Author Question: The nurse is educating the patient about the effects of immobility on the body. The following ... (Read 59 times)

Jkov05 · **on:** Jul 23, 2018

The nurse is educating the patient about the effects of immobility on the body. The following statements by the patient indicate a need for further education: (Select all that apply.)

a. I can become very weak.
b. I will gain weight.
c. I will lose muscle tone.
d. I can get bed sores.

Question 2

The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?

a. I should report any complaints of soreness to the nurse.
b. I should watch for indications that the patient has difficulties using the cane.
c. I should let the nurse or PT know if the cane doesn't seem to fit correctly.
d. I should teach the patient how to walk with the cane.

zhanghao · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
Immobility may cause weakness, instability, anorexia, elimination alterations, decreased muscle tone, circulatory stasis, and skin breakdown. Knowing the effects of immobility on various body systems allows the nurse to quickly assess a patient's risk and recognize signs of impending complications.

Answer to Question 2

ANS: D
Educating patients on how to walk with assistive devices may not be delegated to unlicensed assistive personnel (UAP). UAP should report any of the following: noticeable incorrect usage or fit of assistive devices, complaints of soreness or weakness, difficulties involving balance or strength, or difficulties in performing the procedure or other concerns verbalized by the patient.