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461-Foundations > Immobility and Mobility Power Point > Flashcards

Immobility and Mobility Power Point Flashcards

1
Q

These are benefits of _____; Psychological, Sociological, Physiological

A

mobility

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2
Q

ADLs or ______ include bathing, ambulation, toileting, transfers, eating, and dressing.

A

activities of daily living

BATTED

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3
Q

_______ are the coordinated efforts of the musculoskeletal and nervous systems

A

body mechanics

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4
Q

______ reduces strain, aids in maintaining adequate muscle tone, promotes comfort, contributes to balance and conservation of energy.

A

alignment and balance (posture)

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5
Q

_______ is the weight force exerted on the body; always directed downward.

A

gravity

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6
Q

______ is the force that occurs in a direction opposite to movement (Consider larger objects are resistant to movement).

A

friction

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7
Q

“The hazards of nursing work can impair health both acutely and in the long term. These health outcomes include musculoskeletal injuries/disorders, other injuries, infections, changes in mental health, and in the longer term, cardiovascular, metabolic, and _____”

A

neoplastic diseases.

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8
Q

Nurses experience significant physical and psychological demands which include shift work, long hours, overtime, fast work pace, and many responsibilities and _____.

A

stressors

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9
Q

Agency within the U.S. Department of Health and Human Services and mission is to produce ______ to make health care safer, higher quality, more accessible, equitable, and affordable, and to work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used.

A

evidence

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10
Q

Patients with impaired body alignment require nursing care to maintain correct _____, such as supported Fowler’s, supine, prone, side-lying, and Sims’ positions.

A

positioning

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11
Q

Pathological influences on mobility include ______ which can be congenital or acquired.

A

postural abnormalities

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12
Q

Pathological influences on mobility include _______ such as muscular dystrophies - progressive symmetrical weakness and muscle wasting with increasing disability and deformity.

A

impaired muscle development

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13
Q

Pathological influences on mobility include ______ such as trauma, stroke, meningitis, Damage to cerebellum or cerebral cortex

A

damage tot he CNS

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14
Q

Pathological influences on mobility include _____ such as bruises, contusions, sprains, and fractures.

A

musculoskeletal trauma

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15
Q

______ is the ability to move about freely

A

mobility

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16
Q

______ is the Inability to move about freely

A

immobility

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17
Q

_____ is an intervention that restricts patients for therapeutic reasons

A

bed rest

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18
Q

When on bed rest _______ and lack of activity can result in a series of symptoms often referred to as hazards of immobility

A

deconditioning

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19
Q

Negative consequences of ______ include psychological, sociological and physiological (musculoskeletal, cardiovascular, respiratory, elimination and skin)

A

immobility

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20
Q

Hazards of immobility include systemic effects. Within the _________ system the endocrine system is effects as well as calcium absorption, and ______.

A

metabolic

gi function

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21
Q

Hazards of immobility include systemic effects. Within the _________ system include ______ and hypostatic pneumonia.

A

respiratory

atelectasis

22
Q

Hazards of immobility include systemic effects. Within the _________ system include orthostatic hypotension and thrombus.

A

cardiovascular

23
Q

Hazards of immobility include systemic effects. Within the _________ changes there is a loss of endurance and muscle mass and ______ and balance.

A

musculoskeletal

decreased stability

24
Q

Hazards of immobility include systemic effects. Within the _________ effects which include loss of muscle mass and muscle atrophy.

A

muscle

25
Q

Hazards of immobility include systemic effects. Within the _____ effects include impaired calcium absorption and joint abnormalities.

A

skeletal

26
Q

Hazards of immobility include systemic effects. Within the _________ elimination system they include urinary stasis and renal calculi.

A

urinary

27
Q

Hazards of immobility include systemic effects. Within the _________ system include pressure ulcer and ischemia.

A

integumentary

28
Q

Pscyhosocial effects of immobility include emotional and behavioral responses such as _______, giddiness, fear, and anxiety.

A

hostility

29
Q

Pscyhosocial effects of immobility include ______ alterations such as altered sleep patterns.

A

sensory

30
Q

Pscyhosocial effects of immobility include changes in _____ resulting in depression, sadness, and dejection.

A

coping

31
Q

In an assessment for activity you need to learn the following:

A 
Age
Home environment/home safety
Lifestyle/exercise patterns
Occupation/Education
Family history
Activity tolerance
ADLs
Nature  of current problems
Assistive devices
History of falls
32
Q

To do an assessment for activity you need to perform a _____. You start with a ROM and progress as long as the patient tolerates it (balance, gait, and exercise). Consider deconditioning and _____.

A

mobility assessment

dangling

33
Q

Key questions to ask during a mobility assessment include: Can the patient bear weight? Can the patient assist? ________.

A

Is the patient cooperative

34
Q

Box 28-3

A

?

35
Q

In the nursing process: assessment for mobility you need to know.

A

Gait (a particular manner or style of walking)
Exercise (physical activity for conditioning the body, improving health, and maintaining fitness)
Activity tolerance
Physiological
Emotional
Developmental
Activity intolerance
Monitor for symptoms such as dyspnea (difficult or labored breathing, fatigue, chest pain, and/or change in vital signs.

36
Q

Physical Assessment of the Musculoskeletal includes:

A 
Alignment
Posture
ROM
Muscle strength
Tone
Endurance
Joints
Skin
37
Q

Physical Assessment of the Neurologiccal includes:

A 
Nerves
Sensory perception
Balance
Coordination
Proprioception
38
Q

The nursing diagnosis should determine if there is impaired physical mobility and the _____.

A

activity tolerance

39
Q

In the nursing process during implementation (health promotion) prevention of work-related musculoskeletal injuries, exercise, and ____ in patients with osteoporosis.

A

bone health

40
Q

In the nursing process implementation (metabolic) a diet must be provided with high protein, high calories and with vitamin ______ supplements.

A

B an C

41
Q

In the nursing process implementation (respiration) the patient should cough and deep breathe every _____ hours as well as provide chest physiotherapy.

A

1 to 2

42
Q

n the nursing process implementation (cardiovascular) the patient should progress from bed to chair to _______. The patient should be using SCDs, TED hose, and preform leg exercises.

A

ambulation

43
Q

In the nursing process implementation (musculoskeletal) the patient should preform passive ROM CPM (continuous pass motion), and ______.

A

active ROM

44
Q

In the nursing process implementation (integumentary) the patient should be _____ every 1 to 2 hours and provide skin care.

A

repositioned

45
Q

In the nursing process implementation (elimination) the patient needs ______ and a diet rich in fluids, fruits, vegetables, and fiber.

A

adequate hydration

46
Q

In the nursing process implementation the patient should be _____ properly such the defined positions.

A

positioning

47
Q

A _____ transfer is the first policy.

A

safe

48
Q

When transferring a patient determine a _____ to assist.

A

patient’s ability

49
Q

When transferring a patient communicate actions to ____.

A

patient

50
Q

When transferring a patient use _______ resources.

A

appropriate

51
Q

With basic clinical safety make sure the bed is ____ and the wheels are locked. Make sure the upper side rails are up and the ____ is in reach. Make sure the personal care items near and toileting needs are met.

A

low

call bell

52
Q

With the safety guidelines communicate clearly and
mentally review transfer steps.
Assess patient mobility and _____. Determine if assistance needed.
Raise side rail on opposite side of bed. Arrange equipment. Evaluate _______.
Understand use of equipment.
Educate patient.

A

strength

body alignment

461-Foundations (45 decks)

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