Muscu loskeletal
Function
Williams: deWit's
Fundamental
Concepts and Skills for
Nursing,
5th Edition
,Chapter 39: Promoting Muscu-
loskeletal Function
Williams: deWit's Fundamental
Concepts and Skills for Nursing,
5th Edition
MULTIPLE CHOICE
1. The nurse directs the immobilized
patient in frequent deep breathing
exercises during the day in order to
combat:
a. low oxygen sat-
uration.
b. atelectasis.
c. hypostatic pneu-
monia.
d. respiratory alka-
losis.
ANS: C
Hypostatic pneumonia is a result of
, decreased physical mobility and is
the most common hospital acquired
disorder in immobilized patients.
DIF: Cognitive Level: Comprehen-
sion REF: p. 790 OBJ: Theory
#1
TOP: Hypostatic Pneumonia KEY:
Nursing Process Step: Implementa-
tion
MSC: NCLEX: Health Promotion
and Maintenance: Prevention and
Early Detection of Disease
2. The nurse explains that range of mo-
tion exercises are necessary so that
movement improves venous circula-
tion by:
a. vasodilation.
b. compression of
muscles on ve-
nous walls.
c. increased me-
, tabolism.
d. maintaining
strength in mus-
cles.
ANS: B
The range of motion exercises mimic
normal muscle movement, which
compresses the venous walls as a
support to venous circulation.
DIF: Cognitive Level: Comprehen-
sion REF: p. 790 OBJ: Theory
#5
TOP: Psychosocial Effects of Im-
mobilization
KEY: Nursing Process Step: Imple-
mentation
MSC: NCLEX: Psychosocial In-
tegrity: Reduction of Risk
3. A nurse enters the room of a patient
who is in Buck’s traction (skin trac-