Difficulty: Medium
Average Score: 64%
Simulated
A nurse is assessing a client who is experiencing complications due to immobility. Which of the following findings should the nurse expect? (Select All that Apply.)
Correct answer
A,D,E
Rationale
The correct answer is A, D, and E.
- Contractures can occur due to prolonged immobility, leading to muscle shortening.
- Atelectasis, a condition where alveoli in the lungs collapse, can result from decreased lung expansion.
- Pressure ulcers are common in immobile clients due to prolonged pressure on skin and tissue.
B: Diarrhea is not directly related to immobility but may be due to other causes like infections or medications.
C: Polyuria, excessive urination, is not typically associated with immobility complications.
In summary, contractures, atelectasis, and pressure ulcers are common findings in clients experiencing complications due to immobility, while diarrhea and polyuria are not directly related to immobility.
- Contractures can occur due to prolonged immobility, leading to muscle shortening.
- Atelectasis, a condition where alveoli in the lungs collapse, can result from decreased lung expansion.
- Pressure ulcers are common in immobile clients due to prolonged pressure on skin and tissue.
B: Diarrhea is not directly related to immobility but may be due to other causes like infections or medications.
C: Polyuria, excessive urination, is not typically associated with immobility complications.
In summary, contractures, atelectasis, and pressure ulcers are common findings in clients experiencing complications due to immobility, while diarrhea and polyuria are not directly related to immobility.