signup and view all the answers
A patient is advised to perform pelvic floor exercises. The nurse explains to the patient that pelvic floor exercise is a type of isometric contraction. Which statement is true about isometric contractions? select all that apply
A patient is advised to perform pelvic floor exercises. The nurse explains to the patient that pelvic floor exercise is a type of isometric contraction. Which statement is true about isometric contractions? select all that apply
Signup and view all the answers
The nurse is caring for a patient who has been immobile after spinal surgery. Which urinary change is likely to occur in the first 72 postop hours? select all that apply
The nurse is caring for a patient who has been immobile after spinal surgery. Which urinary change is likely to occur in the first 72 postop hours? select all that apply
Signup and view all the answers
While assessing a patient with impaired mobility, the nurse prioritizes which type of related complication?
While assessing a patient with impaired mobility, the nurse prioritizes which type of related complication?
Signup and view all the answers
Which hormone contributes to metabolic activity in the human body? select all that apply
Which hormone contributes to metabolic activity in the human body? select all that apply
Signup and view all the answers
The registered nursing teaching a nursing student about the skeletal system. Which statement by the nursing student indicated a need for further learning? select all that apply
The registered nursing teaching a nursing student about the skeletal system. Which statement by the nursing student indicated a need for further learning? select all that apply
Signup and view all the answers
The nurse is caring for a bedridden patient. The nurse understands that immobility results in many metabolic changes. Which metabolic change may be found in the patient? Select all that apply
The nurse is caring for a bedridden patient. The nurse understands that immobility results in many metabolic changes. Which metabolic change may be found in the patient? Select all that apply
Signup and view all the answers
The nurse is caring for a patient who has been immobile for a month because fo quadriplegia. Which risk would the nurse be prepared for? select all that apply
The nurse is caring for a patient who has been immobile for a month because fo quadriplegia. Which risk would the nurse be prepared for? select all that apply
Signup and view all the answers
The nurse understands that an immobile patient is at high risk of thrombus formation. Which factor may contribute to this risk? select all that apply
The nurse understands that an immobile patient is at high risk of thrombus formation. Which factor may contribute to this risk? select all that apply
Signup and view all the answers
A patient sustained a severe injury in a motor vehicle accident. The patient is unable to perform any movement. Which metabolic change would be found in the patient because of immobility? select all that apply
A patient sustained a severe injury in a motor vehicle accident. The patient is unable to perform any movement. Which metabolic change would be found in the patient because of immobility? select all that apply
Signup and view all the answers
The nurse is caring for a patient who is immobile. Which cardiovascular change does the nurse expect to observe in the patient? select all that apply
The nurse is caring for a patient who is immobile. Which cardiovascular change does the nurse expect to observe in the patient? select all that apply
Signup and view all the answers
A decrease in which feature is a risk factor for developing pathologic fractures in patients with immobility? select all that apply
A decrease in which feature is a risk factor for developing pathologic fractures in patients with immobility? select all that apply
Signup and view all the answers
The RN is teaching a nursing student about postural abnormalities. Which statement made by the nursing student indicates the need for further learning? Select all that apply
The RN is teaching a nursing student about postural abnormalities. Which statement made by the nursing student indicates the need for further learning? Select all that apply
Signup and view all the answers
A RN is teaching a nursing student about psychosocial effects on patients with immobility. Which statement made by the nursing student indicates a need for further learning? select all that apply
A RN is teaching a nursing student about psychosocial effects on patients with immobility. Which statement made by the nursing student indicates a need for further learning? select all that apply
Signup and view all the answers
A patient complains of limited mobility. While assessing the past medical history of the patient, the nurse finds that the patient underwent surgery for a hip fracture. Which reason does the nurse suspect is responsible for the patient's condition? Select all that apply.
A patient complains of limited mobility. While assessing the past medical history of the patient, the nurse finds that the patient underwent surgery for a hip fracture. Which reason does the nurse suspect is responsible for the patient's condition? Select all that apply.
Signup and view all the answers
Which urinary elimination changes are often observed as the period of immobility continues for a patient? Select all that apply
Which urinary elimination changes are often observed as the period of immobility continues for a patient? Select all that apply
Signup and view all the answers
The nurse is caring for a patient who is bedridden due to surgery on the spine. Which respiratory complications may occur if the patient is bedridden for a long duration? Select all that apply.
