BRAND NEW 2023 RASMUSSEN_MDC1_FINAL EXAM WITH QUESTIONS AND ANSWERS GRADED A++
BRAND NEW 2023 RASMUSSEN_MDC1_FINAL EXAM WITH QUESTIONS AND ANSWERS GRADED A++ Nursing interventions for immobility of musculoskeletal system?: · Per-form : Perform Passive Range on Motion (PROM) · Reposition : Reposition every 2 hrs. · Encourage : Encourage independent activity as possible even in best rest (AROM) · Provide : Provide assistance devices if needed What are purposes for positioning/repositioning your patient?: o Preventskin breakdown o Prevent muscle discomfort o Prevent damage to superficial nerves and blood vessels o Prevent contractures What are common positioning devices and their purposes?: o Trochanterroll o Hand roll o Abduction pillow o Cradle boots o Foot board **INSERT PURPOSES FOR EACH ONE What are some devices used to move and transfer a patient safely?: oTransfer board o Mechanical Lift o Transfer belt What are some things to use or do for gait and strength training?: o Rangeof motion exercises o Dangling o Assisting with walking: Canes 2 / 9 Walkers Crutches 3 / 9 Effects of immobility on the respiratory system?: Decrease in the depth ofrespiration Pooling of secretions in the airways Decrease ability to effectively cough Leads to atelectasis Common nursing interventions for a patient whose respiratory system isbeing affected by immobility?: o Turn, Cough and Deep breath every 2 hours o Incentive spirometer every 2 hours while awake o Use chest physiotherapy o Encourage fluid intake of at least 2000 mL per day unless contraindicated o Assess lungs, cough, and sputum production at least every shift Effects of immobility on the circulatory system?: Increases the workloadof the heart Promotes venous stasis Orthostatic hypotension Risk of thrombus formation
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