NU 301 Exam 3 Questions With Correct
Answers
You notice a respiratory change in your immobilized postoperative patient. The
| | | | | | | | | | |
change you note is most consistent with:
| | | | | |
A. atelectasis.
|
B. hypertension.
|
C. orthostatic hypotension.
| |
D. coagulation of blood. - CORRECT ANSWER✔✔-A. atelectasis
| | | | | | |
Metabolic NI for an immobilized pt - CORRECT ANSWER✔✔--high protein, high
| | | | | | | | | | |
calorie diet with vitamins B & C
| | | | | |
-may need enteral feedings
| | |
-assess likes and dislikes
| | |
-may need to feed the patient
| | | | |
Respiratory NI for an immobilized pt - CORRECT ANSWER✔✔--TCDB
| | | | | | | |
-prevention of atelectasis/ pneumonia | | | |
-incentive spirometer |
-PO hydration
|
CV NI for an immobilized pt - CORRECT ANSWER✔✔--TEDs/SCDs
| | | | | | | |
,-dangle legs prior to standing
| | | |
-ambulate
-heparin/ lovenox |
-ROM exercises (active and passive)
| | | |
Musculoskeletal NI for an immobilized pt - CORRECT ANSWER✔✔--assess for
| | | | | | | | | |
muscle atrophy |
-ROM exercises (active and passive)
| | | |
-appropriate diet |
Urinary and bowel NI for an immobilized pt - CORRECT ANSWER✔✔--I&O every
| | | | | | | | | | | |
24 hours
|
-be sure the pt is receiving the right amount and method of fluid (IV or PO)
| | | | | | | | | | | | | | |
-assess urine color and consistency
| | | | |
-assess bowel sounds, abdominal distention, and bowel patterns for consistency
| | | | | | | | | |
and frequency
|
What are the complications of being immobile? - CORRECT ANSWER✔✔--
| | | | | | | | |
muscular deconditioning (disuse atrophy, physiological, psychosocial, social)
| | | | | |
-endocrine metabolism (decreased appetite/ calorie intake, increased risk of elec
| | | | | | | | | |
imbalances)
-calcium resorption (increased risk of bone fracture)
| | | | | |
-GI (constipation, pseudodiarrhea)
| |
-respiratory changes (atelectasis, hypostatic pneumonia)
| | | |
, -CV (ortho hypotension, increased cardiac workload/ o2 consumption, risk of
| | | | | | | | | |
thrombus formation) |
-musculoskeletal (joint contractures, disuse osteoporosis) | | | |
-urinary elimination (stasis, renal calculi)
| | | |
-integumentary (pressure ulcers) | |
-psychosocial effects (depression, sensory alterations) | | | |
What are the common patient positions? - CORRECT ANSWER✔✔-Fowler's, high
| | | | | | | | | |
Fowler's, semi Fowler's, supine, prone, lateral, Sim's, Trendelenburg, reverse
| | | | | | | | |
Trendelenburg, dorsal recumbent | |
How to set up a pt with a cane for the first time? - CORRECT ANSWER✔✔--with
| | | | | | | | | | | | | | | |
pt standing, place cane 4 inches away from side of foot
| | | | | | | | | |
-top of cane should reach top of hip joint
| | | | | | | |
-want arm flexed about 30 degrees when holding the cane
| | | | | | | | |
-use: hold cane on unaffected side, injured leg moves with the cane
| | | | | | | | | | |
-keep cane on stronger side of body
| | | | | |
-place cane forward 6-10 inches keeping body weight on BOTH legs
| | | | | | | | | |
-weaker leg is moved forward, divide weight between cane and stronger leg
| | | | | | | | | | |
-stronger leg is advanced past cane, divide weight between cane and weaker leg
| | | | | | | | | | | |
How to set up a pt with a set of crutches for the first time? - CORRECT
| | | | | | | | | | | | | | | | |
ANSWER✔✔--2,3,4 point gait | |
-stairs= foot first when going up and crutch first when going down
| | | | | | | | | | |
Answers
You notice a respiratory change in your immobilized postoperative patient. The
| | | | | | | | | | |
change you note is most consistent with:
