Question
In: Nursing
A nurse in a long term care facility is caring for a bedridden client. which of...
A nurse in a long term care facility is caring for a bedridden client. which of the following findings should alert the nurse to a potential complication of the clients immobility
A. blurred vision
b. confusion
c. polyuria
d. diarrhea
Solutions
Expert Solution
A. Blurred vision.
Because in a person with prolonged immobilty, orthostatic hypotension occurs. It will take 3 week of immobilty for this to occur.
It is due to excessive pooling of blood in lower limb and decreased circulating blood volume.
So this will lead to decreased blood supply to eye and causes blurred vision.
Other complications of prolonged immobilization:
1.Musculoskeletal:
In muscle, disuse atropy occur. In bone, osteoporosis, increased risk of fracture, dorsal kyphosis and chronic back pain occur.
2.Cardiovascular: decreased heart rate, decreased coronary blood flow, decreased cardiac output and stroke volume.
3.Genitourinary: decreased voiding which leads to urinary stasis. Increased risk of UTI, calculus formation, frequency of urination or overflow incontinence.
4.Gastrointestinal : constipation, loss of appetiteappetite , loss of weight, decreased peristalsis.
5.Endocrine : decreased BMR, hypercalcemia, hypoparathyroidism, increased aldosterone and plasma renin secretion.
6.Nervous: weakness, loss of Independence, depression, anxiety, apathy, mood swings.
Nightingale answered 2 years agoRelated Solutions
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