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N158 Nursing Therapeutics > Activity & Mobility + Sleep > Flashcards

Activity & Mobility + Sleep Flashcards

1
Q

4 effects of immobility on respiration

A

decreased rate and depth of respiration, secretions pool, impaired gas exchange

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2
Q

3 effects of immobility on the GI system

A

protein metabolization is altered
decreased peristalsis
digestion and use of nutrients is altered

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3
Q

3 effects of immobility on the GU system

A

increased urinary stasis
increased risk for renal calculi
decreased bladder muscle tone

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4
Q

3 effects of immobility on the cardiovascular system

A

increased cardiac workload
increased risk for orthostatic hypotension
increased risk for venous thrombosis

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5
Q

1 effect of immobility on the metabolic system

A

risk for electrolyte imbalance

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6
Q

2 functions of sleep

A

restoration and protection

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7
Q

2 major stages of sleep

A

REM and NREM

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8
Q

What type of snack would a nurse offer a patient to promote sleep?

A

High carbohydrate and a little protein

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9
Q

bed wetting

A

enuresis

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10
Q

inability to sleep

A

insomnia

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11
Q

neurological disorder

inability to regulate sleep and wakefulness schedules

A

narcolepsy

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12
Q

teeth grinding during sleep

A

bruxism

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13
Q

excessive sleepiness or time spent sleeping

A

hypersomnia

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14
Q

sleep walking

A

somnambulism

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15
Q

repetitive limb motion during sleep

A

nocturnal myoclonus

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16
Q

24 hour body cycle

A

circadian rhythm

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17
Q

personal schedule of sleep and wakefulness

A

sleep-wake cycle

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18
Q

irresistible urge to move legs

A

restless leg syndrome

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19
Q

causes difficulty falling asleep and less time spent in REM

A

psychological stress

20
Q

3 questions to ask older patients concerning activity

A

have you fallen in the last year?
do you feel unsteady on your feet?
do you worry about falling?

21
Q

ALP

A

Alkaline phosphatase and isoenzymes

22
Q

ALP labs

A

increased with bone or liver damage

23
Q

Creatine kinase labs

CK-MM for skeletal muscle levels

A

increased when skeletal muscle is damaged

decreased when muscle mass decreases

24
Q

electrolyte labs

A

Serum calcium and serum phosphorus are inversely related

25
Q

X-rays

A

bone density
alignment
intactness

26
Q

CAT/CT scans

A

tissue density in sliced sections

27
Q

nuclear scans

A

view entire skeleton

28
Q

MRI

A

visualize bones, joints, and surrounding structures

29
Q

Ultrasonography

A

visualize tissue

30
Q

Electromyography (EMG)

A

evaluate muscle weakness

31
Q

Arthroscopy

A

visualize inside the joint

32
Q

Nursing diagnosis formula

A

NANDA stem
R/T (related to)
AEB (as evidenced by)
2* (secondary to)

33
Q

Guidelines for every nursing plan

A 
Measurable
Observable
Specific
Time-limited
Realistic
34
Q

What is the main goal of any nursing plan?

A

maintain, improve, or prevent complications

35
Q

3 positioning and turning interventions

A
  • therapeutic positioning
  • maintain proper body alignment
  • turning schedules
36
Q

intervention for joint mobility maintenance

A

daily ROM

37
Q

3 interventions for ambulation

A

dangle-stand-walk
Get Up and Go Test
safety

38
Q

Get Up and Go test

A

timed - quantify changes (dangle, stand, walk)

39
Q

Main goal of client teaching related to mobility

A

maintenance and prevention

40
Q

2 types of skeletal muscle relaxants

A

Dantrolene

Baclofen

41
Q

Action of Dantrolene

A

direct acting

decreases synaptic responses of neurotransmitters in muscle cells

42
Q

Action of Baclofen

A

central acting

depresses multisynaptic pathways in spinal cord

43
Q

effects of REM deprivation

A

excitability, confusion, emotional lability

44
Q

effects of NREM deprivation

A

withdrawal, excessive sleepiness, hyporesponsiveness

45
Q

effects of NREM and REM deprivation

A

fatigue
perceptional distortions
decrease concentration and judgement

N158 Nursing Therapeutics (8 decks)

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