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Brandi Sizemore
NCO Week 4 Causes of Immobilty
| Question | Answer |
|---|---|
| What happens to the musculoskeletal system when injury or disease occurs? Select all that apply. A. Increased lung capacity B. Increased flexibility C. Impaired mobility D. Decreased capacity for exercise E. Coordinated body movement | - Impaired mobility - Decreased capacity for exercise |
| Decreased physical exercise contributes to what symptoms? Select all that apply. A. Bone fragility B. Deterioration C. Loss of strength D. Hypertonicity E. Spasticity | - Bone fragility - Deterioration - Loss of strength |
| Match the risk factor with the musculoskeletal system condition. A. Aging B. Disease C. Genetic disorders D. Developmental disorders A. Osteoporosis B. Rheumatoid arthritis C. Muscular dystrophy D. Cerebral palsy | Aging = Osteoporosis Disease = Rheumatoid arthritis Genetic disorders = Muscular dystrophy Developmental disorders = Cerebral palsy |
| Which musculoskeletal diseases are more prevalent in the older population? Select all that apply. A. Osteoporosis B. Rheumatoid arthritis C. Cerebral palsy D. Muscular dystrophy E. Osteoarthritis | - Osteoporosis - Osteoarthritis |
| Osteoporosis | is a disease in which bones deteriorate, and is a disease that is prevalent in the older adult population. |
| Rheumatoid arthritis | is prevalent in small-framed individuals. |
| Cerebral palsy | Cerebral palsy is a developmental disorder in children. |
| Muscular dystrophy | is a genetic disorder. |
| Osteoarthritis | causes cartilage breakdown, and is a disease that is prevalent in the older adult population. |
| What does paresis mean? A. Impaired mobility and movement B. Complete loss of movement C. Weakness on one side of the body D. Lower body paralysis | Impaired mobility and movement |
| What is paralysis of one side of the body known as? A. Hemiparesis B. Paraplegia C. Hemiplegia D. Ischemia | Hemiplegia |
| Hemiparesis | is lower body paralysis. |
| Paraplegia | is paralysis of one side of the body. |
| Ischemia | is related to brain injury. |
| Which of these conditions may result in right-sided hemiplegia? A. Right-sided brain injury B. Left-sided brain injury C. Lower spinal cord trauma D. Cervical spinal cord trauma | Left-sided brain injury |
| What injury is associated with breathing difficulties? A. Right-sided brain injury B. Left-sided brain injury C. Lower spinal cord trauma D. Cervical spinal cord trauma | Cervical spinal cord trauma |
| In which condition is the heart unable to pump enough blood to meet the body’s demand? A. Heart failure B. Peripheral vascular disease C. Chronic obstructive pulmonary disease D. Angina | Heart Failure |
| Peripheral vascular disease | is a disturbance in the venous system caused by stasis of blood. |
| Chronic obstructive pulmonary disease | is a progressive lung disease associated with chronic inflammation of the airways. |
| Angina | is a cardiac condition that is not associated with the inability of the heart to pump blood adequately. |
| Which disorders decrease the body’s ability to deliver oxygen and nutrients to body organs? Select all that apply. A. Heart failure B. Peripheral vascular disease C. Chronic obstructive pulmonary disease D. Diabetes mellitus E. Renal failure | - Heart failure -Peripheral vascular disease -Chronic obstructive pulmonary disease |
| Which condition is related to venous stasis? A. Heart failure B. Peripheral vascular disease C. Chronic obstructive pulmonary disease D. Angina | Peripheral vascular disease |
| A nurse is caring for a patient with neurologic impairment. The health care provider has documented that the patient has lower extremity flaccidity. What does this mean? A. Bone fragility B. Muscle spasms C. Lack of muscle tone D. Joint inflammation | Lack of muscle tone. |
| A nurse is caring for a patient with osteoporosis. In which type of patient is this condition most prevalent? A. Adult African-American female B. Adult male C. Middle-age Caucasian female D. Older Asian female | Older Asian female |
| A patient asks the nurse what dietary supplements to take to reduce the chance of developing brittle bones later on in life. What is the best response by the nurse? Select all that apply. A. Vitamin C B. Iron C. Calcium D. Vitamin E E. Vitamin D | - Calcium - Vitamin D |
| What nursing intervention would be most effective in preventing flaccidity in a hospitalized patient? A. Early ambulation after surgery B. Administering calcium with vitamin D C. Coughing and deep breathing exercises D. Referring the patient to occupa | Early ambulation after surgery. |
| The nurse is caring for an older female patient with recent stroke. In the shift report, the nurse learns that the patient has right-sided hemiparesis. What does this mean? A. Impaired movement of the right side B. No movement of the either side C. No | Impaired movement of the right side |
| The nurse is caring for a young adult male in the emergency department. The patient was involved in a motorcycle crash and is now unable to move any of his extremities. What is the expected documentation of this condition? A. Ischemia B. Hemiparesis C. | Quadriplegia |
| The rehabilitation nurse is caring for a patient with loss of sensation to the lower extremities. What type of injury is related to this? A. Ischemia B. Head injury C. Lower spinal cord trauma D. Cervical spinal cord trauma | Lower spinal cord trauma. |
| The rehabilitation nurse is caring for a patient with a history of cerebrovascular accident. The MRI revealed that the injury occurred on the right side of the brain. What are the expected impairments? A. Right-sided hemiparesis B. Left-sided hemiparesi | Left-sided hemiparesis |
| The rehabilitation nurse is caring for a patient with inability to move all four extremities. What type of injury is related to this? A. Ischemia B. Head injury C. Lower spinal cord trauma D. Cervical spinal cord trauma | Cervical spinal cord trauma |
| A nurse is caring for a patient in the telemetry unit who is complaining of a recent decrease in her ability to perform activities of daily living (ADLS) and routine exercise. Which conditions are possible contributing factors? Select all that apply. A. | - Heart failure - Peripheral vascular disease - COPD |
| A patient has been diagnosed with heart failure. He asks the nurse for clarification on which part of the heart is ineffective. The nurse teaches the patient that heart failure is related to what? A. Impaired aorta B. Impaired ventricle C. Impaired atr | Impaired ventricle |
| A nurse is providing patient education on the prevention of osteoporosis. Which important fact should the nurse include in the teaching care plan? A. Calcium should be taken with vitamin D to increase calcium absorption. B. African American women | Calcium should be taken with vitamin D to increase calcium absorption |
| Which cardiopulmonary condition is caused by chronic airway inflammation? A. COPD B. HF C. PVD D. DM | COPD |
| An older adult male is on prolonged bedrest, related to lower extremity trauma. Which cardiopulmonary condition is a concern in this patient? A. COPD B. HF C. PVD D. DM | PVD |
| The nurse is caring for a patient with PVD. Which nursing interventions are expected to be included in the plan of care? Select all that apply. A. Ambulation B. Bedrest C. Coughing and deep breathing exercises D. Lower extremities elevated E. Pursed | - Ambulation - Lower extremities elevated. |
Created by:
Brandi Sizemore
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