NUR 143 TEST 2 MODULES E-J QUESTIONS WITH
COMPLETE SOLUTIONS
Effects of immobility on cardiovascular system
Increased cardiac workload
Increased risk for orthostatic hypotension
Increased risk for venous thrombosis
Effects of immobility on respiratory system
decreased depth of respiration, decreased rate of respiration,
pooling of secretions, impaired gas exchange
Effects of immobility on gastrointestinal system
Disturbance in appetite
Altered protein metabolism
Altered digestion and utilization of nutrients
Decreased peristalsis
Effects of immobility on urinary system
-increased urinary stasis
-increased risk for renal calculi
-decreased bladder muscle tone
Effects of immobility on musculoskeletal system
Decreased muscle size (atrophy), tone, and strength
Decreased joint mobility and flexibility
Bone demineralization (osteoporosis)
,Limited endurance resulting in problems with ADL's
Foot drop
Contractures and ankylosis
Effects of immobility on integument
Increased risk for skin breakdown and formation of pressure
ulcers
Effects of immobility on psychological well-being
↑Sense of powerlessness
↓Self-concept
↓Social interaction
↓Sensory stimulation
Altered sleep-wake pattern
↑Risk for depression
Risk for learned helplessness
Effects of immobility on metabolic system
increased risk for electrolyte imbalance, altered exchange of
nutrients and gases
Normal findings lung/thorax
-Color should be even and consistent with the patient's face.
Shape or contour should have a downward equal slope at the rib
cage.
-Chest should be symmetric, with the transverse diameter
greater than the anteroposterior diameter.
, - Respirations should be smooth and even ranging from 12-20
breaths per minute.
Abnormal findings lung/thorax
- An increase in chest size and contour, abnormal breathing
patterns with use of accessory muscles, unequal chest expansion,
and abnormal respirations.
- Cool or excessively dry or moist skin, muscle asymmetry,
tenderness, masses, and vibrations.
Which heart sounds are normal?
S1-S2
What is neck vein distention an indication for?
heart disease
Palpation of aorta
second intercostal space right sternal border
Palpation of pulmonic area
second-third intercostal space left sternal border
Palpation of erb's point
3-5th intercostal space left sternal border.
Palpation of tricuspid area
4th-5th intercostal space left lower sternal border.
Palpation of mitral area
5th intercostal space near left mid-clavicular line
COMPLETE SOLUTIONS
Effects of immobility on cardiovascular system
Increased cardiac workload
Increased risk for orthostatic hypotension
Increased risk for venous thrombosis
Effects of immobility on respiratory system
decreased depth of respiration, decreased rate of respiration,
pooling of secretions, impaired gas exchange
Effects of immobility on gastrointestinal system
Disturbance in appetite
Altered protein metabolism
Altered digestion and utilization of nutrients
Decreased peristalsis
Effects of immobility on urinary system
-increased urinary stasis
-increased risk for renal calculi
-decreased bladder muscle tone
Effects of immobility on musculoskeletal system
Decreased muscle size (atrophy), tone, and strength
Decreased joint mobility and flexibility
Bone demineralization (osteoporosis)
,Limited endurance resulting in problems with ADL's
Foot drop
Contractures and ankylosis
Effects of immobility on integument
Increased risk for skin breakdown and formation of pressure
ulcers
Effects of immobility on psychological well-being
↑Sense of powerlessness
↓Self-concept
↓Social interaction
↓Sensory stimulation
Altered sleep-wake pattern
↑Risk for depression
Risk for learned helplessness
Effects of immobility on metabolic system
increased risk for electrolyte imbalance, altered exchange of
nutrients and gases
Normal findings lung/thorax
-Color should be even and consistent with the patient's face.
Shape or contour should have a downward equal slope at the rib
cage.
-Chest should be symmetric, with the transverse diameter
greater than the anteroposterior diameter.
, - Respirations should be smooth and even ranging from 12-20
breaths per minute.
Abnormal findings lung/thorax
- An increase in chest size and contour, abnormal breathing
patterns with use of accessory muscles, unequal chest expansion,
and abnormal respirations.
- Cool or excessively dry or moist skin, muscle asymmetry,
tenderness, masses, and vibrations.
Which heart sounds are normal?
S1-S2
What is neck vein distention an indication for?
heart disease
Palpation of aorta
second intercostal space right sternal border
Palpation of pulmonic area
second-third intercostal space left sternal border
Palpation of erb's point
3-5th intercostal space left sternal border.
Palpation of tricuspid area
4th-5th intercostal space left lower sternal border.
Palpation of mitral area
5th intercostal space near left mid-clavicular line
