Deck 11: Effects of Immobility

Question 1

Bladder infections are more likely to develop in immobilized patients because of:

A)stasis of urine in the urinary system
B)development of hypocalcemia with immobility
C)fluid overload in the system
D)lack of neurologic control of the bladder

Answer 1

stasis of urine in the urinary system

Question 2

Prolonged immobility may predispose to ___________ in the kidneys.

A)urinary stasis
B)renal calculi
C)infection
D)any of the above

Answer 2

any of the above

Question 3

What is a major factor predisposing to pulmonary infection in immobilized patients?

A)decreased activity and demand for oxygen
B)increased retention of CO₂
C)inability to sneeze forcefully
D)stasis of secretions in the lungs

Answer 3

stasis of secretions in the lungs

Question 4

Inactive muscle quickly loses strength as it becomes _____________.

A)less elastic
B)atrophied
C)contracted
D)spastic

Question 5

Atelectasis may occur with a prolonged period of bed rest due to:

A)reduced removal of pulmonary secretions
B)increased expansion of the lower lobes of the lungs
C)increased risk of aspiration in a sitting position
D)loss of cough reflex

Question 6

What do prolonged periods of immobility frequently lead to?
1)orthostatic hypotension
2)increased blood pressure and heart rate
3)increased risk of thrombi and emboli
4)rapid,deep respirations

A)1,2
B)1,3
C)2,4
D)3,4

Question 7

The major problem associated with immobility and the gastrointestinal tract is:

A)constipation
B)diarrhea
C)nausea
D)increased rate of peristalsis

Question 8

Which of the following frequently causes decubitus ulcers?

A)infection by resident flora
B)inadequate circulation at pressure points
C)normal degenerative changes
D)allergic reaction to adhesive tape or dressings

Question 9

Paralysis of the lower part of the body is called:

A)hemiplegia
B)paraplegia
C)quadriplegia
D)None of the above are correct.

Question 10

Which of the following is/are common effect(s)of prolonged immobility in children?

A)delayed linear growth
B)contractures and deformities involving the hips,spine,legs and feet
C)skeletal muscle weakness
D)a,c
E)a,b,c

Question 11

Which of the following is likely to develop when a leg is immobilized in a cast?

A)contracture
B)muscle hypertrophy
C)muscle atrophy
D)increased osteoblastic activity

Question 12

Lack of weight-bearing and skeletal muscle activity for a prolonged period leads to:

A)bone demineralization
B)lengthening of tendons and ligaments
C)decreased skeletal muscle mass
D)a,b
E)a,c

Question 13

Which of the following apply to orthostatic hypotension associated with prolonged immobility?

A)Sudden changes in body position from supine to upright may cause low blood pressure.
B)Venous return and cardiac output are decreased with immobility.
C)All cardiovascular reflexes are lost with prolonged immobility.
D)a,b
E)a,c