Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

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Which complication is MOST likely to occur with spasticity if proper nursing measures are not implemented?

Fractures
Skin breakdown
Contractures
Fatigue

The correct answer is: Contractures

Contractures are the most likely complication to occur with spasticity when proper nursing measures are not implemented. Spasticity, which is characterized by abnormal muscle tightness due to prolonged contraction, can lead to the shortening of muscles and tendons over time. If interventions to manage spasticity, such as stretching exercises, positioning changes, and proper splinting, are neglected, the muscles can become increasingly tight. This tightening reduces the range of motion in the joints, leading to contractures, which are permanent and often painful shortening of muscles or tendons that restrict movement. Contractures can significantly impact a patient's mobility and quality of life, making it essential for nursing staff to implement appropriate care measures to prevent this complication. The other options, while they can be concerns in the context of spasticity, do not arise as directly or inevitably as contractures do when proper nursing care is absent. Fractures may arise in cases of falls or inappropriate movements, skin breakdown is primarily a result of pressure injuries from immobility, and fatigue is generally more related to overall activity levels and energy management rather than a direct consequence of spasticity alone.