154 Questions
Which of the following is NOT a key term mentioned in the text?
Blanch
What is the purpose of a continuous passive motion machine?
To promote musculoskeletal function
Which of the following is NOT a skill mentioned in the text?
Applying a triangular bandage sling
What is the purpose of an external fixator?
To provide stability to fractured bones
Which of the following is a consequence of immobility?
Stiff joints
What is the major concern when a patient's movement is restricted?
Development of pressure injuries
What can help prevent pneumonia in immobile patients?
Range-of-motion exercises
What can impair circulation and predispose a patient to pressure injuries?
Fractures
Which of the following is a recommended intervention for maintaining joint mobility and muscle integrity during bed rest?
Performing active or passive ROM exercises
What is a potential complication of prolonged bed rest?
Thrombus formation
What is a potential effect of immobility on the musculoskeletal system?
Decreased muscle mass and muscle tension
What is a recommended intervention for preventing pressure injuries in immobilized patients?
Performing a skin assessment every 8 hours
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
Manual traction
What is the main purpose of skin traction?
To decrease muscle spasm
What is the maximum weight that can be applied in skin traction?
15 pounds
What must be done to prevent injury to the patient and alteration in the effects of traction?
All of the above
Which of the following is a recommended way to provide emotional support to a nonalert or comatose patient?
Talk to the patient in a kind and caring voice
What may be helpful to reduce social isolation for an immobile patient being cared for at home?
Moving the bed to the living room or family room
What can help reestablish the sense of self-worth for older adults who have become immobile and may feel like a burden to their families?
Encouragement and praise from the staff
What is the purpose of applying a splint as a first aid measure?
To immobilize an injured part of the body
Which of the following can be done to relieve pressure on the tissues if a cast becomes too tight?
All of the above
What can be done if there is a wound under the cast that needs observation?
Cut a window in the cast over the wound area
What should be avoided when using a spreader bar in a hip spica cast?
Using it as a handle for lifting and turning the patient
Why do hip spica casts often take longer to dry?
Because they are thicker than other casts
What should be done if a cast becomes too loose after edema subsides?
Replace the cast
What is the purpose of a spreader bar in a hip spica cast?
To maintain the desired angle at the hip
Which of the following is a potential complication of skeletal traction?
Infection at the wound or pin sites
What is the purpose of counter traction in skeletal traction?
To provide balance between traction pull and counter traction force
Which of the following materials is commonly used for casting?
Plaster of Paris
What can cause circulatory impairment and pressure injuries in a casted extremity?
Padded edges of the cast
Which of the following is a potential consequence of immobility?
Decreased bone mass
What is one of the major concerns when a patient's movement is restricted?
Development of pressure injuries
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
To increase general oxygenation
What is one potential effect of immobility on the circulatory system?
Impaired circulation
Which type of traction is used to aid in the realignment of fractured bones?
Manual traction
What is the maximum weight that can be applied in skin traction?
15 pounds
What is the purpose of counter traction in skeletal traction?
To prevent muscle spasm
What is the main purpose of skin traction?
To decrease muscle spasm
What is the purpose of applying a splint as a first aid measure?
To control bleeding and immobilize the injured part
What is the purpose of counter traction in skeletal traction?
To maintain parts of the body in extension and alignment
What is a potential complication of prolonged bed rest?
Muscle contractures
What can help prevent pneumonia in immobile patients?
Frequent repositioning
Which of the following is NOT a potential complication of immobility?
Decreased respiratory function
What is the purpose of an air fluidized bed?
To prevent pressure injuries
Which of the following is NOT a recommended pressure relief device for immobile patients?
Tight compression stockings
What is the purpose of a neurovascular assessment on an immobilized extremity?
To evaluate circulation and nerve function
What is the standard of practice for bed rest care in maintaining joint mobility and muscle integrity?
Performing active or passive ROM exercises
What is a potential complication of immobility on the respiratory system?
Hypostatic pneumonia
What is a potential effect of immobility on the musculoskeletal system?
Decreased muscle mass and muscle tension
What is a recommended intervention for preventing pressure injuries in immobilized patients?
Performing a skin assessment every 8 hours
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Skeletal traction
What is the maximum weight that can be used for skeletal traction?
30 pounds
What is the responsibility of the LPN/LVN in maintaining skeletal traction?
Maintaining the correct weight and alignment of the traction
What is the purpose of applying a layer of stockinette and padding before applying a cast?
