Quiz 44: Activity and Exercise

Nursing

Prolonged immobility results in the absence of regular functioning of the associated muscles and limbs thereby leading to their gradual dysfunction. The patient is diagnosed with an enlarged heart that is unable to meet the oxygen requirement of the body due to decreased cardiac output (CO). The assessment data that confirm that the patient is developing disuse syndrome due to his occupational immobility is as follows: 1. Prolonged sitting- Prolonged sitting as required by the patient's occupation, results in absence of positional changes of the body parts and regular movement of the limbs. This would lead to loss of functionality of the body parts subjected to chronic immobility. 2. Obesity- Obesity results in lack of interest to promote movement or locomotion. This would lead to immobility associated disuse syndrome. 3. Edema- The patient has developed edema of potential size in both ankles. This indicates the severity of the immobility and the increased risk for disuse syndrome in the patient. 4. Decreased respiration rate- The patient's decreased respiration rate indicates less than body requirement oxygen circulation. This in turn would lead to muscle fatigue and the corresponding immobility. This would result in disuse syndrome. 5. Enlarged heart- The patient is diagnosed with an enlarged heart that is unable to meet the oxygen requirement of the body due to decreased cardiac output (CO). This results in imbalance issues, which disable the patient to continue spontaneous movement leading to immobility and disuse syndrome.

The base of the body is represented by the feet, which carry the body weight and maintain balance. Translocation of a certain patient with mobilization issues, the base of the body should be well supported to avoid accidental falling and physical injuries. Instructing the patient to lean backward would actually reduce the balance of the body. As a result weight stabilization decreases thereby increasing the risk for injuries. Stimulating abdominal muscle tension alone is not enough to increase the balanced weight distribution on the base of the body. The nurse should not ask the patient to bend the knees as this is not enough to cause balanced weight distribution on the base. Hence, the options 1, 3 and 4 are incorrect. Positioning the legs farther apart provides more support and a well distribution of the body weight on the base of the body. Therefore, this should be ideally done while translocation of the patient. Hence, the correct answer is option img .

Physical immobility is defined as limitations in the spontaneous and purposeful orientation of one or more parts of the body. Immobility can be caused due to neurological and cardiac disorders, chronic illness and the associated bed-rest or physical deformities. Prolonged immobility of a certain part of the body may lead to disuse syndrome. Walkers are mechanical assistive devices that are available in various shapes and sizes according to the need of the corresponding individuals. A walker mediates the subsequent person to ambulate in case the person has lost the ability of spontaneous ambulation or requires assistance due to weakness. The teachings the nurse should provide to Mr. Chan regarding the appropriate and safe use of walkers are as follows: 1. He should be taught to move the walker ahead by 15 cm (centimeters) or 6 inches while maintaining the body weight on both of the legs. This step should be followed by forwarding the right leg to the walker while maintain the body weight on the left leg and on both arms. 2. This step should be followed by forwarding the left leg to the walker while maintaining the body weight on the right leg.

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