| | | | | |
A. atelectasis.
|
B. hypertension.
|
C. orthostatic hypotension.
| |
D. coagulation of blood. - CORRECT ANSWER✔✔-A. atelectasis
| | | | | | |
Metabolic NI for an immobilized pt - CORRECT ANSWER✔✔--high protein, high
| | | | | | | | | | |
calorie diet with vitamins B & C
| | | | | |
-may need enteral feedings
| | |
-assess likes and dislikes
| | |
-may need to feed the patient
| | | | |
Respiratory NI for an immobilized pt - CORRECT ANSWER✔✔--TCDB
| | | | | | | |
-prevention of atelectasis/ pneumonia | | | |
-incentive spirometer |
-PO hydration
|
CV NI for an immobilized pt - CORRECT ANSWER✔✔--TEDs/SCDs
| | | | | | | |
,-dangle legs prior to standing
| | | |
-ambulate
-heparin/ lovenox |
-ROM exercises (active and passive)
| | | |
Musculoskeletal NI for an immobilized pt - CORRECT ANSWER✔✔--assess for
| | | | | | | | | |
muscle atrophy |
-ROM exercises (active and passive)
| | | |
-appropriate diet |
Urinary and bowel NI for an immobilized pt - CORRECT ANSWER✔✔--I&O every
| | | | | | | | | | | |
24 hours
|
-be sure the pt is receiving the right amount and method of fluid (IV or PO)
| | | | | | | | | | | | | | |
-assess urine color and consistency
| | | | |
-assess bowel sounds, abdominal distention, and bowel patterns for consistency
| | | | | | | | | |
and frequency
|
What are the complications of being immobile? - CORRECT ANSWER✔✔--
| | | | | | | | |
muscular deconditioning (disuse atrophy, physiological, psychosocial, social)
| | | | | |
-endocrine metabolism (decreased appetite/ calorie intake, increased risk of elec
| | | | | | | | | |
imbalances)
-calcium resorption (increased risk of bone fracture)
| | | | | |
-GI (constipation, pseudodiarrhea)
| |
-respiratory changes (atelectasis, hypostatic pneumonia)
| | | |
, -CV (ortho hypotension, increased cardiac workload/ o2 consumption, risk of
| | | | | | | | | |
thrombus formation) |
-musculoskeletal (joint contractures, disuse osteoporosis) | | | |
-urinary elimination (stasis, renal calculi)
| | | |
-integumentary (pressure ulcers) | |
-psychosocial effects (depression, sensory alterations) | | | |
What are the common patient positions? - CORRECT ANSWER✔✔-Fowler's, high
| | | | | | | | | |
Fowler's, semi Fowler's, supine, prone, lateral, Sim's, Trendelenburg, reverse
| | | | | | | | |
Trendelenburg, dorsal recumbent | |
How to set up a pt with a cane for the first time? - CORRECT ANSWER✔✔--with
| | | | | | | | | | | | | | | |
pt standing, place cane 4 inches away from side of foot
| | | | | | | | | |
-top of cane should reach top of hip joint
| | | | | | | |
-want arm flexed about 30 degrees when holding the cane
| | | | | | | | |
-use: hold cane on unaffected side, injured leg moves with the cane
| | | | | | | | | | |
-keep cane on stronger side of body
| | | | | |
-place cane forward 6-10 inches keeping body weight on BOTH legs
| | | | | | | | | |
-weaker leg is moved forward, divide weight between cane and stronger leg
| | | | | | | | | | |
-stronger leg is advanced past cane, divide weight between cane and weaker leg
| | | | | | | | | | | |
How to set up a pt with a set of crutches for the first time? - CORRECT
| | | | | | | | | | | | | | | | |
ANSWER✔✔--2,3,4 point gait | |
-stairs= foot first when going up and crutch first when going down
| | | | | | | | | | |