To prevent skin breakdown
Which of the following is a potential complication of skin traction?
Skin breakdown and injury
What is the purpose of skeletal traction?
To apply tractive force directly to the bone
What is the recommended frequency for performing circulation checks in skeletal traction?
Every hour for the first 24 hours and every 4 hours thereafter
What is the recommended technique for handling a cast during the drying period?
Using the palm and lateral parts of the fingers
Which of the following is a potential complication of wearing a cast that is too tight?
Increased edema
What is the purpose of adding extra padding beneath the edge of a cast?
To relieve pressure on the tissues
What is a potential consequence of immobility for a patient in a hip spica cast?
Dislodgement of the spreader bar
What should be done if a cast becomes too loose after edema subsides?
Replace the cast
Why do hip spica casts often take longer to dry compared to other casts?
Due to their size and thickness
What is the recommended method of turning a patient in a hip spica cast?
Grasp the cast over the leg
Which of the following is NOT a potential complication of immobility?
Increased muscle strength
What is the purpose of an external fixator?
To stabilize and align fractured bones
What is the purpose of a continuous passive motion machine?
To promote joint mobility
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Skeletal traction
Which of the following is a potential consequence of immobility?
Decreased muscle strength and coordination
What is one of the major concerns when a patient's movement is restricted?
Development of pressure injuries
What is a potential complication of immobility on the respiratory system?
Hypostatic pneumonia
What can impair circulation and predispose a patient to pressure injuries?
Conditions such as fractures and trauma
Which of the following is a type of commercial splint mentioned in the text?
Molded splints
What is the purpose of applying a splint as a first aid measure?
To immobilize an injured part
What is the recommended technique for handling a cast during the drying period?
Handle the cast gently and do not change its position
What is a potential effect of immobility on the musculoskeletal system?
Contracture
Which of the following is NOT a type of traction mentioned in the text?
Muscle
What is the maximum weight that can be applied in skin traction?
15 pounds
What is the main purpose of skin traction?
To decrease muscle spasm
Which of the following is NOT a potential complication of immobility?
Increased muscle tone
What is the purpose of counter traction in skeletal traction?
To prevent injury to the patient
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
To maintain joint mobility and muscle integrity
What is a potential effect of immobility on the musculoskeletal system?
Loss of calcium from bone matrix
What can help prevent pneumonia in immobile patients?
Active movement of unaffected extremities
Which of the following is NOT a recommended method for preventing skin breakdown on the back and buttocks of a patient in traction?
Using skin traction with older adults
What is the maximum weight that can be applied in skeletal traction?
30 pounds (14 kg)
What is the purpose of applying a layer of stockinette and padding before applying a cast?
To provide cushioning and comfort
What is the recommended technique for handling a cast during the drying period?
Using the palm and lateral parts of the fingers to handle the cast
What is a potential complication of wearing a cast that is too tight?
Decreased circulation
What is the purpose of a window cut in a cast?
To allow for observation of a wound
What is the purpose of a spreader bar in a hip spica cast?
To maintain the desired angle at the hip
What can be done if a hip spica cast becomes too loose after edema subsides?
It can be replaced with a new cast
What is a potential consequence of immobility for a patient in a hip spica cast?
Decreased circulation in the legs
What is a recommended technique for handling a cast during the drying period?
Grasping the cast over the leg
Which of the following is NOT a potential consequence of immobility?
Decreased respiratory exchange
What is the purpose of a continuous passive motion machine?
To improve joint mobility
What is the purpose of applying an elastic bandage to a stump after an amputation?
To protect the wound
What is the purpose of a triangular bandage sling?
To provide support to a fracture
Which of the following is NOT a potential complication of immobility?
Increased muscle mass
What is a potential consequence of immobility for a patient in a hip spica cast?
Loss of calcium from bone matrix
What is the purpose of counter traction in skeletal traction?
To stabilize the affected extremity
What can help prevent pneumonia in immobile patients?
Using pressure relief devices
Which of the following is a potential consequence of immobility for a patient in a hip spica cast?
All of the above
What is the purpose of range-of-motion (ROM) exercises for immobile patients?
To maintain joint mobility and prevent contractures
What is a potential effect of immobility on the musculoskeletal system?
All of the above
What is a potential complication of immobility on the respiratory system?
Hypostatic pneumonia
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
Manual traction
What is the maximum weight that can be applied in skin traction?
