Multidimensional Care Final Exam with
complete solutions
Immobility gastrointestinal - correct answer-Slow Peristalsis, constipation, paralytic Illeus
Assessment after a fall - correct answer-Neurovascular check, call for help, notify physician, notify family
Cast care - correct answer-don't cover until dry, handle with palms of hands, don't rest on hard surfaces,
keep above level of heart, check pulses, color , sensation. Complication of cast is numbness, tingling, no
pulses, bluish color of the skin
closed fracture - correct answer-broken bone with no open wound
open fracture - correct answer-one in which the bone is broken and there is an open wound in the skin
transverse fracture - correct answer-occurs straight across the bone- caused by pressure from top and
bottom
spiral fracture - correct answer-a fracture in which the bone has been twisted apart
comminuted fracture - correct answer-fracture in which the bone is splintered or crushed
impacted fracture - correct answer-fracture in which bone fragments are pushed into each other
greenstick fracture - correct answer-one in which the bone is bent and only partially broken
oblique fracture - correct answer-Fracture that involves a separation from the two affected bones
Crepitus - correct answer-a crackling or grating sound usually of bones
,Osteoarthritis - correct answer-Loss of articular cartilage in the joint
DVT - correct answer-deep vein thrombosis- Prevention is prophylactic treatment with Lovenox, Ted
hose, SCD's (sequential compression devices), foot pumps
SCDs - correct answer-sequential compression devices
Promotion of Independence - correct answer-Allow patient to do as much Active range of motion/
encourage independent activity as possible
benefits of activity - correct answer-Improved CV and Respiratory health
--Decreased rates in CV disease
Improved strength and mobility
Maintenance of Bone Density
Maintenance of Healthy Weight and Metabolism
Improved
Psychosocial Health
posture - correct answer-Position of the body in relation to the surrounding space
Immobility - Musculoskeletal - correct answer-loss of 7-10% muscle strength per week, foot drop,
osteoporosis, decreased stability.
Immobility of the Genitourinary System - correct answer-Urinary Stasis / Retention
UTI
Renal Calculi
, Immobility: Respiratory - correct answer-decrease all muscle strengths including lungs, increases
secretion, decreased ventilation, decrease respiratory depth, air passage blockage can lead to
atelectasis.
Immobility of the Integumentary System - correct answer-- Pressure
- Shearing
- Bony prominences
- Pressure ulcers
-external pressure leads to compressed capillaries in the skin. Leads to tissue ischemia and eventual
necrosis.
Normal Vital Signs - correct answer-systolic: 90-120 (120) diastolic: systolic 60-80 (80), 12-20 respiration,
60-100 bpm, 96-99F
Home Safety (Infant) - correct answer-Risk for poisoning, carbon monoxide, burns, drowning,
suffocation/ smother is the leading cause of death by suffocation in infants.
never events - correct answer-Serious but preventable errors that should never occur
Fall prevention - correct answer-screenings, elements of focused history, physical examination,
functional assessment. adaption of the environment, minimization of psychoactive medications,
management of foot problems and footwear, exercise that emphasize balance, strength and gait
training.
Fall Risk - correct answer-Most reported- high risk is poor vision, cognitively impaired, weak, dizzy,
drowsy. Morse Fall Risk/ Scale- lower the number the less the risk of falling. Handrails in bathrooms,
ramp instead of stairs, wear rubber sole shoes, avoid scatter rugs, prevent clutter, avoid slippery floors.
Therapeutic communication - correct answer-Verbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.
importance of culture to health - correct answer-Culture is related to health behaviors
Culture is an important determinant of people's perceptions of illness
complete solutions
Immobility gastrointestinal - correct answer-Slow Peristalsis, constipation, paralytic Illeus
Assessment after a fall - correct answer-Neurovascular check, call for help, notify physician, notify family
Cast care - correct answer-don't cover until dry, handle with palms of hands, don't rest on hard surfaces,
keep above level of heart, check pulses, color , sensation. Complication of cast is numbness, tingling, no
pulses, bluish color of the skin
closed fracture - correct answer-broken bone with no open wound
open fracture - correct answer-one in which the bone is broken and there is an open wound in the skin
transverse fracture - correct answer-occurs straight across the bone- caused by pressure from top and
bottom
spiral fracture - correct answer-a fracture in which the bone has been twisted apart
comminuted fracture - correct answer-fracture in which the bone is splintered or crushed
impacted fracture - correct answer-fracture in which bone fragments are pushed into each other
greenstick fracture - correct answer-one in which the bone is bent and only partially broken
oblique fracture - correct answer-Fracture that involves a separation from the two affected bones
Crepitus - correct answer-a crackling or grating sound usually of bones
,Osteoarthritis - correct answer-Loss of articular cartilage in the joint
DVT - correct answer-deep vein thrombosis- Prevention is prophylactic treatment with Lovenox, Ted
hose, SCD's (sequential compression devices), foot pumps
SCDs - correct answer-sequential compression devices
Promotion of Independence - correct answer-Allow patient to do as much Active range of motion/
encourage independent activity as possible
benefits of activity - correct answer-Improved CV and Respiratory health
--Decreased rates in CV disease
Improved strength and mobility
Maintenance of Bone Density
Maintenance of Healthy Weight and Metabolism
Improved
Psychosocial Health
posture - correct answer-Position of the body in relation to the surrounding space
Immobility - Musculoskeletal - correct answer-loss of 7-10% muscle strength per week, foot drop,
osteoporosis, decreased stability.
Immobility of the Genitourinary System - correct answer-Urinary Stasis / Retention
UTI
Renal Calculi
, Immobility: Respiratory - correct answer-decrease all muscle strengths including lungs, increases
secretion, decreased ventilation, decrease respiratory depth, air passage blockage can lead to
atelectasis.
Immobility of the Integumentary System - correct answer-- Pressure
- Shearing
- Bony prominences
- Pressure ulcers
-external pressure leads to compressed capillaries in the skin. Leads to tissue ischemia and eventual
necrosis.
Normal Vital Signs - correct answer-systolic: 90-120 (120) diastolic: systolic 60-80 (80), 12-20 respiration,
60-100 bpm, 96-99F
Home Safety (Infant) - correct answer-Risk for poisoning, carbon monoxide, burns, drowning,
suffocation/ smother is the leading cause of death by suffocation in infants.
never events - correct answer-Serious but preventable errors that should never occur
Fall prevention - correct answer-screenings, elements of focused history, physical examination,
functional assessment. adaption of the environment, minimization of psychoactive medications,
management of foot problems and footwear, exercise that emphasize balance, strength and gait
training.
Fall Risk - correct answer-Most reported- high risk is poor vision, cognitively impaired, weak, dizzy,
drowsy. Morse Fall Risk/ Scale- lower the number the less the risk of falling. Handrails in bathrooms,
ramp instead of stairs, wear rubber sole shoes, avoid scatter rugs, prevent clutter, avoid slippery floors.
Therapeutic communication - correct answer-Verbal and nonverbal communication techniques that
encourage patients to express their feelings and to achieve a positive relationship.
importance of culture to health - correct answer-Culture is related to health behaviors
Culture is an important determinant of people's perceptions of illness
