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A nurse assesses patients with different symptoms postoperatively. Which patient's symptoms are associated with prolonged sitting or immobilization?

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Final answer:

Symptoms associated with prolonged sitting or immobilization can be linked to conditions like deep vein thrombosis and pressure sores due to the lack of activation of the skeletal muscle pump, which helps move blood back to the heart. Elderly patients recovering from events like a hip fracture are particularly at risk for life-threatening complications of immobility.

Step-by-step explanation:

Patients who exhibit symptoms associated with prolonged sitting or immobilization may be at risk for complications such as blood clots, particularly in the deep veins of the legs (deep vein thrombosis, DVT), pressure sores, and muscle atrophy. These conditions are often a result of poor circulation and lack of movement leading to increased risk when the skeletal muscle pump is not activated regularly. The skeletal muscle pump is a mechanism in which contracting muscles press against the veins, particularly in the lower limbs, helping to move blood back towards the heart.

When an individual is immobile for an extended period, such as after surgery or due to sedentary lifestyle, the skeletal muscle pump is not being activated, which can lead to venous stasis and the formation of blood clots. Symptoms of DVT can include swelling, pain, and redness in the affected limb. Preventative measures often include mobilization, exercises to stimulate muscle contractions, and sometimes anticoagulant medications to prevent clotting.

For many elderly patients, the complications of immobility, such as during recovery from a hip fracture, can be life-threatening. Respiratory failure, pneumonia, pressure sores, and urinary tract infections are among the serious health risks associated with prolonged immobility.

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