Which of the following risk factors contribute to complications of immobility? (Select all that apply.)
a. Paralysis
b. Traction
c. Arterial insufficiency
d. Incontinence
e. Constipation
A, B, C, D
Assess for risk factors that contribute to complications of immobility. Increased risk factors require the patient to be repositioned more frequently. Paralysis impairs movement; muscle tone changes and sensation is affected. Because of difficulty in moving and poor awareness of the involved body part, the patient is unable to protect and position the body part for self. Traction, bone fractures, surgery, or arthritic changes of the affected extremity result in decreased ROM. Decreased circulation predisposes the patient to pressure ulcers. Premature and young infants require frequent turning because their skin is fragile. Normal physiological changes associated with aging predispose older adults to greater risks for developing complications of immobility.
You might also like to view...
A nurse is caring for a woman who has an order for a high-dose oxytocin (Pitocin) regimen to stimulate uterine contractions. Which of the following actions are appropriate for the nurse to take? (Select all that apply.)
A. Assess frequently for uterine tachysystole. B. Increase the infusion every 30 minutes as needed. C. Place to woman prone to prevent dizziness. D. Start the infusion at 2 mU/minute. E. Use an electronic infusion device.
A woman in her first trimester of pregnancy would expect to visit her physician every 4 weeks so that:
a. she develops trust in the health care team. b. her questions about labor can be answered. c. the condition of both the expectant mother and the fetus can be monitored. d. problems can be eliminated.
Which vitamin deficiency is most likely to be a long-term consequence of a full-thickness burn injury?
A. Vitamin A B. Vitamin B C. Vitamin C D. Vitamin D
A nurse caring for a client taking a drug that can cross the blood-brain barrier determines the client is experiencing possible neurotoxicity when which symptoms are observed?
1. Visual changes 2. Loss of balance 3. Sedation 4. Depression 5. Nausea and vomiting