The nurse is caring for a patient who is bedridden due to surgery on the spine. Which respiratory complications may occur if the patient is bedridden for a long duration? Select all that apply.
Signup and view all the answers
An older adult has been prescribed bed rest to reduce their cardiac workload. A family member expresses concern about the consequences of limited mobility. Which topic will the nurse plan to address based on the family member's concern? select all that apply
An older adult has been prescribed bed rest to reduce their cardiac workload. A family member expresses concern about the consequences of limited mobility. Which topic will the nurse plan to address based on the family member's concern? select all that apply
Signup and view all the answers
A toddler who has sustained multiple fractures from a motor vehicle accident is experiencing prolonged immobilization. The nurse is reviewing type os delays the toddler is at risk for with a parent. Which information will the nursing include in the discussion. select all that apply
A toddler who has sustained multiple fractures from a motor vehicle accident is experiencing prolonged immobilization. The nurse is reviewing type os delays the toddler is at risk for with a parent. Which information will the nursing include in the discussion. select all that apply
Signup and view all the answers
The nurse reviews a patients baseline range of the left condyloid joint. Which statement is appropriate for the nurse tot make to the patient based on the information?
The nurse reviews a patients baseline range of the left condyloid joint. Which statement is appropriate for the nurse tot make to the patient based on the information?
Signup and view all the answers
A nurse gathers information from a patient schedules fro a surgical procedure, resulting in immobilization for at least 24 hours. Which statement by the patient would the nurse be concerned about before applying elastic stockings or a compression device?
A nurse gathers information from a patient schedules fro a surgical procedure, resulting in immobilization for at least 24 hours. Which statement by the patient would the nurse be concerned about before applying elastic stockings or a compression device?
Signup and view all the answers
Which sign or symptom would the nurse instruct a patient who is immobile to immediately report to the health care provider due to potential for deep vein thrombosis?
Which sign or symptom would the nurse instruct a patient who is immobile to immediately report to the health care provider due to potential for deep vein thrombosis?
Signup and view all the answers
The nurse is preparing to assess an immobile patient. For which abnormal condition will the nurse assess the patient when inspecting the patients musculoskeletal system? select all that apply
The nurse is preparing to assess an immobile patient. For which abnormal condition will the nurse assess the patient when inspecting the patients musculoskeletal system? select all that apply
Signup and view all the answers
The nurse has provided education to a patient with impaired mobility regarding the used of sequential compression devices and elastic stockings. Which statement made by the patient indicates an understanding of the information? select all that apply
The nurse has provided education to a patient with impaired mobility regarding the used of sequential compression devices and elastic stockings. Which statement made by the patient indicates an understanding of the information? select all that apply
Signup and view all the answers
The RN is teaching a nursing student about developmental changes in older adults. Which statement made by the nursing student indicates the need for further learning? select all that apply
The RN is teaching a nursing student about developmental changes in older adults. Which statement made by the nursing student indicates the need for further learning? select all that apply
Signup and view all the answers
Which assistive device would the nurse use to reduce surface area and friction when patients are unable to assist with moving up in bed?
Which assistive device would the nurse use to reduce surface area and friction when patients are unable to assist with moving up in bed?
Signup and view all the answers
The nurse is assessing range of motion of a patient. Which condition does the nurse observe when the forearm of the patient is fixed in a position of full supination?
The nurse is assessing range of motion of a patient. Which condition does the nurse observe when the forearm of the patient is fixed in a position of full supination?
Signup and view all the answers
The registered nurse is teaching a nursing student about the pathological influence on mobility. Which statement made by the nursing student indicates a need for further learning?
The registered nurse is teaching a nursing student about the pathological influence on mobility. Which statement made by the nursing student indicates a need for further learning?
Signup and view all the answers
Which function is true of the skeletal system? select all that apply
Which function is true of the skeletal system? select all that apply
Signup and view all the answers
The nurse is teaching a nursing student about various deformities of the spine. Which statement is true about spine deformities? Select all that apply.
The nurse is teaching a nursing student about various deformities of the spine. Which statement is true about spine deformities? Select all that apply.
Signup and view all the answers
Which primary muscle is used for the abduction of the wrist joint? Select all that apply.
Which primary muscle is used for the abduction of the wrist joint? Select all that apply.
