NUR2090-LUMELY-FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
Hygiene and self care
bathing, shampooing, perineal care, foot care, back massage, bed making, toileting
Types of baths
bed bath (partial/complete), Sitz bath, tepid bath, perineal care, shower
Sitz bath
sit in, therapeutic
Tepid bath
sit in, to reduce fever
Altered Mobility
deecreased muscle tone and strength, lack of coordination, altered gait, falls, decreased
flexibility, activity intolerance, pain on moving
Normal Mobility
Alignment and postures balance, coordinated movement
Physiological impacts of mobility
increased risk of illness, decreased ROM, decreased lung, impaired gas exchange,
orthostatic hypotension, decreased metabolic rate, skin breakdown, pressure injury,
increased risk of UTI, decreased sleep quality.
,Psychological impacts of altered mobility
impaired appearance, body image, self concept, interferes with ADLs, increased stress,
depression, anxiety, anger, hinders sexuality
Interventions for altered mobility
ROM exercises, positioning, ambulating, transferring, assistive devices
Safety for musculoskeletal deficit
bed low, call bell, visual checks, safety belt, evaluate toileting ability
Preventing self injury
bend at knees, use large muscle groups in legs, assess situation, raise bed, use lifts or
assistive devices
Supination
palms up
pronation
palms down
flexion
pointing, decreasing angle
extension
straight, increasing joint angle.
Hip replacement precautions
abduction pillow, no bending at waist, early ambulation, weight bearing status
Chain of infection
infectious agent, reservoir/source, portal of exit, mode of transmission, portal of entry,
susceptible host
, Risk factors for infection
environment, therapeutic regimen, patient resistance
Droplet precautions
mask
Contact precautions
gown and gloves
airborne precautions
negative pressure, N95
Special/Cdiff precautions
gown & glove, soap and water
S&S of sepsis
increased HR & RR, fever, SOB, confusion, chills, nausea
Initial sepsis S&S
confusion, fever/hypothermia, low BP, increased HR, warm skin
Purpose of health assessment
collect, validate and organize data
To establish a baseline
Types of assessments
admission, focus, Timelapse, emergency
Subjective data
pt feelings/perception
Objective data
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
LATEST UPDATE
Hygiene and self care
bathing, shampooing, perineal care, foot care, back massage, bed making, toileting
Types of baths
bed bath (partial/complete), Sitz bath, tepid bath, perineal care, shower
Sitz bath
sit in, therapeutic
Tepid bath
sit in, to reduce fever
Altered Mobility
deecreased muscle tone and strength, lack of coordination, altered gait, falls, decreased
flexibility, activity intolerance, pain on moving
Normal Mobility
Alignment and postures balance, coordinated movement
Physiological impacts of mobility
increased risk of illness, decreased ROM, decreased lung, impaired gas exchange,
orthostatic hypotension, decreased metabolic rate, skin breakdown, pressure injury,
increased risk of UTI, decreased sleep quality.
,Psychological impacts of altered mobility
impaired appearance, body image, self concept, interferes with ADLs, increased stress,
depression, anxiety, anger, hinders sexuality
Interventions for altered mobility
ROM exercises, positioning, ambulating, transferring, assistive devices
Safety for musculoskeletal deficit
bed low, call bell, visual checks, safety belt, evaluate toileting ability
Preventing self injury
bend at knees, use large muscle groups in legs, assess situation, raise bed, use lifts or
assistive devices
Supination
palms up
pronation
palms down
flexion
pointing, decreasing angle
extension
straight, increasing joint angle.
Hip replacement precautions
abduction pillow, no bending at waist, early ambulation, weight bearing status
Chain of infection
infectious agent, reservoir/source, portal of exit, mode of transmission, portal of entry,
susceptible host
, Risk factors for infection
environment, therapeutic regimen, patient resistance
Droplet precautions
mask
Contact precautions
gown and gloves
airborne precautions
negative pressure, N95
Special/Cdiff precautions
gown & glove, soap and water
S&S of sepsis
increased HR & RR, fever, SOB, confusion, chills, nausea
Initial sepsis S&S
confusion, fever/hypothermia, low BP, increased HR, warm skin
Purpose of health assessment
collect, validate and organize data
To establish a baseline
Types of assessments
admission, focus, Timelapse, emergency
Subjective data
pt feelings/perception
Objective data
