Activity, immobility, and safe movement (Chapter 28)

Question 1

The ability to walk without the need of any kind of assistance.

Answer 1

Ambulation

Question 2

Transfer belts should be used for patients with what two things?

Answer 2

1. unsteady gait
2. generalized weakness

Question 3

How much room should there be between the patient and a transfer or gait belt?

Answer 3

2 fingers should fit between.

Question 4

On which side should the nurse stand when patient is ambulating?

Answer 4

Nurse should stand on the weak side and hold gait belt firmly at back of patient’s waist.

Question 5

When using a cane, the patient should hold the cane on their _______ side and move the cane forward ________, followed by the ________ leg and then the __________ leg.

Answer 5

Stronger; first; weak; strong

Question 6

What are the three different types of canes?

Answer 6

Quad cane, Curved handle aluminum cane, and offset handle cane.

Question 7

What are the two different types of crutches?

Answer 7

underarm and forearm crutches

Question 8

This pattern is used by patients in crutches who can bear partial weight on either or both lower extremities. Patients move one crutch forward simultaneously with the opposite leg, providing wide base for support.

Answer 8

2-Point crutch walking pattern

Question 9

This pattern is employed by patients who have 1 injured leg. Both crutches are placed forward and patients swing their legs to the center of their crutches.

Answer 9

3-point crutch walking pattern

Question 10

This pattern requires partial weight bearing on both lower extremities. Patient moves one crutch forward, followed by the opposing leg, and repeats the pattern by moving the opposite crutch and then the leg forward.

Answer 10

4-point crutch gait

Question 11

Metal ambulation aids that come with and without wheels. Can be used for patients who have weakness or balance problems or who are recovering from back or leg injuries.

Answer 11

Walkers

Question 12

Patients being discharged with assistive devices should have a __________ to ensure safety during ambulation.

Answer 12

Home assessment

Question 13

What is needed to decrease patient handling injuries? Includes lift technology, assistive devices, education, a culture of safety in the workplace, commitment from all involved parties, and and routine evaluation from the program.

Answer 13

Comprehensive safe patient handling approach

Question 14

A triangular device that is suspended above the bed to facilitate repositioning and transfers.

Answer 14

Trapeze

Question 15

The distance a joint can move in any direction that is considered normal for the patient.

Answer 15

Range of Motion

Question 16

What are the 3 types of Range of Motion?

Answer 16

1. Active ROM
2. Active assistive ROM
3. Passive ROM

Question 17

ROM: The patient has full independent movement of all joints; isotonic exercise

Answer 17

Active ROM

Question 18

ROM: the caregiver minimally assist the patient or the patient minimally assist oneself in the movement of joints through a full motion.

Answer 18

Active assistive ROM

Question 19

ROM: The caregiver moves the patient’s joints through a full motion. This exercise does not maintain or improve strength.

Answer 19

Passive ROM

Question 20

True or false: Can ROM activities be delegated to unlicensed assistive personnel (UAP).

Answer 20

True

Question 21

Deep vein thrombosis, pneumonia, elimination, and skin problems include some effects of __________.

Answer 21

Immobility

Question 22

What are some complementary therapies that can be used as adjunct to treat pain in elderly patients?

Answer 22

distraction, reminiscing, music therapy, thermal therapy, meditation, prayer, aromatherapy.