Nursing 3134 Acute & Chronic – Questions With Correct
Solutions
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Terms in this set (59)
-myocardial infarction, helps to decrease the workload of the
heart
Give some examples of patients
-pregnant women, to slow down or prevent delivery
who need bed rest.
-pts with fractures, to promote healing of bones
-pts in respiratory distress, to decrease oxygen need
-provide uninterrupted sleep
What are some benefits of bed -help regain strength
rest? -promote pain reduction
-decrease o2 need (decreasing physical activity)
-Disuse syndrome
-atelectasis
-hypostatic pneumonia
-dvt's
What are some hazards of bed -orthostatic hypotension
rest? -increased workload of the heart
-thrombus formation
-renal calculi
-urinary tract infection
-negative nitrogen balance
-prescribed intervention
Name some reasons why -restricted (traction/external fixation device)
people are immobilized. -loss of ability (injury, CVA)
-voluntary (depressed, pain)
Patients who are weak from Atelectasis, when a person is in a recumbent position, mucous
prolonged bedrest or surgery accumulates in the airways and pools.
cannot cough up secretions
effectively, so mucous
accumulates, air is trapped in
alveoli, and is reabsorbed,
leaving collapsed alveoli or lung
segments, what can this lead to?
This is one of the most common Atelectasis
and preventable hazards of
immobility.
This results when mucous Hypostatic Pneumonia
accumulates in the alveoli
because of the recumbent
position and causes a gas
exchange barrier.
, -Turn, cough, and deep breathe
-Perform chest PT and postural drainage
If someone is diagnosed with
-Provide humidification
decreased O2-CO2 exchange,
-Provide pain relief
what can we do to increase
-Suction if patient is too weak to cough
respiration?
-Ambulate early, if possible
-Semi-Fowlers, Fowlers position
-Maintain body alignment.
What are some ways to position
-Keep head and neck straight.
a patient to prevent hazards of
-Pillows to support back and legs.
immobility?
-Trochanter roll; footboard; hand rolls.
Orthostatic hypotension is a Dangle legs on the side of the bed prior to walking
hazard of immobility related to
the cardiovascular system, it is a
result of decreased circulating
blood volume, pooling of blood
and a decreased vasomotor
response. How can you prevent
orthostatic hypotension?
Deconditioning leads to what? increased workload of the heart
Decreased rate of blood flow, Thrombus formation
pooling of blood and change in
constituents of blood lead to
what?
A patient has a nursing diagnosis -change position gradually
of alteration in tissue perfusion -monitor VS
as evidenced by dizziness, what -avoid Valsalva
are some nursing interventions? -prevent thrombus formation
-identify patients at risk
-elastic stockings/compression devices
What are some ways to prevent -heparin
thrombus? -range of motion/leg exercises
-place in proper position
-elevate extremity/reduces edema
-urinary stasis
Urine must move against gravity -urinary tract infection
and when we are immobilized -renal calculi
what can develop? -urinary retention
-Nursing Diagnosis: Risk for Infection
A patient has a nursing diagnosis -encourage fluids (2000-3000 cc/day)
of altered urinary functioning as -if incontinent (watch skin integrity)
evidenced by UTI or kidney -encourage voiding
stone or pain, what are some
useful interventions?
-Mediate stress response
-Promote growth and development
In regards to the endocrine
-Manage reproduction
system what do hormone
-Maintain fluid & electrolyte balance
secreting glands do?
-Regulate metabolism
-MAINTAIN HOMEOSTASIS
Stress increases blood sugar Temporary diabetes
due to the increased release of
cortisol which causes what?
