NUR 3100 Exam 1
3 Nursing Process - ANS-Diagnosis, interventions, outcome
what to do during a diagnosis - ANS-risk for injury r/t unsteady gait
What do you do during an intervention ? What actions are you going to take? - ANS-assist
device, gait belt, exercise plan
What happens during an outcome? - ANS-pt is injury free at discharge
What are the four nursing assessments (physical)? - ANS-gait, activity tolerance, muscle
strength, mobility
3 physiology of movement - ANS-skeletal system, muscles, and nervous system
what does the skeletal system do? - ANS-provides support
what do the muscles do? - ANS-move the bones around the joints
what does the nervous system do? - ANS-trigger the contractions
movement begins here
4 body mechanices - ANS-body alignment
balance
coordination (nervous system)
joint mobility (range of motion)
3 nursing assessment : psychosocial effects - ANS-assess mental status
assess emotional status
assess sleep-wake pattern
3 things a positioning device does? - ANS-1. maintain body alignment
2. prevent contractors
3. promote comfort
types of devices - ANS-trochanter roll
hand roll
special beds
pillows
, what does a trochanter roll do - ANS-provide support to the trochanter to prevent the hip from
popping
what is a hand roll? - ANS-wash clothe
special beds? - ANS-
Immobile patients are at risk for? - ANS-1.pressure injuries due to decrease circulation
2.impaired oxygen exchange to tissues
3. edema
4. atelectasis leading to pneumonia
5. blood clot formation
6. depression
7. constipation/ileus
Fowlers position degree
Semi-Fowlers position degree
High Fowlers position degree - ANS-60, 30, 90
Positioning the patient:
1.Orthopneic
2.later
3. lateral recumbent
4. sims
5. supine or dorsal recumbent - ANS-1.90 with tripod support
2.side lying with bent legs
3.side lying with straight legs
4.
5. on back but dorsal recumbent is with legs up
in a mechanical lift the ____ does the work - ANS-machine
in a standing assist device it - ANS-support to help you stand but from a sitting position
8 Factors Affecting Mobility and Activity - ANS-1. developmental stage: depends on age
2. nutrition: malnutrition
3. lifestyle: sedatory
4. stress
5. environmental factors
6. diseases and abnormalities
7. trauma
8. disorders of CNS
3 Nursing Process - ANS-Diagnosis, interventions, outcome
what to do during a diagnosis - ANS-risk for injury r/t unsteady gait
What do you do during an intervention ? What actions are you going to take? - ANS-assist
device, gait belt, exercise plan
What happens during an outcome? - ANS-pt is injury free at discharge
What are the four nursing assessments (physical)? - ANS-gait, activity tolerance, muscle
strength, mobility
3 physiology of movement - ANS-skeletal system, muscles, and nervous system
what does the skeletal system do? - ANS-provides support
what do the muscles do? - ANS-move the bones around the joints
what does the nervous system do? - ANS-trigger the contractions
movement begins here
4 body mechanices - ANS-body alignment
balance
coordination (nervous system)
joint mobility (range of motion)
3 nursing assessment : psychosocial effects - ANS-assess mental status
assess emotional status
assess sleep-wake pattern
3 things a positioning device does? - ANS-1. maintain body alignment
2. prevent contractors
3. promote comfort
types of devices - ANS-trochanter roll
hand roll
special beds
pillows
, what does a trochanter roll do - ANS-provide support to the trochanter to prevent the hip from
popping
what is a hand roll? - ANS-wash clothe
special beds? - ANS-
Immobile patients are at risk for? - ANS-1.pressure injuries due to decrease circulation
2.impaired oxygen exchange to tissues
3. edema
4. atelectasis leading to pneumonia
5. blood clot formation
6. depression
7. constipation/ileus
Fowlers position degree
Semi-Fowlers position degree
High Fowlers position degree - ANS-60, 30, 90
Positioning the patient:
1.Orthopneic
2.later
3. lateral recumbent
4. sims
5. supine or dorsal recumbent - ANS-1.90 with tripod support
2.side lying with bent legs
3.side lying with straight legs
4.
5. on back but dorsal recumbent is with legs up
in a mechanical lift the ____ does the work - ANS-machine
in a standing assist device it - ANS-support to help you stand but from a sitting position
8 Factors Affecting Mobility and Activity - ANS-1. developmental stage: depends on age
2. nutrition: malnutrition
3. lifestyle: sedatory
4. stress
5. environmental factors
6. diseases and abnormalities
7. trauma
8. disorders of CNS
