Immobility pt 2 Flashcards
(32 cards)
What should you instruct a patient with hip issues not to do?
Do not bend at the waist
Do not cross legs
No 90 degree flexion
A client with respiratory distress, swallowing problems should be places in which position?
High fowlers
Significantly increased heart rate, uncomfortable legs and lower back, strain on tail bone, poor venous pressure is associated with?
High fowlers
The head of the bed is at 45-60 degrees, which position is this?
Fowler’s position
Decrease pooling of respiratory secretions and urinary stasis, promote lung expansion, used for feeding, respiratory therapy, NG tube insertion, nasotracheal suctioning are advantages of which position?
Fowler’s position
What should the nurse asses for if a client is in fowler’s position?
Assess and protext sacrum, heels, and cervical spine.
The head of the bed is at 30 degrees. Which position is this?
Semi-fowler’s
Which position aligns with the minimum elevation needed for tube feedings to prevent regurgitation?
Semi-fowlers
Which position prevents gastroesophageal reflux and aspiration?
Semi-fowlers
Compromises of respiratory and renal function is a possibility for which position?
Supine
Support cardiac function, allows elevation of extremities, good venous return, distribution of pressure are all supported with which position?
Supine
True or false: you should use full lateral position?
False
When shuld you use 30 degree lateral for clients?
When they are at risk for pressure injuries
Reduces pressure on the greater tronchanter, good sleeping position are all characteristics of?
Side lying or lateral position
What are the advantages of prone position?
Promotes oral drainage, prevents hip flexion contractures after lower extremity amputation
What are the disadvatanges of prone position?
Inhibits lung expansion, great effort to maintain alignment
Malfunction of major body systems, altered state of consciousness are causes of?
Immobility
Why is a client typically places on bed rest?
Musculoskeletal injury
What happens to the cardiovascular system during immobility?
Decrease cardiac reserve and increase in cardiac workload
Increase vasodilation and stasis
Risk of thrombus formation
What happens to the respiratory systems during immobility?
Decreased respiratory movement
Increases pooling and stagnation of secretion
Increased risk for atelectasis and pneumonia
What happens to the metabolic system during immobility?
Negative nitrogen balance
Negative calcium balance
Increase percentrage of body fat
Decreased metabolic rate
What happens to the urinary system during immobility
Increased urinary stasis and urinary calculi
Urinary retention
Increase risk of overflow incontinence
Increase risk of UTI
What happens to the GI system during immobility?
Slowing of peristalsis
Weakened defecation muscles
Risk of bowel obstruction
What happens to the integumentary system during immobility
Decreased skin turgor, increased risk of breakdown, delayed wound healing
