A nurse knows that the major effect of immobility on the gastrointestinal system is the lack of natural movement of the intestines, which is known as
Atelectasis
Peristalsis
Shearing
Deep vein thrombosis
The Correct Answer is B
A. Atelectasis refers to the collapse of lung tissue due to blockage or pressure on the airways, commonly caused by immobility but primarily affects the respiratory system.
B. Peristalsis is the natural movement of the intestines that propels food and waste products through the digestive tract. Immobility can lead to decreased peristalsis, causing constipation and other gastrointestinal issues.
C. Shearing refers to the force that causes layers of tissue to move on each other, often leading to skin breakdown and pressure ulcers. It is not directly related to
the gastrointestinal system.
D. Deep vein thrombosis (DVT) is the formation of blood clots in deep veins,
typically in the legs, due to reduced blood flow and stasis caused by immobility. It primarily affects the circulatory system, not the gastrointestinal system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The lateral position refers to lying on one side with the top hip and knee flexed and the bottom hip and knee slightly flexed.
B. Dorsiflexion is the movement of the ankle joint in which the toes are brought closer to the shin or upward, as in the supine position described.
C. Contracture refers to the shortening or tightening of muscles, resulting in the inability to move the affected joint fully.
D. Plantar flexion is the movement of the ankle joint in which the toes are pointed downward or away from the shin, opposite to the position described.
Correct Answer is B
Explanation
A. Keeping the back bent while lowering the patient is not the most appropriate postion.
B. when a patient begins to fall, it is important to control the descent to minimize injury.
The nurse should widen their stance, bring the patient's body close to provide support, bend their knees, and use the strength of their thighs to lower the patient to the ground safely.
C. Keeping the knees straight while lowering the patient increases the risk of strain or injury to the nurse's back.
D. Holding the patient upright may not be feasible if the patient is already falling, and attempting to do so may result in injury to both the patient and the nurse.
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