Immobility and Mobility Power Point

Question 1

These are benefits of _____; Psychological, Sociological, Physiological

Answer 1

mobility

Question 2

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

Answer 2

activities of daily living

BATTED

Question 3

_______ are the coordinated efforts of the musculoskeletal and nervous systems

Answer 3

body mechanics

Question 4

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

Answer 4

alignment and balance (posture)

Question 5

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

Answer 5

gravity

Question 6

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

Answer 6

friction

Question 7

“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 _____”

Answer 7

neoplastic diseases.

Question 8

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

Answer 8

stressors

Question 9

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.

Answer 9

evidence

Question 10

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

Answer 10

positioning

Question 11

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

Answer 11

postural abnormalities

Question 12

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

Answer 12

impaired muscle development

Question 13

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

Answer 13

damage tot he CNS

Question 14

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

Answer 14

musculoskeletal trauma

Question 15

______ is the ability to move about freely

Answer 15

mobility

Question 16

______ is the Inability to move about freely

Answer 16

immobility

Question 17

_____ is an intervention that restricts patients for therapeutic reasons

Answer 17

bed rest

Question 18

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

Answer 18

deconditioning

Question 19

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

Answer 19

immobility

Question 20

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

Answer 20

metabolic

gi function

Question 21

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

Answer 21

respiratory

atelectasis

Question 22

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

Answer 22

cardiovascular

Question 23

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

Answer 23

musculoskeletal

decreased stability

Question 24

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

Answer 24

muscle

Question 25

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

Answer 25

skeletal

Question 26

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

Answer 26

urinary

Question 27

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

Answer 27

integumentary

Question 28

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

Answer 28

hostility

Question 29

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

Answer 29

sensory

Question 30

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

Answer 30

coping

Question 31

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

Answer 31

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

Question 32

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 _____.

Answer 32

mobility assessment | dangling

Question 33

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

Answer 33

Is the patient cooperative

Question 34

Box 28-3

Answer 34

?

Question 35

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

Answer 35

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.

Question 36

Physical Assessment of the Musculoskeletal includes:

Answer 36

``` Alignment Posture ROM Muscle strength Tone Endurance Joints Skin ```

Question 37

Physical Assessment of the Neurologiccal includes:

Answer 37

``` Nerves Sensory perception Balance Coordination Proprioception ```

Question 38

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

Answer 38

activity tolerance

Question 39

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

Answer 39

bone health

Question 40

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

Answer 40

B an C

Question 41

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

Answer 41

1 to 2

Question 42

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.

Answer 42

ambulation

Question 43

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

Answer 43

active ROM

Question 44

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

Answer 44

repositioned

Question 45

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

Answer 45

adequate hydration

Question 46

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

Answer 46

positioning

Question 47

A _____ transfer is the first policy.

Answer 47

safe

Question 48

When transferring a patient determine a _____ to assist.

Answer 48

patient's ability

Question 49

When transferring a patient communicate actions to ____.

Answer 49

patient

Question 50

When transferring a patient use _______ resources.

Answer 50

appropriate

Question 51

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.

Answer 51

low | call bell

Question 52

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.

Answer 52

strength | body alignment