![]() ![]() Many of these costly complications of immobility can, and should be, prevented whenever possible. The hazards or complications of immobility, such as skin breakdown, pressure ulcers, contractures, muscular weakness, muscular atrophy, disuse osteoporosis, renal calculi, urinary stasis, urinary retention, urinary incontinence, urinary tract infections, atelectasis, pneumonia, decreased respiratory vital capacity, venous stasis, venous insufficiency, orthostatic hypotension, decreased cardiac reserve, edema, emboli, thrombophlebitis, constipation and the loss of calcium from the bones, are highly costly in terms of health care dollars and in terms of client suffering. Identifying the Complications of Immobility Evaluate the client's response to interventions to prevent complications from immobility.Implement measures to promote circulation (e.g., active or passive range of motion, positioning and mobilization).Maintain/correct the adjustment of client's traction device (e.g., external fixation device, halo traction, skeletal traction).Maintain the client's correct body alignment.Educate the client regarding proper methods used when repositioning an immobilized client. ![]() Apply and maintain devices used to promote venous return (e.g., anti-embolic stockings, sequential compression devices).Apply, maintain or remove orthopedic devices (e.g., traction, splints, braces, casts).Apply knowledge of nursing procedures and psychomotor skills when providing care to clients with immobility.Perform skin assessment and implement measures to maintain skin integrity and prevent skin breakdown (e.g., turning, repositioning, pressure-relieving support surfaces).Assess the client for mobility, gait, strength and motor skills.Identify complications of immobility (e.g., skin breakdown, contractures).In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of mobility and immobility in order to:
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