A student nurse is caring for a young adult patient who is immobile with a back injury. On auscultation, the student nurse hears rhonchi in the lower lobes
The student nurse reports this symptom because the patient is developing which complication? a. Increased lung expansion
b. Hypostatic pneumonia
c. Aspiration pneumonia
d. Increased diuresis
B
Decreased, not increased, lung expansion, generalized respiratory muscle weakness, and dependent stasis of secretions occur with immobility. These conditions often contribute to the development of atelectasis (collapse of alveoli) and hypostatic pneumonia (inflammation of the lung from stasis or pooling of secretions). Aspiration pneumonia results from aspiration, not from immobility. Diuresis is increased urine excretion.
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