Immobility And Associated Problems

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Question 1

Free

Multiple Choice

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

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Contracture

Muscle hypertrophy

Muscle atrophy

Increased osteoblastic activity

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Question 2

Free

Multiple Choice

Which of the following frequently causes decubitus ulcers?

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Infection by resident flora

Ischemia at pressure points

Normal degenerative changes

Allergic reaction to adhesive tape or dressings

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Question 3

Free

Multiple Choice

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

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Decreased activity and demand for oxygen

Increased retention of CO2

Inability to sneeze forcefully

Stasis of secretions in the lungs

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Question 4

Free

Multiple Choice

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

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stasis of urine in the urinary system.

development of hypocalcemia with immobility.

fluid overload in the system.

lack of neurological control of the bladder.

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Question 5

Free

Multiple Choice

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

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Delayed linear growth

Contractures and deformities involving the hips, spine, legs, and feet

Skeletal muscle weakness

A, B, and C

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Question 6

Multiple Choice

Paralysis of the lower part of the body is called:

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hemiplegia.

paraplegia.

quadriplegia.

None of the above

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Question 7

Multiple Choice

Prolonged immobility may predispose to ___________ in the kidneys.

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urinary stasis

renal calculi

infection

All of the above

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Question 8

Multiple Choice

Inactive muscle quickly loses strength as it becomes _____________ .

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less elastic.

atrophied.

contracted.

spastic.

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Question 9

Multiple Choice

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

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constipation.

diarrhea.

nausea.

increased rate of peristalsis.

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Question 10

Multiple Choice

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

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bone demineralization.

lengthening of tendons and ligaments.

decreased skeletal muscle mass.

A and C

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Question 11

Multiple Choice

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

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Sudden changes in body position from supine to upright may cause low blood pressure.

Venous return and cardiac output are decreased with immobility.

All cardiovascular reflexes are lost with prolonged immobility.

A and B

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Question 12

Multiple Choice

Atelectasis may occur with a prolonged period of bed rest because of:

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reduced removal of pulmonary secretions.

increased expansion of the lower lobes of the lungs.

increased risk of aspiration in a sitting position.

loss of cough reflex.

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Question 13

Multiple Choice

Immobility may lead to dehydration primarily as a result of:

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changes in hormonal secretions due to increased blood in the thorax.

destruction of the kidneys as a result of ischemia and necrosis.

blockage of the ureters, causing retention of urine.

toxins being produced by infectious microorganisms.

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Question 14

Multiple Choice

Virchow's triad refers to:

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an anatomical structure in the kidneys.

a combination of factors affecting potential thrombus formation.

factors that predispose an individual toward urinary tract infections.

psychological factors leading to stress associated with immobility.

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