IMMOBILITY COMPLICATIONS
This musculoskeletal complication results from muscle shortening due to lack of movement.
Contracture
These 4 interventions are placed in the care plan for high risk fall patients
Yellow socks
Non skid footwear
Bed Alarm
Items within reach
A patient should hold their cane on this side of the body.
Stronger Side
This device promotes lung expansion after surgery or immobility.
Immobile patients should be repositioned at least this often.
Q 2 Hours
Bed rest increases the risk of this life-threatening circulatory complication.
Deep Vein Thrombus (DVT)
When assisting a patient to stand or walk, the nurse should stand on this side.
The patients weaker side
This assistive device provides the most stability.
Dangling the legs before standing helps prevent this complication.
Orthostatic hypotension
Pressure injuries commonly occur over these body areas.
Bony prominences
Reduced lung expansion from immobility increases the risk for this respiratory issue.
Atelectasis
The nurse reconizes this technique to perform when a patient is beginning to fall during ambulation
Slide the patient down the nurse's body to the floor
This mobility device is used for two‑point, three‑point, or four‑point gait.
These stockings reduce venous stasis in immobile patients.
Antiembolism stockings (TED hose)
The patient is confused upon assessment and has bladder incontinence making the patient at the greatest risk for
Falls and patient is a fall risk
This form of range of motion is used for clients who cannot accomplish this by themselves
Passive ROM
This simple alternative to the use of restraints will ensuring patient safety and prevent falls
Ask the family members to stay with the patient
When using crutches to go up stairs, which leg goes first?
The unaffected (strong) leg
Passive range-of-motion (ROM) exercises promote this goal achievement
Joint mobility to prevent contractures
This skin complication is caused by prolonged pressure without movement.
Pressure injury or pressure ulcer
The nurse raises the bed to prevent this caregiver problem
This practice reduces nurse injury and offers the greatest stability when transferring patients.
Utilize a wide base of support and hold close to the body
This type of patient is the BEST candidate for a walker.
A patient with bilateral lower-extremity weakness
This is the most effective intervention for preventing DVTs
Early ambulation
A clients weight has increased causing the blood pressure and pulse to increase when walking the stairs. The nurse recognizes this as the appropriate nursing diagnosis
Active intolerance