Musculoskeletal System:
Systemic effects for impaired mobility-
Urinary/elimination changes:
- ______1____________: a condition in which the bladder is not able to completely empty; the
bladder is a muscle and if it is weak and atrophies you are at a higher risk for this;
some urine will stay in the bladder which can lead to UTIs
- ______2__________: kidney stone; can obstruct ureter or urethra which will cause blockage
and can impede the flow of urine
,- ________3______: normal white blood cell count is 5,000-10,000; monitor patient for signs
of this; monitor output, color, consistency, and odor
Give this one a try later!
(1) urinary stasis
(2) renal calculi
(3) infection
Oxygenation:
Hazards and complications of oxygen therapy-
Oxygen-induced hypoventilation:
- _______1_________: retention of CO2
- _______2__________: loss of sensitivity to high levels of CO2
- ________________: new onset of crackles/decreased breath sounds
Give this one a try later!
(1) hypercarbia
(2) CO2 narcosis
(If patient has low O2 sat, make sure to start them on the lowest amount
of oxygen possible if they are chronic on air)
Oxygenation:
List some early signs of hypoxemia-
- _____1________
,- _____2__________
- _____3_________
- Tachypnea
- ____4__________
- Pale skin, mucous membranes
- Elevated BP
- Use of _____5________
- _____6__________ breath sounds
Give this one a try later!
(1) restlessness
(2) anxiety
(3) tachycardia
(4) confusion
(5) accessory muscles (nasal flaring, tracheal tugging)
(6) adventitious
Musculoskeletal System:
Risk factors when immobile-
Systemic effects for impaired mobility:
- Metabolic changes: ______1________, ______2______ absorption, and ____3_____ function
- Respiratory changes: _____4_________ and ________5___________
Give this one a try later!
(1) endocrine
(2) calcium
(3) GI
(4) atelectasis
(5) hypostatic pneumonia
, Musculoskeletal System:
Case Study: Victor Matthew, a 75-year-old male, is admitted from his healthcare
provider's office to the hospital for treatment of an infected, painful ulcer on the
plantar surface of his right foot. He tells the nurse that he took a pain pill with codeine
an hour ago.
What is the best therapeutic response made by the nurse?
A) Is there anything you would like to ask your healthcare provider?
B) What concerns do you have about being hospitalized?
C) We give good care to all our patients in this hospital.
D) Your healthcare provider has chosen the best hospital in the city.
Give this one a try later!
B (what concerns do you have about being hospitalized)
Oxygenation:
Clinical manifestations of respiratory distress-
- ________________: this occurs when you take a deep breath, then you purse lips to exhale
for a longer time (longer expiratory phase), helps get CO2 out; Respiration in which
the abdomen moves out while the diaphragm descends on inspiration.
Give this one a try later!
pursed-lip breathing (diaphragmatic breathing)
Systemic effects for impaired mobility-
Urinary/elimination changes:
- ______1____________: a condition in which the bladder is not able to completely empty; the
bladder is a muscle and if it is weak and atrophies you are at a higher risk for this;
some urine will stay in the bladder which can lead to UTIs
- ______2__________: kidney stone; can obstruct ureter or urethra which will cause blockage
and can impede the flow of urine
,- ________3______: normal white blood cell count is 5,000-10,000; monitor patient for signs
of this; monitor output, color, consistency, and odor
Give this one a try later!
(1) urinary stasis
(2) renal calculi
(3) infection
Oxygenation:
Hazards and complications of oxygen therapy-
Oxygen-induced hypoventilation:
- _______1_________: retention of CO2
- _______2__________: loss of sensitivity to high levels of CO2
- ________________: new onset of crackles/decreased breath sounds
Give this one a try later!
(1) hypercarbia
(2) CO2 narcosis
(If patient has low O2 sat, make sure to start them on the lowest amount
of oxygen possible if they are chronic on air)
Oxygenation:
List some early signs of hypoxemia-
- _____1________
,- _____2__________
- _____3_________
- Tachypnea
- ____4__________
- Pale skin, mucous membranes
- Elevated BP
- Use of _____5________
- _____6__________ breath sounds
Give this one a try later!
(1) restlessness
(2) anxiety
(3) tachycardia
(4) confusion
(5) accessory muscles (nasal flaring, tracheal tugging)
(6) adventitious
Musculoskeletal System:
Risk factors when immobile-
Systemic effects for impaired mobility:
- Metabolic changes: ______1________, ______2______ absorption, and ____3_____ function
- Respiratory changes: _____4_________ and ________5___________
Give this one a try later!
(1) endocrine
(2) calcium
(3) GI
(4) atelectasis
(5) hypostatic pneumonia
, Musculoskeletal System:
Case Study: Victor Matthew, a 75-year-old male, is admitted from his healthcare
provider's office to the hospital for treatment of an infected, painful ulcer on the
plantar surface of his right foot. He tells the nurse that he took a pain pill with codeine
an hour ago.
What is the best therapeutic response made by the nurse?
A) Is there anything you would like to ask your healthcare provider?
B) What concerns do you have about being hospitalized?
C) We give good care to all our patients in this hospital.
D) Your healthcare provider has chosen the best hospital in the city.
Give this one a try later!
B (what concerns do you have about being hospitalized)
Oxygenation:
Clinical manifestations of respiratory distress-
- ________________: this occurs when you take a deep breath, then you purse lips to exhale
for a longer time (longer expiratory phase), helps get CO2 out; Respiration in which
the abdomen moves out while the diaphragm descends on inspiration.
Give this one a try later!
pursed-lip breathing (diaphragmatic breathing)
