Exam 2: NUR 2356/ NUR2356 Multidimensional Care 1 (MDC 1) Exam 2 Review | Complete Guide with Questions and Verified Answers| 2023/ 2024 Update
Exam 2: NUR 2356/ NUR2356
Multidimensional Care 1 (MDC 1) Exam 2
Review | Complete Guide with Questions
and Verified Answers| 2023/ 2024 Update
Q: Effects of immobility on the circulatory system
Answer: increases workload of the heart, promotes venous stasis, orthostatic hypotension, risk
of thrombus formation
Q: Nursing interventions for immobility related to the circulatory system
Answer: in- crease client activity, assess for peripheral, sacral, and pedal edema, assess calves
for signs and symptoms of thrombus formation, measure calf circumferences and compare, use
TED hose or SCDs, administer low dose heparin
Q: Effects of immobility on metabolism
Answer: drop in metabolic rate, can stimulate stress response, decreased appetite, weight loss,
bone loss from calcium reabsorp- tion, muscle mass reduction
Q: Nursing interventions for immobility related to metabolism
Answer: provide a high calorie, high protein diet, vitamin and mineral supplement, monitor I’s &
O’s, calorie count
Q: Effects of immobility on the integumentary system
Answer: external pressure leads to compressed capillaries in the skin causing tissue ischemia
and eventual necrosis
Q: Nursing interventions for immobility related to the integumentary systemAnswer: change positions as needed, assess client for pressure ulcer risk, teach client to shift
weight every 15 minutes if possible, use positioning devices as needed, assess skin and provide
skin and perineal care as needed
Q: Effects of immobility on the GI system
Answer: slows peristalsis, constipation, para- lytic ileus
Q: Nursing interventions for immobility related to the GI system
Answer: maintain hydration, include fresh fruit and vegetables in the diet, promote as normal a
position as possible for elimination
Q: Effects of immobility on the genitourinary system
Answer: stagnant urine leads to increase in UTIs, kidney stone formation
Q: Nursing interventions for immobility related to the genitourinary system
Answer: – encourage fluid intake, bladder training, assess for urinary retention using a bladder
scanner, promote urination by pouring warm water over the perineum area
Q: Psychological effects of immobility
Answer: isolation, mood change, depression, anx- iety
Q: Nursing interventions for immobility related to the psyche
Answer: involve clients in daily care, provide stimuli such as newspapers, tv and magazines,
assist with grooming and hygiene, involve the client in planning of daily routine, maintain
orientation to time
Q: Semi-Fowler position
Answer: 30 degrees, promotes respiratory function, lowers di- aphragm to allow better
expansion
Q: High-Fowler position
Answer: 45-90 degrees, helps with cardiac disfunction
Q: Orthopneic position
Answer: patient leans forward to help with respiration, used with
SOB
Q: Lateral recumbent position
Answer: side-lying with legs in line
Q: Oblique position
Answer: lying semi to the side with leg slightly bent
Q: Prone position
Answer: lying on the stomach; allows for chest expansion and better respiration, should only be
used for short periods of time, causes significant lordosis, never use in patients with back surgery
or injury
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