Immobility

45問 • 2年前

ユーザ名非公開

通報

問題一覧

What spine deformity is pictured?

Kyphosis

When doing assessment of the skeletal system should you look at the injured side first, or the uninjured side first?

Injured

What joint movement is pictured?

flexion

What joint movement is pictured?

extension

What joint movement is pictured?

Abduction

What joint movement is pictured?

Adduction

what joint movement is the hand showing?

supination

What joint movement is the hand showing?

pronation

What joint movement is pictured?

circumduction

What joint movement is pictured?

Eversion

What joint movement is pictured?

Inversion

What joint movement is pictured?

rotation

What joint movement is pictured?

Retraction

What joint movement is pictured

Protraction

What joint movement is pictured?

elevation

What joint movement is picture?

depression

No muscle contraction is detected. Is what grade on the muscle strength scale.

A trace contraction is noted in the muscle by palpating the muscle while the patient attempts to contract it. What is this grade on the muscle strength scale?

The patient is able to actively move the muscle when gravity is eliminated. What grade is this on the muscle strength scale?

The patient may move the muscle against gravity but not against resistance from the examiner. What grade is this on the muscle strength scale?

The patient may move the muscle group against some resistance from the examiner. What grade is this on the muscle strength scale?

The patient moves the muscle group and overcomes the resistance of the examiner. This is normal muscle strength. What grade is this on the muscle strength scale?

Select the different types of immobility

Post op (hip, knee, shoulder, etc), Permenent (paraplegia, luegerigs), Sudden onset (fractured arm etc), Slow onset (ms, Parkinson’s)

Select the factors effecting mobility

Developmental considerations (ages), Physical health, Mental health, Lifestyle, Attitude and values, Fatigue and stress, External factors (weather, financial, living situation)

Select the metabolic effects of immobility.

Alterations in fluid and electrolytes, Meabolism slows down

Select the respiratory effects of immobility.

⬇️Depth and rate of respiration, Pooling of secretions ⬆️risk of pneumonia, Impaired gas exchange, Assess pulse O2, lung sounds

Select the cardiovascular effects of immobility.

Orthostatic hypotension (dizzy, lightheaded), Stasis of blood in legs, ⬆️risk of DVT, ⬇️Cardiac output, ⬆️Cardaic workload

Select the integumentary effects of immobility.

⬆️ pressure on skin, ⬇️ circulation to tissue causing ischemia, check skin once every shift, ⬆️ protein in diet

Select the Musculoskeltal effects of immobility.

Impaired balance, Atrophy of muscles (size, tone, and strength all ⬇️), At risk for contractures (premenant shortening and hardening of muscles and and tendons), ⬇️Joint mobility

Select the effects of immobility on the genitourinary sytem.

Urinary stasis, ⬇️fluid intake, Risk of UTIs and kidney stones

Select the effects of immobility on the gastrointestinal system.

⬇️Peristalsis, ⬇️Fluid intake

Select the psychosocial effects of immobility.

Depression, Ineffective coping, Withdrawl, Hostility, Altered sleep/wake pattern, lower energy

True or false? People who are immobile should consume a high protein diet with vitamin B&C supplements

True

To prevent respiratory complications of immobility the nurse should encourage the patient to do what?

Cought and deep breath very 1-2 hours, Chest physiotherapy is another intervention.

What are interventions to prevent DVT in patients with decreased mobility or immobility?

SCDs, Graduated compression stockings, ROM exercises i.e. ankle pumps, foot circles, knee flexion, Administer an anticoagulant (heparin, if refused call Dr.!)

When assessing a patients response to activity when should the vital signs be checked? (select all)

Before, During, After

Select interventions for preventing injury to the integumentary system due to immobility.

Use corrective devices (foot boots, wedge pillows), Turn every 1-2 hours, Sit in a chair 1 hr limit, shift weight every 15 mins, Increase protein in diet, Keep skin and perinium dry and clean

Select interventions for the elimination system.

Maintain hydration, Stool softeners, Bladder and bowel training

Select the psychosocial interventions.

Coping skills, Schedule for therapies, Invovle clients in daily care, Provide stimuli

Select the correct sizing and way of using a walker to ambulate.

15-30 degree bend in elbow, Wrist crease should line up with hand grips, Starting position back tips of walker need to match up with middle of foot, Lift and move walker forward ensuring all four legs are on the ground, Move weak side forward first then put weight on hands then move the strong side forward

What side of the body should the cane be used on?

The stronger side

What is the proper way to use a cane?

Move cane with weak side together then the strong side forward

For using a cane on stairs what is the correct order?

Up with the good (leg), down with the bad (leg) first

Select the proper fit for crutches.

