NCLEX-PN

●​ Disuse osteoporosis ●​ Hypercalcemia ●​ Fractures ●​ Contractures (including plantar flexion) ●​ Muscle weakness ●​ Muscle atrophy ●​ Atelectasis ●​ Hypostatic pneumonia ●​ Respiratory tract infections ●​ Shallow and ineffective breathing ●​ Reduced vital capacity

●​ Use tilt tables for

weight-bearing position ●​ Implement proper positioning ●​ Regular range-of-motion exercises ●​ Use assistive devices when necessary ●​ Promote deep breathing exercises ●​ Encourage coughing ●​ Perform postural drainage ●​ Use percussion and vibration techniques ●​ Encourage leg exercises ●​ Utilize sequential compression devices or anti-embolism stockings ●​ Implement fall prevention strategies for orthostatic hypotension ●​ Monitor nutritional intake ●​ Encourage a balanced diet ●​ Promote regular physical activity ●​ Conduct regular skin assessments ●​ Implement measures to sustain skin integrity and prevent skin breakdown ●​ Provide emotional support ●​ Encourage social interaction and activities to combat isolation

Musculoskeletal System

Respiratory System

●​ Venous stasis ●​ Dilation ●​ Reduced blood pressure ●​ Edema ●​ Embolus formation ●​ Thrombophlebitis ●​ Orthostatic hypotension ●​ Decreased metabolic rate ●​ Unintended weight gain ●​ Negative calcium balance ●​ Negative nitrogen balance ●​ Anorexia ●​ Skin breakdown ●​ Pressure ulcers ●​ Compromised skin turgor

Circulatory System

Metabolic System

Integumentary System

●​ Apathy ●​ Isolation ●​ Frustration ●​ Mood decline ●​ Depression

Psychological Impacts

Numerous nursing diagnoses are linked to immobility, encompassing concerns such as pressure ulcers, muscular weakness and atrophy, venous stasis and emboli risks, impaired respiratory function, falls due to orthostatic hypotension, osteoporosis and fracture risk, plantar flexion contractures, apathy, and loss of full range of motion. Proactively addressing these complications through a holistic and interdisciplinary approach is essential to mitigating the adverse effects of immobility and enhancing overall well-being.

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