nur2356 Exam 2 Study Guide 2021/2022

nur2356 Exam 2 Study Guide 2021/2022 1. Joint movement a. Flexion- flex arm, leg bent back b. Extension- arm straight, leg straight c. Abduction-arm/leg away from side d. Adduction- arm/leg toward center of body e. Circumduction- circular motion f. Opposition- touch thumbs to other fingers on same hand 2. RN interventions to improve respiratory function a. Turn, Cough and Deep breath every 2 hours b. Incentive spirometer every 2 hours while awake c. Use chest physiotherapy d. Encourage fluid intake of at least 2000 mL per day unless contraindicated e. Assess lungs, cough and sputum production at least every shift 3. RN movement to reduce injuries to herself—Movement should be _______ a. Keep body in line with center of gravity b. Keep feet spread to provide good base of support c. Lift with knees not your back d. The lower the center of gravity the easier to maintain balance. 4. RN Intervention if she can’t feel the pulses a. Check for lost of sensation, color, movement, temperature and nerve ending integrity specially in the affected areas. b. 5 P’s (Pain, pallor, paralysis, paresthesia, pulselessness) c. Use doppler to determine blood flow 5. Interventions to promote patient independence a. Involve clients in daily care b. Involve the client in planning of daily routine c. Encourage client to perform as many activities on their own as they can. 6. RN priority for an infected wound a. Place patient in contact precaution as soon as you suspect it infection (Stated this in clinical yesterday that would be on the test) i. If area is draining copious amounts of drainage b. Hyperbaric oxygen therapy c. May require wound irrigation and medicated beads i. Directly in contact with wound 7. Risk factors of immobility (GU, Respiratory, Integumentary, GI) a. GU i. Stagnant urine leading to increase in urinary tract infections ii. Kidney stone formation b. Respiratory i. Decreases all muscle strengths including the lungs