Difficulty: Medium
Average Score: 85%
Simulated
The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)
Correct answer
A,D,E
Rationale
Prolonged immobility can lead to skin breakdown due to pressure and reduced circulation. Circulation typically worsens with immobility, not improves. Immobility usually decreases gastric motility, not increases it. Disuse atrophy occurs as muscles weaken from lack of use. Loss of appetite can occur due to reduced activity and metabolic rate.