The patient had a stroke and is currently immobile. The nurse ...

[erika]

The patient had a stroke and is currently immobile. The nurse realizes that increasing mobility is critical because immobility can result in alterations in which of the following? (Select all that apply.)
 
  a. Cardiovascular function
  b. Pulmonary function
  c. Skin integrity
  d. Elimination

Question 2

The patient is admitted with a large stage IV pressure ulcer on his coccyx. After comparing the benefits of the following support surfaces, the nurse would choose which of the following as most appropriate for this patient?
 
  a. Water mattress
  b. Gel overlay
  c. Foam overlay
  d. Air-fluidized bed

[dajones82]

Answer to Question 1

A, B, C, D
When mobility is altered, many body systems are at risk for impairment. Impaired mobility can result in altered cardiovascular functioning, disruption of normal metabolic functioning, increased risk for pulmonary complications, the development of pressure ulcers, and urinary elimination alterations.

Answer to Question 2

D
If a patient has large stage III or stage IV pressure ulcers on multiple turning surfaces, a low-air-loss bed or air-fluidized bed may be indicated. The use of water mattresses has been reduced considerably because they harbor organisms in the water, and leaks in the mattress are risky for patients with open wounds. Gel overlays are used for moderate- to high-risk patients, not for patients who have stage IV ulcers. They are useful for patients who are wheelchair dependent. Foam overlays are used for moderate- to high-risk patients, not for those with stage IV ulcers.

[erika]

Thank you

[dajones82]

Happy to help you