Sherpath Ch 36: Mobility

Question 1

what helps nurses analyzes activity cues by determining the relationship between information/observations gathered

Answer 1

-determining relationship between cues: physical observation and medical records
-organize and link cues: Categories for connecting/grouping could be related to type of mobility problem, body system affected, unexpected findings from the assessment (especially common alterations in mobility), findings from diagnostic tests, or a combination of these
-consider relevance of cues

Question 2

what does mobility hypotheses include?

Answer 2

include Impaired Mobility, Paralysis, Fall, and Activity Intolerance. These hypotheses can be actual or “risk for” problems, such as Fall or Risk for Fall

Question 3

impaired mobility

Answer 3

-Any type of musculoskeletal injury or surgery
-Inability to ambulate independently
-Limited range of motion
-Fractures
-Contractures
-Amputations
-Cause: Any physical alterations that compromise mobility

Question 4

paralysis

Answer 4

Quadriplegic
Paraplegic
Hemiplegic
Inability to move
Loss of sensation
-Cause: Inability to move related to alterations in neurologic and/or muscular functioning

Question 5

fall or risk for fall (if a fall has not yet occurred)

Answer 5

-Altered mobility
-Fell at home
-Weakness
-Light-headedness
-Cerebellum injury/damage
-Inner ear injury/infection
-Orthostatic hypotension
-Fall risk scores indicate high risk for falls
-Reduced bone density
-Cause: Inability to maintain a stable position due to skeletal, muscular, or neurologic alterations

Question 6

activity intolerance

Answer 6

-Dyspnea on exertion
-Oxygen saturation reading below 90% during activity
-Pulse rate increases to above 100 beats/min with activity
-Compromised ability to complete tasks
-Hard to complete activities of daily living
Cause: Inability to perform tasks related to compromised musculoskeletal, cardiac, and/or lung functioning

Question 7

Other ICNP diagnosis/hypothesis

Answer 7

-Risk for Deep Vein Thrombosis
-Weakness
-Impaired Skin Integrity or Risk for Impaired Skin Integrity
-Anorexia Deficient Food Intake or Risk for Deficient Food Intake
-Constipation or Risk for Constipation
-Social Isolation or Risk for Social Isolation

Question 7

what is the SMART method

Answer 7

specific, measurable, assignable, relevant, time-based
-expected outcomes from mobility hypotheses