Signup and view all the answers
The nurse is teaching a community group about ways to minimize the risk of developing osteoporosis. Which statement made by a woman in the audience reflects a need for further education?
The nurse is teaching a community group about ways to minimize the risk of developing osteoporosis. Which statement made by a woman in the audience reflects a need for further education?
Signup and view all the answers
The nurse is teaching a group of nursing student about tendons. Which statement about tendons is true? Select all that apply.
The nurse is teaching a group of nursing student about tendons. Which statement about tendons is true? Select all that apply.
Signup and view all the answers
What is a common debilitating contracture?
What is a common debilitating contracture?
Signup and view all the answers
What definition describes cartilage?
What definition describes cartilage?
Signup and view all the answers
Which definition describes ligaments?
Which definition describes ligaments?
Signup and view all the answers
The nurse is assessing a patient for the movement of the hip ball-and-socket joint. Which range-of-motion (ROM) exercise would the nurse ask the patient to perform to assess adduction?
The nurse is assessing a patient for the movement of the hip ball-and-socket joint. Which range-of-motion (ROM) exercise would the nurse ask the patient to perform to assess adduction?
Signup and view all the answers
Which postural abnormality indicates an exaggeration of the anterior convex curve of the lumbar spine?
Which postural abnormality indicates an exaggeration of the anterior convex curve of the lumbar spine?
Signup and view all the answers
Study Notes
Muscle Abnormalities and Immobility
- Immobility can lead to muscle abnormalities, including muscle atrophy and contractures.
- Thrombus formation is often associated with prolonged immobilization due to pooling of blood and lack of muscle contractions.
- The immobilized patient may experience metabolic changes including decreased protein synthesis and altered glucose metabolism.
Osteoporosis and Its Management
- Patients with osteoporosis require calcium and vitamin D supplementation to strengthen bones and prevent fractures.
- Consequences of osteoporosis include increased susceptibility to fractures, commonly referred to as pathologic fractures.
- Common risk factors for developing pathology include age, gender (female), and hormonal changes, particularly after menopause.
Complications of Immobility
- Common complications in immobilized patients include pressure ulcers, deep vein thrombosis, and muscle deconditioning.
- Urinary changes such as urinary stasis and increased risk of urinary tract infections are often observed in immobilized patients.
- Cardiovascular deconditioning may occur, leading to orthostatic hypotension and decreased cardiac output.
Physiological and Metabolic Changes
- Immobilized patients may experience metabolic changes, such as hypercalcemia and decreased bone density.
- Isometric contractions, like pelvic floor exercises, help strengthen muscles without joint movement.
- Elevating the head of the bed can enhance respiratory function and reduce the risk of aspiration.
Patient Assessment and Education
- The nurse assesses patient mobility sequentially, checking range of motion and muscle strength.
- Patients should report symptoms indicative of thrombosis, such as leg swelling or pain.
- Family education on the consequences of immobility is crucial to address concerns about physical and psychological effects.
Developmental Changes and Special Populations
- Older adults are at increased risk for mobility issues due to decreased muscle mass and joint stiffness.
- Pediatric patients, such as toddlers post-accident, may have developmental delays due to prolonged immobilization.
- It’s essential to consider psychosocial impacts on patients with immobility, as isolation and depression are common.
Rehabilitation and Support Strategies
- Use assistive devices like slide sheets or friction-reducing products to aid in patient mobility and prevent skin breakdown.
- The correct assessment of range of motion involves ensuring the proper functioning of major joints, such as the hip and wrist.
- Patients must undergo education regarding the use of sequential compression devices and elastic stockings to mitigate thrombus development.
Learning Needs and Misconceptions
- Misconceptions about the skeletal system, muscle function, and the impact of immobility can indicate a need for further learning among nursing students.
- Understanding the roles of tendons, ligaments, and cartilage is essential for comprehensive patient care.
- Clarification on postural abnormalities, such as lordosis and scoliosis, is important for accurate diagnosis and treatment planning.
Conclusion
- Comprehensive assessments, education, and supportive mobility strategies are vital in managing the effects of immobility, osteoporosis, and associated complications in diverse patient populations.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on muscle abnormalities and their classifications. This quiz will cover the characteristics and implications of various muscle conditions. Answer true or false to determine your understanding.