Immobility can effect the -decreased metabolism of fats, CHO, protein
endocrine system by decreasing -Fluid and electrolyte imbalance increased urine output; edema
adrenocortical functioning, -Decreased stress response
name some dysfunctions. -Slowed wound healing
Solutions
Save
Students also studied
INBDE Orthodontics NBDE II Review - Prosthodontics Perio Study
201 terms 69 terms Teacher 78 terms
dong_lee82 Preview melissa_jarvis7 Preview Hunter_Charters
Terms in this set (59)
-myocardial infarction, helps to decrease the workload of the
heart
Give some examples of patients
-pregnant women, to slow down or prevent delivery
who need bed rest.
-pts with fractures, to promote healing of bones
-pts in respiratory distress, to decrease oxygen need
-provide uninterrupted sleep
What are some benefits of bed -help regain strength
rest? -promote pain reduction
-decrease o2 need (decreasing physical activity)
-Disuse syndrome
-atelectasis
-hypostatic pneumonia
-dvt's
What are some hazards of bed -orthostatic hypotension
rest? -increased workload of the heart
-thrombus formation
-renal calculi
-urinary tract infection
-negative nitrogen balance
-prescribed intervention
Name some reasons why -restricted (traction/external fixation device)
people are immobilized. -loss of ability (injury, CVA)
-voluntary (depressed, pain)
Patients who are weak from Atelectasis, when a person is in a recumbent position, mucous
prolonged bedrest or surgery accumulates in the airways and pools.
cannot cough up secretions
effectively, so mucous
accumulates, air is trapped in
alveoli, and is reabsorbed,
leaving collapsed alveoli or lung
segments, what can this lead to?
This is one of the most common Atelectasis
and preventable hazards of
immobility.
This results when mucous Hypostatic Pneumonia
accumulates in the alveoli
because of the recumbent
position and causes a gas
exchange barrier.
, -Turn, cough, and deep breathe
-Perform chest PT and postural drainage
If someone is diagnosed with
-Provide humidification
decreased O2-CO2 exchange,
-Provide pain relief
what can we do to increase
-Suction if patient is too weak to cough
respiration?
-Ambulate early, if possible
-Semi-Fowlers, Fowlers position
-Maintain body alignment.
What are some ways to position
-Keep head and neck straight.
a patient to prevent hazards of
-Pillows to support back and legs.
immobility?
-Trochanter roll; footboard; hand rolls.
Orthostatic hypotension is a Dangle legs on the side of the bed prior to walking
hazard of immobility related to
the cardiovascular system, it is a
result of decreased circulating
blood volume, pooling of blood
and a decreased vasomotor
response. How can you prevent
orthostatic hypotension?
Deconditioning leads to what? increased workload of the heart
Decreased rate of blood flow, Thrombus formation
pooling of blood and change in
constituents of blood lead to
what?
A patient has a nursing diagnosis -change position gradually
of alteration in tissue perfusion -monitor VS
as evidenced by dizziness, what -avoid Valsalva
are some nursing interventions? -prevent thrombus formation
-identify patients at risk
-elastic stockings/compression devices
What are some ways to prevent -heparin
thrombus? -range of motion/leg exercises
-place in proper position
-elevate extremity/reduces edema
-urinary stasis
Urine must move against gravity -urinary tract infection
and when we are immobilized -renal calculi
what can develop? -urinary retention
-Nursing Diagnosis: Risk for Infection
A patient has a nursing diagnosis -encourage fluids (2000-3000 cc/day)
of altered urinary functioning as -if incontinent (watch skin integrity)
evidenced by UTI or kidney -encourage voiding
stone or pain, what are some
useful interventions?
-Mediate stress response
-Promote growth and development
In regards to the endocrine
-Manage reproduction
system what do hormone
-Maintain fluid & electrolyte balance
secreting glands do?
-Regulate metabolism
-MAINTAIN HOMEOSTASIS
Stress increases blood sugar Temporary diabetes
due to the increased release of
cortisol which causes what?
Immobility can effect the -decreased metabolism of fats, CHO, protein
endocrine system by decreasing -Fluid and electrolyte imbalance increased urine output; edema
adrenocortical functioning, -Decreased stress response
name some dysfunctions. -Slowed wound healing