1-1.5” gap between axillae and rest pad of the crutch, The hand grip should even with the top of their hip line, The elbow needs to be bent at 20-30 degree, Crutches 6” diagonally from the feet straight back, hips, head and neck no weight on axillae

How should crutches be used on stairs?

Going up good leg goes first then crutches then the bad leg, Going down crutches go first followed by bad leg then the long leg

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45問 • 1年前

ユーザ名非公開

問題一覧

What spine deformity is pictured?

Kyphosis

When doing assessment of the skeletal system should you look at the injured side first, or the uninjured side first?

Injured

What joint movement is pictured?

flexion

What joint movement is pictured?

extension

What joint movement is pictured?

Abduction

What joint movement is pictured?

Adduction

what joint movement is the hand showing?

supination

What joint movement is the hand showing?

pronation

What joint movement is pictured?

circumduction

What joint movement is pictured?

Eversion

What joint movement is pictured?

Inversion

What joint movement is pictured?

rotation

What joint movement is pictured?

Retraction

What joint movement is pictured

Protraction

What joint movement is pictured?

elevation

What joint movement is picture?

depression

No muscle contraction is detected. Is what grade on the muscle strength scale.

A trace contraction is noted in the muscle by palpating the muscle while the patient attempts to contract it. What is this grade on the muscle strength scale?

The patient is able to actively move the muscle when gravity is eliminated. What grade is this on the muscle strength scale?

The patient may move the muscle against gravity but not against resistance from the examiner. What grade is this on the muscle strength scale?

The patient may move the muscle group against some resistance from the examiner. What grade is this on the muscle strength scale?

The patient moves the muscle group and overcomes the resistance of the examiner. This is normal muscle strength. What grade is this on the muscle strength scale?

Select the different types of immobility

Post op (hip, knee, shoulder, etc), Permenent (paraplegia, luegerigs), Sudden onset (fractured arm etc), Slow onset (ms, Parkinson’s)

Select the factors effecting mobility

Developmental considerations (ages), Physical health, Mental health, Lifestyle, Attitude and values, Fatigue and stress, External factors (weather, financial, living situation)

Select the metabolic effects of immobility.

Alterations in fluid and electrolytes, Meabolism slows down

Select the respiratory effects of immobility.

⬇️Depth and rate of respiration, Pooling of secretions ⬆️risk of pneumonia, Impaired gas exchange, Assess pulse O2, lung sounds

Select the cardiovascular effects of immobility.

Orthostatic hypotension (dizzy, lightheaded), Stasis of blood in legs, ⬆️risk of DVT, ⬇️Cardiac output, ⬆️Cardaic workload

Select the integumentary effects of immobility.

⬆️ pressure on skin, ⬇️ circulation to tissue causing ischemia, check skin once every shift, ⬆️ protein in diet

Select the Musculoskeltal effects of immobility.

Impaired balance, Atrophy of muscles (size, tone, and strength all ⬇️), At risk for contractures (premenant shortening and hardening of muscles and and tendons), ⬇️Joint mobility

Select the effects of immobility on the genitourinary sytem.

Urinary stasis, ⬇️fluid intake, Risk of UTIs and kidney stones

Select the effects of immobility on the gastrointestinal system.

⬇️Peristalsis, ⬇️Fluid intake

Select the psychosocial effects of immobility.

Depression, Ineffective coping, Withdrawl, Hostility, Altered sleep/wake pattern, lower energy

True or false? People who are immobile should consume a high protein diet with vitamin B&C supplements

True

To prevent respiratory complications of immobility the nurse should encourage the patient to do what?

Cought and deep breath very 1-2 hours, Chest physiotherapy is another intervention.

What are interventions to prevent DVT in patients with decreased mobility or immobility?

SCDs, Graduated compression stockings, ROM exercises i.e. ankle pumps, foot circles, knee flexion, Administer an anticoagulant (heparin, if refused call Dr.!)

When assessing a patients response to activity when should the vital signs be checked? (select all)

Before, During, After

Select interventions for preventing injury to the integumentary system due to immobility.

Use corrective devices (foot boots, wedge pillows), Turn every 1-2 hours, Sit in a chair 1 hr limit, shift weight every 15 mins, Increase protein in diet, Keep skin and perinium dry and clean

Select interventions for the elimination system.

Maintain hydration, Stool softeners, Bladder and bowel training

Select the psychosocial interventions.

Coping skills, Schedule for therapies, Invovle clients in daily care, Provide stimuli

Select the correct sizing and way of using a walker to ambulate.

What side of the body should the cane be used on?

The stronger side

What is the proper way to use a cane?

Move cane with weak side together then the strong side forward

For using a cane on stairs what is the correct order?

Up with the good (leg), down with the bad (leg) first

Select the proper fit for crutches.

How should crutches be used on stairs?

Going up good leg goes first then crutches then the bad leg, Going down crutches go first followed by bad leg then the long leg