15 pounds
What is the purpose of counter traction in skeletal traction?
To maintain sufficient pull of traction
What is the responsibility of the LPN/LVN in maintaining skeletal traction?
Keep the patient from sliding down in the bed when in leg or back traction
Which of the following is a potential complication of skeletal traction?
Infection at the wound or pin sites
What is the maximum weight that can be applied in skeletal traction?
30 pounds (14 kg)
What is the purpose of counter traction in skeletal traction?
To provide stability to the affected extremity
What should be done if a cast becomes too loose after edema subsides?
Adjust the cast by adding padding or applying a splint
What is the purpose of immobilizing an injured part with a splint?
To prevent further injury and promote healing
What is the purpose of elevating an injured part when applying a splint?
To decrease edema and swelling
What is the purpose of using traction in immobilizing parts of the body?
To maintain parts of the body in extension and alignment
What can help reestablish the sense of self-worth for older adults who have become immobile and may feel like a burden to their families?
All of the above
Which of the following is a potential complication of wearing a hip spica cast?
Dislodged spreader bar
What is the purpose of bivalving a cast?
To relieve pressure on the tissues
What is the purpose of adding extra padding beneath the edge of a cast?
To prevent pressure injuries
What is the purpose of a window cut in a cast?
To observe a wound
What is the purpose of securing a cast with outside bandaging or more casting material?
To prevent pressure injuries
What is a potential consequence of wearing a cast that is too loose?
Delayed healing
What is the standard of practice for bed rest care in terms of maintaining joint mobility and muscle integrity?
Performing active or passive ROM exercises
What is a potential consequence of immobility on the musculoskeletal system?
Loss of calcium from bone matrix
What is a potential psychological effect of immobilization on patients?
Fear of abandonment
What can help prevent pressure injuries in immobilized patients?
All of the above
Which of the following is a potential consequence of immobility for a patient in a hip spica cast?
Permanent loss of function
What is one of the major concerns when a patient's movement is restricted?
Respiratory complications
What is the purpose of counter traction in skeletal traction?
To stabilize the fractured bone
What can impair circulation and predispose a patient to pressure injuries?
Immobilization
Which type of traction requires the surgical placement of pins, tongs, screws, or wires that are anchored to or through the bone?
Skeletal traction
What is the purpose of counter traction in skeletal traction?
To provide balance between traction pull and counter traction force
What is a recommended intervention for preventing pressure injuries in immobilized patients?
Assessing skin temperature and color
What is a potential complication of immobility on the respiratory system?
Pneumonia
What is a potential consequence of immobility for older adults?
Decreased sense of self-worth
What is the purpose of applying a splint as a first aid measure?
To immobilize the injured part
What is the purpose of traction?
To maintain parts of the body in extension and alignment
Which type of traction is typically performed by the physician prior to placing the affected extremity into a splint or cast?
Manual traction
What is a potential complication of wearing a cast that is too tight?
Nerve injury
What is the maximum weight that can be applied in skin traction?
10 to 15 pounds
What is the purpose of counter traction in skeletal traction?
To maintain the correct line of pull
What is a potential effect of immobility on the circulatory system?
Decreased blood pressure
Which of the following is NOT a recommended pressure relief device for immobile patients?
Wheelchair cushion
What is the purpose of a bivalved cast?
To allow for swelling and edema
Which of the following is NOT a recommended method for preventing skin breakdown in immobilized patients?
Regular neurovascular assessments
What is the purpose of a continuous passive motion machine?
To promote joint mobility and prevent stiffness
What should be done if a hip spica cast becomes too loose after edema subsides?
The cast should be replaced with a new one.
What is the purpose of a spreader bar in a hip spica cast?
To maintain the desired angle at the hip.
What can be done if a cast becomes too tight?
The cast can be bivalved to relieve pressure.
What is the purpose of securing a cast with outside bandaging or more casting material?
To prevent the cast from becoming too loose.
What is a potential consequence of immobility for a patient in a hip spica cast?
Pressure injuries.
Why do hip spica casts often take longer to dry?
Because of their size and thickness.
Quiz: Safety Considerations in Immobilization Devices for Older Adults Test your knowledge on the safety considerations associated with immobilization devices for older adults. Learn about the reasons why skin traction is generally not used with older adults and the importance of checking the skin frequently for signs of injury. Sharpen your understanding of safety protocols and how to report any problems or skin pain to the primary care provider or traction technician.
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