Altered Functions Related to Immobility

Question 1

2 pulmonary reasons to reposition someone

Answer 1

• promotes pulmonary function

- promotes pulmonary drainage

Question 2

Why use the Tilt board?

Answer 2

• weight bearing on the long bones, prevent breakdown and renal stones
• use elastic stockings to prevent postural hypotension

Question 3

with immobility does cardiovascular workload increase or decrease?

Answer 3

increase and could eventually lead to tachycardia

Question 4

what does supine position help with?

Answer 4

• min hip flexion

Question 5

laying on the side

Answer 5

-drainage of oral secretions

Question 6

side with legs bent (sims)

Answer 6

-allows drainage of oral secretions via abdominal tension

Question 7

folwers

Answer 7

inc venous return and max lung expansion

Question 8

head and knees elevated slightly

Answer 8

inc venous return and maximal lung expansion

Question 9

feet 20 degress and head elevated modified trendelenburg

Answer 9

-inc venous return and increase blood tot he brain

Question 10

elevation of extremity

Answer 10

inc venous return

Question 11

flat on back and thighs flexed legs abducted

Answer 11

expose perineum

Question 12

prone

Answer 12

extends hip joint

Question 13

when would we use isometric exercises

Answer 13

-when the joint is immobile but we want to maintain the muscle strength

Question 14

if someone has a stronger and weaker side which side do you move the patient?

Answer 14

-toward the stronger side

Question 15

when using crutches where should the weight be

Answer 15

on hand-piece not on the axilla

Question 16

stairs and critches?

Answer 16

up with the good and down with the bad

Question 17

shift to the left

Answer 17

in in immature neutrophils

Question 18

highly sen C reactive protein is a marker for what?

Answer 18

inflammation

Question 19

most common hospitial aquired

Answer 19

UTI STAPH

Question 20

fears of surgery for toddler

Answer 20

-separation

Question 21

surgery fear preschooler

Answer 21

mutilation

Question 22

scholl age fear for surgery

Answer 22

loss of control

Question 23

adolescence fear of surgery

Answer 23

loss of independence being different from peers body image

Question 24

elderly fear 4 things

Answer 24

physical decline
dec independence
fear of death
fear of nursing home

Question 25

what to assess before teaching

Answer 25

- history of illness - why surgery - what kind of implications of surgery - client's readiness for learning

Question 26

what do when teaching about surgery

Answer 26

- elecit fears - clear misconceptions - explain procedure - lap tests - skin prepare - explain NPO - meds - teach post op producure - pain reporting

Question 27

should you be taking supplements before the surgery

Answer 27

-no stop them all 2-3 weeks before the procedure

Question 28

apical pulse

Answer 28

- most accurate form of assessment - PMI - 5th intercostal mid-clavicular

Question 29

enema

Answer 29

- PT on left side SIMS R leg flexed

Question 30

Presbycusis

Answer 30

loss of hearing in old pple

Question 31

small bp cuff

Answer 31

higher bp

Question 32

large bp cuff

Answer 32

lower bp

Question 33

Parenteral Nutrition

Answer 33

``` IV feeding a persom AA LIPIDS VITAMINS Glucose given to PT with very bad GI dysfunctioning ```

Question 34

Complications of PN

Answer 34

- catheter infection - liver disease - GI disease

Question 35

low residue diet

Answer 35

- dec bowl movements - inc time for bowl in intestine - little milk, milk products or pruine juice - also low fiber

Question 36

Femoral Angiogram

Answer 36

-dye in injected and then X ray is taken shows you blood flow and obstruction

Question 37

Elastic Stockings

Answer 37

help prevent thrombus aka compression socks helps inc in venous flow back up to the heart

Question 38

Bronchoscopy

Answer 38

monitor for sudden dyspnea which could indicate a bronchospasm -monitor for the return of the gag reflex should take 2 hours

Question 39

thoracentesis

Answer 39

- monitor for PT breathing on one side or if both are moving- pneuothroax Risk of pneumothorax: Observe for sudden shortness of breath, tracheal deviation, anxiety, and altered vital signs and decreased oxygen saturation. Assist patient with remaining still during the procedure to prevent trauma to the visceral pleura. Patient needs to hold breath and avoid coughing during the procedure.

Question 40

lumbar punture

Answer 40

- measure leg strength for baseline before the exam - check bladder distention for last voiding & allow PT to void before the procedure - spinal headache- teach pt to stay in the log position - NASIDS and Opiods for the pain - there should not be large amounts of drainage from the site

Question 41

Bone Marrow

Answer 41

- pain with happen | - apply pressure after the extraction

Question 42

``` Intake total drinks solid oxidative ```

Answer 42

2200-2700 oral-1100-1400 solid-800-1000 oxidative-300

Question 43

output | total

Answer 43

2200-2700 urine-1400 lungs- 500-600 GI-100-200

Question 44

Role of assivitve personal and RN in intake and output measurements and assessments

Answer 44

RN must assess, do any comparisons, record the input of an IV the only thing an assistive personal can do is measure the input or output and write it down.

Question 45

Hypoxia is a result of

Answer 45

-lack of oxygen to tissue bc no oxygen in the blood

Question 46

what level do we place patients when recieving tube feeding

Answer 46

semi fowlers- 30-45

Question 47

high fowlers when do we use it

Answer 47

feeding 90

Question 48

low folwers when do we use it

Answer 48

normal position 30

Question 49

moist to dry dressing cosequences

Answer 49

1. May adhere to healthy tissue Have the ability to collect exudates and debris 3. Primarily used to débride a wound bed 4. Available in many sizes and forms

Question 50

clear diet

Answer 50

liquid at room temp