Nur 2356 nur2356 multidimensional care i exam 2 mdc 1 exam 2 final review highly rated

NUR2356/NUR2356MultidimensionalCareIExam2/
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MDC 1 Exam2 Final Review | Highly Rated| Complete Guide
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| Latest FALL | Rasmussen College
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MDCEXAM 2 REVIEW c/t c /t c /t




1. Theeffects of Immobility
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a) Interventionsthatimproveflexibility c/t c/t c/t




• P.R.E.P.(PerformpassiveROM,RepositionQ2HR,Encourageindependentactivityas c/t c/t c/t c/t c/t c/t c/t c/t




much as possible even in bedrest, Provide assistive devices)
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• Know examples ofexercises for flexibility c/t c/t c/t c/ t c/ t




b) Assessment/Findings ofa patient withDVT c/t c/t c/t c/t c/t c/t




• Assessment
(1) Comparedistalpulses forpulsequality, observethecolor andtemp. of c/t c/t c/ t c/t c/t c/t c/t c/t c/t c/t c/t




extremities,evaluatesensationandmotion, anddeterminespeedofcapillary refill. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




Compare calf circumferences. c/t c/t c/t




• Findings
(1) Redness,warmth,tenderness,swelling(Thrombus formation), Peripheraland c/t c/t c/t c/t c/t c/t c/t




sacraledema. c/t




c) Identifypatients at risk for skinbreakdown c/t c/t c/t c/t c/t c/t




• Older adults, immobile, cognitive impairments, incontinence, poor nutrition/ c/t c/t c/t c/t c/t c/t c/t




malnutrition.Medications mayalso causevasoconstrictionandresult inpoortissue
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perfusion. c/t




2. BenefitsofExercise c/t c/t




a) Rationalefor weight bearingexercise c/t c/t c/t c/t




• Promotesbonereformationand growth(Makes bones stronger) c/t c/t c/t c/t c/t c/t c/t




• At least 3-5 times a week c/t c/t c/ t c/t c/ t




Identifybenefitsofexercise c/t c/t c/t c/t




• Bonereformationand growth c/t c/t c/t




• Cardiovascularhealthpromotion c/t c/t




• Promotesbalanceandstability c/t c/t c/t




• Reducestressand increase energylevels c/t c/t c/t c/t c/t




b) Identifybenefits ofexercise c/t c/t c/t




• Bonereformationand growth c/t c/t c/t




• Cardiovascularhealthpromotion c/t c/t




• Promotesbalanceandstability c/t c/t c/t




• Reducestressand increase energylevels c/t c/t c/t c/t c/t




• Improvespulmonarycirculation, skeletaldevelopment, skintone c/t c/t c/t c/t c/t c/t




• Reducessystemic inflammation c/t c/t




c) Identifynegative effectsofimmobilityonmusculoskeletalsystem c/t c/t c/t c/t c/t c/t c/t




• Osteoarthritis
• RheumatoidArthritis c/t




• Lossofmuscle strength c/t c/t c/t




• Impairedbalance c/t




• Alteredjoin mobility c/t c/t




• Decreasedstability c/t




• Osteoporosis
• Depression,isolation,anxiety,andmoodchange c/t c/t c/t c/t c/t




• Cancausedecreasedperistalsis c/t c/t c/t




d) Explainwaysto maintainproper posturefor aclient c/t c/t c/t c/t c /t c/t c /t c/t

, NUR2356/NUR2356MultidimensionalCareIExam2/
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MDC 1 Exam2 Final Review | Highly Rated| Complete Guide
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| Latest FALL | Rasmussen College
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•
Placethe spine ina neutralposition(Resting) c/t c/t c/t c/t c/t c/t




•
Thisallowsthebonestobealigned, reducestressand fatigue& musclejoints, and c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




ligament can work efficiently c/t c/t c/t c /t




• Avoidstanding in1position for along periodoftime c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




• Do not lock your kneeswhenstanding c/t c/t c/ t c/t c/t c/t




• Keep coretight and don’t bend at the waistor neck c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




• No slumping whensitting c/t c/t c/t




• Sit close to your workand use back support c/ t c/t c/t c/ t c/t c/t c/t c/t




• Sit with feet flat onfloor c/t c/t c/ t c/t c/t




• Sleep onfirm mattress c/t c/t c/ t




• Do not wear high heels for aprolongedtime, donot slump, and useachair that c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




supports your back. c/t c/ t c/ t




e) Identifyinterventions inminimizingcontractures(which isanegativeeffectof c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




immobility)
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• Gentlystraightenoutcontractedextremity, fingers. Etc c/t c/t c/t c/t c/t c/t




• Mobility-encouraginginterventionssuchaspassiveROM,and rotation. Flexionand c/t c/t c/t c/t c/t c/t c/t c/t c/t




extension exercises c/t c/t




• These interventionsshouldbeperformedabout every2hrsand asneeded ifthe c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




contractures are present c/t c/t c/t




3. Identifybed positions c/t c/t




• Semi-fowlers: Patient isontheir back withthehead raised between15 and 45 degrees. c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




• High-fowlers: Patient isontheir back withthe headofthebed raised between60 and 90 c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/ t c/t c/t c/t




degrees.
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• Prone: Lying ontheabdomen with the head turnedto oneside c/t c /t c/t c/t c/t c/t c/t c/t c/t c/t c/t




• Supine:Lying ontheback c/t c/t c/t c/t




• Sims:Patient liesontheir sidewiththe left thighslightlyflexedand therightthigh acutely
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flexed on the abdomen.
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• Trendelenburg'sPosition:Patient isontheirbackwhose lowersectionisinclined15-30 c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




degrees so that the head is lower than the body.
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• ReverseTrendelenburg'sPosition: Patientisinthesupinepositionwiththefeet facing c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




downward and head is inclined 15-30 degrees.
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• LateralPosition: Side lying position, and apillow isoftenplacedbetweenthelegs for c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t c/t




patient comfort
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4. Identify properbody mechanics formoving the patientsin bed c/t c/t c/t c/t c/t c /t c/t c/t c/t




• Transferboard c/t




• Mechanicallift c/t




• Transferbelt c/t




• What are the proper ways to movepatients inbed? c/t c/t c/t c/t c/t c/t c/t c/ t c/t




5. Explain howto use walkers to the elderly c /t c/t c/t c/t c/t c/t c/t




• Pushorlift your walker 6-12inches forward c/t c/t c/t c/t c/t c/t c/t




• Make sure all4 tips or wheels ofyour walker aretouching the ground beforetaking a step
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• Stepforward with your weakleg first c/t c/t c/t c/ t c/t c/t




• Thenstep forwardwith your other leg placing it infront ofthe weaker leg
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6. Be able toassessclient with diabetic neuropathy
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