NURS 3105 Exam 2 | Nursing Assessment & Evidence-Based Practice Review
What is rehabilitation? - (ANSWER)Interdisciplinary healthcare specialty
What are the different types of rehabilitation services? - (ANSWER)-Inpatient
-Long term acute care
-Subacute
-outpatient
What are the roles of rehab nurses? - (ANSWER)-Teacher
-Caregiver
-Collaborator
-Advocate
How does immobility affect the cardiovascular system? - (ANSWER)-Decrease peripheral circulation
-Cause increased workload for heart
-Peripheral Edema
-Ischemia
-Increased risk of thrombus formation
What contributes to venous thrombus formation? - (ANSWER)Virchow's Triad
What are the factors of Virchow's Triad? - (ANSWER)-Vascular Trauma
-Increased Coagulability
-Reduced Blood Flow (stasis)
How does immobility affect the respiratory system? - (ANSWER)-Increased risk of atelectasis and
pneumonia
-Weak productive cough ability
,NURS 3105 Exam 2 | Nursing Assessment & Evidence-Based Practice Review
Why do immobile pts have increased risk of atelectasis and pneumonia? - (ANSWER)Decreased lung
function
For immobile pts, what can they use to increase lung function? - (ANSWER)Incentive Spirometer
How does immobility affect metabolic processes? - (ANSWER)-Decline response to lower cellular energy
requirements
-Slower to recover
-Impaired calcium metabolism (hypercalcemia)
How does immobility affect GI system? - (ANSWER)-Slower intestinal processes
-Increased risk of constipation
How does immobility affect the urinary system? - (ANSWER)-Remaining in recumbent position
increasing risk of urine reflux to kidneys
-Toileting and peri care more difficult
Remaining in recumbent position causing urine reflux into kidneys leads to what? - (ANSWER)-Acute
kidney injury
-Renal Calculus Formation
-Infection
Inadequate or infrequent peri care leads to what? - (ANSWER)-Skin breakdown
-Infection
-Negative self imaage
Immobility can affect the skin how? - (ANSWER)-Ischemia
-Pressure Injuries
Why do pressure injuries develop? - (ANSWER)Lack of available blood, oxygen, and nutrients
, NURS 3105 Exam 2 | Nursing Assessment & Evidence-Based Practice Review
To combat pressure injuries how often do you move someone in bed? Chair? - (ANSWER)Bed: q.2h
Chair: q.30min
Chair repositioning includes how many minutes of pressure relief? - (ANSWER)2 minutes
How long does capillary refill take in muscles? - (ANSWER)1 min and 50 seconds
How does immobility affect musculoskeletal system? - (ANSWER)-Disease
-Tendons and ligaments to tighten or shorten
-Increase bone resorption
Disease can cause muscle tissue to __________. - (ANSWER)Atrophy
The tightening or shortening of tendons and ligaments can cause what? - (ANSWER)Painful contractures
of joints and loss of function/ROM
How does immobility affect psychosocial? - (ANSWER)-Mood
-Sleep patterns
What can be used on high pressure areas to prevent further injury? - (ANSWER)-Pillows
-Wedges
-Gel/foam pads
-Sliding sheets or tubes
-Limb Braces
What are the different bed positioning techniques? - (ANSWER)-Supported Fowlers
-Prone
-Supine
What is rehabilitation? - (ANSWER)Interdisciplinary healthcare specialty
What are the different types of rehabilitation services? - (ANSWER)-Inpatient
-Long term acute care
-Subacute
-outpatient
What are the roles of rehab nurses? - (ANSWER)-Teacher
-Caregiver
-Collaborator
-Advocate
How does immobility affect the cardiovascular system? - (ANSWER)-Decrease peripheral circulation
-Cause increased workload for heart
-Peripheral Edema
-Ischemia
-Increased risk of thrombus formation
What contributes to venous thrombus formation? - (ANSWER)Virchow's Triad
What are the factors of Virchow's Triad? - (ANSWER)-Vascular Trauma
-Increased Coagulability
-Reduced Blood Flow (stasis)
How does immobility affect the respiratory system? - (ANSWER)-Increased risk of atelectasis and
pneumonia
-Weak productive cough ability
,NURS 3105 Exam 2 | Nursing Assessment & Evidence-Based Practice Review
Why do immobile pts have increased risk of atelectasis and pneumonia? - (ANSWER)Decreased lung
function
For immobile pts, what can they use to increase lung function? - (ANSWER)Incentive Spirometer
How does immobility affect metabolic processes? - (ANSWER)-Decline response to lower cellular energy
requirements
-Slower to recover
-Impaired calcium metabolism (hypercalcemia)
How does immobility affect GI system? - (ANSWER)-Slower intestinal processes
-Increased risk of constipation
How does immobility affect the urinary system? - (ANSWER)-Remaining in recumbent position
increasing risk of urine reflux to kidneys
-Toileting and peri care more difficult
Remaining in recumbent position causing urine reflux into kidneys leads to what? - (ANSWER)-Acute
kidney injury
-Renal Calculus Formation
-Infection
Inadequate or infrequent peri care leads to what? - (ANSWER)-Skin breakdown
-Infection
-Negative self imaage
Immobility can affect the skin how? - (ANSWER)-Ischemia
-Pressure Injuries
Why do pressure injuries develop? - (ANSWER)Lack of available blood, oxygen, and nutrients
, NURS 3105 Exam 2 | Nursing Assessment & Evidence-Based Practice Review
To combat pressure injuries how often do you move someone in bed? Chair? - (ANSWER)Bed: q.2h
Chair: q.30min
Chair repositioning includes how many minutes of pressure relief? - (ANSWER)2 minutes
How long does capillary refill take in muscles? - (ANSWER)1 min and 50 seconds
How does immobility affect musculoskeletal system? - (ANSWER)-Disease
-Tendons and ligaments to tighten or shorten
-Increase bone resorption
Disease can cause muscle tissue to __________. - (ANSWER)Atrophy
The tightening or shortening of tendons and ligaments can cause what? - (ANSWER)Painful contractures
of joints and loss of function/ROM
How does immobility affect psychosocial? - (ANSWER)-Mood
-Sleep patterns
What can be used on high pressure areas to prevent further injury? - (ANSWER)-Pillows
-Wedges
-Gel/foam pads
-Sliding sheets or tubes
-Limb Braces
What are the different bed positioning techniques? - (ANSWER)-Supported Fowlers
-Prone
-Supine
