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Terms in this set (50)
What is the significance of falls in Falls are a leading cause of inpatient injury and
healthcare? prolonged hospitalization.
What often precedes abnormal vital Many falls occur before abnormal vital signs are
signs in patients? documented.
What is a core nursing principle Function fails before numbers.
regarding function and vital signs?
What does neuroregulation maintain? Alertness, orientation, sensory processing, balance,
and movement coordination.
Why is the brain considered a sentinel It uses ~20% of total body oxygen and is highly
organ? sensitive to perfusion and metabolic changes.
What are the two branches of the Sympathetic (fight/flight) and Parasympathetic
autonomic nervous system? (rest/digest).
What factors can impair neurologic Oxygen delivery, cerebral perfusion, metabolic and
function? electrolyte balance, medications.
What are early indicators of Changes in level of consciousness, endurance, gait,
neurologic instability? and balance.
, What is the role of the central nervous Processes information and initiates movement.
system (CNS)?
What does the peripheral nervous Sensory input (proprioception, pain) and motor
system (PNS) control? output (muscle contraction).
What happens to vital signs during Vital signs may appear normal during compensation
physiological stress? even as function and cognition decline.
What is the relationship between Compensation can hide physiologic stress,
compensation and fall risk? increasing fall risk.
How do nurses assess mobility safety? By interpreting assessment data, orthostatic vital
signs, and selected laboratory values.
What should nurses implement to Appropriate nursing interventions to protect patient
reduce fall risk? safety.
What is the importance of recognizing Preventing complications like pneumonia, DVT,
early instability? pressure injuries, and deconditioning.
What does the autonomic nervous Heart rate, blood pressure, vascular tone, and
system control? response to position change.
What is the impact of immobility on It contributes to pneumonia, DVT, pressure injuries,
patient health? and deconditioning.
What is the first physiological change Function and cognition decline first before vital signs
in patient decline? change.
What is the role of nursing judgment in To determine when ambulation is safe, assisted,
patient mobility? delayed, or contraindicated.
What does the term 'upstream factors' Physiologic factors that affect neurologic function
refer to? before visible symptoms appear.