Let’s get a triumph in the next exam with 42 Free CNA Practice Exam 2014 Questions and Answers on Effects of Immobility.
This is one of the most common practice tests for CNA candidates when
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Monitor I and O patterns-Encourage fluids-Provide high fruit, veggie and fiber diet-Assess bowel sounds
Normally a protein balance exists.Protein synth = protein breakdown
(norm)Anabolism = catabolism. Increased catabolism with immobility more.
N is excreted than ingested - negative N balance leads to malnutrition ,
weight loss, decreased muscle mass
D/t increased dependence on others.unable to carry out role in life
Inspect depth and rate-Auscultate the lungs-Encourage coughing and deep breathing-Use of incentive spirometry
Caused by pooling of the blood-Normal vasoconstriction in LEs is
caused by the SNS, lost in immobility-Client stands, blood pools and
client c/o dizziness, may faint BP will drop, HR will increase
Ventilation is shallow.Abdominal organs are pushed against diaphragm,
making it hard for pt to breath.Immob. patient rarely sighs, so lungs
are not stretched, intercostals become fixed
increased P in the veins of the thorax, which results in less blood
flow to the heart and coronary arteries- When client exhales, sudden
blood flow to the heart can cause cardiac arrythmias
Clot that is loosely attached to an inflamed wall
Occurs when a muscle cannot shorten or lengthen.Eventually permanent
shortening of muscles will form.Involves muscle, then tendon, then
ligament
Evaluate I&Os
Unused muscles will atrophy-Decrease in size, lose strength and function
Without weight bearing, bones demineralize - loose calcium.Bones become spongey, deformed.Pts at higher risk for fractures
BMR (basal mr) decreasescauses decreased . Gi motility and secretion
of digestive glads. BS are decreased. Pt will experience constipation
Normally expelled by changing positions - helps with coughing.Rarely
sighs, dehydration, sedatives and narcotics, interferes with O2 and CO2
exchange
Secondary to decreased protein intake and negative nitrogen balance,
which both lead to malnutrition- Protein is necessary for wound healing
Decreased peristalsis or colon motility-Inadequate hydration and
diet-Recumbent position-Increased use of valsalva resulting in other
issues
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