283 exam 2
283 exam 2
hi - correct answer good luck
BR - correct answer bed rest (or bathroom depending on context)
BRP - correct answer bathroom privileges
BSC - correct answer bedside commode
Up ad lib - correct answer get up as tolerated
while bedrest is discouraged, when is it important to encourage bedrest? - correct answer to reduce
physical activity, O2 needs, pain
allow rest
encourage healing
prevent a complication like DVT or PE
what is the cause of kyphosis? - correct answer osteoporosis (most of the time)
when is lordosis common? - correct answer pregnancy
potentially obesity
what happens to a woman's risk of osteoporosis after menopause? - correct answer they are more at
risk for osteoporosis
also multiple pregnancies increase the risk
,common osteoporotic fractures locations - correct answer hips, femur, tibia, radius, vertebrae, ankle
"evils of immobility" - correct answer hypercalciumia
muscle atrophy
altered GI function including decreased peristalsis and appetite and constipation
altered metabolism of nutrients
fluid and electrolyte imbalances which can lead to an increased risk of infection or urinaristasis
negative nitrogen balance AEB low albumin level
overweight/obesity
CVD, diabetes, HT, DVT, etc.
respiratory immobility complications - correct answer decreased productive cough/pooling of secretions
or stagnant mucus --> pneumonia
hypostatic pneumonia (from bedrest/not moving)
loss of elasticity of the alveoli
decreased depth of respirations
atelectasis = lung collapse not from trauma
pneumothorax = lung collapse from trauma
atrophy of lungs --> not taking enough breaths
CV immobility complications - correct answer DVT, resultng in decreased venous return and decreased
CO and BP
orthostatic hypotension
increased cardiac workload
PE
hardening of arteries
decreased circulation
varicous veins
, musculoskeletal immobility complications - correct answer loss of strength, endurance, flexibility and
muscle mass
joint contractors (hands and feet)
accelerate bone loss with osteoporosis dx
foot drop
integumentary immobility complications - correct answer pressure on skin = loss of O2 to skin
weight on bony prominences
tenting of skin
higher risk of dehydration leading to more skin problems
skin breakdown, pressure injuries
genitourinary immobility complications - correct answer use of FC, risk of CAUTI
urinary stasis, risk of UTI and or renal calculi
decreased strength of bladder muscles
how many hours should mobility interventions should be in effect? - correct answer every 2 hours, but
could be more frequent than that
CVD assessments/interventions - correct answer check VS, edema, pain
dangle legs, move slowly, push pull devices, foot pumps, TED hose, SCD, anticoagulants
integumentary assessment/interventions - correct answer check skin every shift
turn every 2 hours, alternating pressure mattress, skin care, lift hips, WC pushups, float heels
What score on a braden scale is at a high risk for a pressure injury - a 6 or a 23? - correct answer a 6
283 exam 2
hi - correct answer good luck
BR - correct answer bed rest (or bathroom depending on context)
BRP - correct answer bathroom privileges
BSC - correct answer bedside commode
Up ad lib - correct answer get up as tolerated
while bedrest is discouraged, when is it important to encourage bedrest? - correct answer to reduce
physical activity, O2 needs, pain
allow rest
encourage healing
prevent a complication like DVT or PE
what is the cause of kyphosis? - correct answer osteoporosis (most of the time)
when is lordosis common? - correct answer pregnancy
potentially obesity
what happens to a woman's risk of osteoporosis after menopause? - correct answer they are more at
risk for osteoporosis
also multiple pregnancies increase the risk
,common osteoporotic fractures locations - correct answer hips, femur, tibia, radius, vertebrae, ankle
"evils of immobility" - correct answer hypercalciumia
muscle atrophy
altered GI function including decreased peristalsis and appetite and constipation
altered metabolism of nutrients
fluid and electrolyte imbalances which can lead to an increased risk of infection or urinaristasis
negative nitrogen balance AEB low albumin level
overweight/obesity
CVD, diabetes, HT, DVT, etc.
respiratory immobility complications - correct answer decreased productive cough/pooling of secretions
or stagnant mucus --> pneumonia
hypostatic pneumonia (from bedrest/not moving)
loss of elasticity of the alveoli
decreased depth of respirations
atelectasis = lung collapse not from trauma
pneumothorax = lung collapse from trauma
atrophy of lungs --> not taking enough breaths
CV immobility complications - correct answer DVT, resultng in decreased venous return and decreased
CO and BP
orthostatic hypotension
increased cardiac workload
PE
hardening of arteries
decreased circulation
varicous veins
, musculoskeletal immobility complications - correct answer loss of strength, endurance, flexibility and
muscle mass
joint contractors (hands and feet)
accelerate bone loss with osteoporosis dx
foot drop
integumentary immobility complications - correct answer pressure on skin = loss of O2 to skin
weight on bony prominences
tenting of skin
higher risk of dehydration leading to more skin problems
skin breakdown, pressure injuries
genitourinary immobility complications - correct answer use of FC, risk of CAUTI
urinary stasis, risk of UTI and or renal calculi
decreased strength of bladder muscles
how many hours should mobility interventions should be in effect? - correct answer every 2 hours, but
could be more frequent than that
CVD assessments/interventions - correct answer check VS, edema, pain
dangle legs, move slowly, push pull devices, foot pumps, TED hose, SCD, anticoagulants
integumentary assessment/interventions - correct answer check skin every shift
turn every 2 hours, alternating pressure mattress, skin care, lift hips, WC pushups, float heels
What score on a braden scale is at a high risk for a pressure injury - a 6 or a 23? - correct answer a 6
