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The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.

Loss of calcium from bone matrix

Stasis of respiratory secretions

Increased cardiac workload

Decreased circulation from pressure

Increased mental activity

Answer and Explanation

Correct Answer : A,B,C,D

A. Loss of calcium from bone matrix

Immobility causes bone demineralization, increasing the risk for osteoporosis and fractures.

B. Stasis of respiratory secretions

Lack of movement decreases chest expansion, leading to retained secretions and risk of pneumonia or atelectasis.

C. Increased cardiac workload

Immobilization leads to venous stasis and reduced venous return, increasing cardiac workload and risk of thromboembolism.

D. Decreased circulation from pressure

Prolonged pressure leads to reduced perfusion, increasing risk for pressure ulcers.

E. Increased mental activity

Immobilization often results in decreased mental stimulation, potentially leading to depression or confusion, especially in older adults.

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Correct Answer is B

Explanation

B. True

Skeletal traction involves the surgical placement of hardware (e.g., pins, wires) directly into bone to apply a constant pulling force for fracture alignment or immobilization

A. Take off the rubber tips of the crutches while using stairs. B. Bring the good leg up first when going up stairs. C. Move the good leg and the crutches together. D. Rest the axillae on the axillary bar of the crutch.

Correct Answer is B

Explanation

A. Take off the rubber tips of the crutches while using stairs.

Rubber tips provide traction and prevent slipping; they must remain in place.

B. Bring the good leg up first when going up stairs.

The mnemonic “Up with the good, down with the bad” applies here. The stronger leg goes up first for stability.

C. Move the good leg and the crutches together.

Crutches move with the affected (bad) leg, not the good one.

D. Rest the axillae on the axillary bar of the crutch.

This can compress nerves and blood vessels. Weight should rest on the hand grips, not underarms.

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The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.

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Naxlex Comprehensive Predictor Exams

Please indicate whether the following statement is true or false. Skeletal traction may require surgical placement of pins, tongs, screws, or wires anchored to a bone.

Correct Answer is B

Explanation

A nurse giving instructions to a patient who will be using stairs while ambulating with crutches will instruct the patient:

Correct Answer is B

Explanation

When handling a freshly applied plaster cast while assisting a patient from stretcher to bed, the nurse should handle the cast using:

The nurse working with immobilized patients understands that monitoring for reports of pain with urination, changes in urination, and assessing fro frequency is essential in order to determine if an unwanted urinary problem is arising from her patient being immobile.

A nurse is applying an elasticized bandage to the leg of a patient. To perform this procedure correctly, the nurse should:

The nurse directs the immobilized patient in frequent deep breathing exercises during the day in order to combat

The nurse designs care for the immobilized patient to help combat the major dangers of immobilization, which include: Select all that apply.

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Mr. Milby is a 69-year-old patient who underwent a total knee replacement 3 days ago. The orders fro the continuous passive motion (CPM) machine are to set it at 45 degrees of flexion and 0 degrees of extension for Mr. Milby. Select all the options that need to be reported to the responsible nurse.

A nurse is planning to perform passive range of motion for a client who is immobilized. Which of the following actions should the nurse plan to take?