Summary NUR 2349 / NUR2349 Exam 1 Concept Outline (Latest 2022 / 2023): Professional Nursing I

Professional Nursing I Concept Guide Exam 1


Module 1 – Professional Nursing I Concept Guide
 Education & interventions to promote mobility
o Use active ROM for patients that can move
o Use PROM for patients who cannot move
o Isometric exercises
o Incorporation of pillows, wedges, overheard trapeze, hand rolls
o Assist with ambulation
o May require conditioning exercises
o May need to stand-by help client in a controlled fall
o Obtain appropriate assistive devices  canes, walkers, crutches, gait belt
 Effects of immobility, Interventions to treat the effects of immobility
o Venous stasis  blood pooling, compression of small vessels
o Increased coagulability  due to coagulation factors
o Deep vein thrombosis  treat prophylactically lovenox
treat prophetically with SCDs & TED hose to apply
pressure
o Orthostatic hypotension  due to inability to maintain bp
o Glucose intolerance
o Constipation / Paralytic Ileus / Decreased Peristalsis
o Urinary tract infection
o Renal calculi
o Depression
o Sleep disturbances
o Activity intolerance
 Age-related growth and development changes, associated education/interventions-
o Infants/toddlers
 Cannot recognize danger
 Tactile exploration of environment
 Put everything in mouth
 Car safety
 Needs to be properly secured in the car seat, rear facing in the
middle back
 Totally dependent
o Preschoolers
 Play extends to outdoors
 Safety of playground equipment
 Need of outdoor supervision
 Risk for injury if playing near streets
 More adventurous
o School-age children
 Trusting authoritative figures or people who claim to be
 Drowning and firearms are the leading cause for injury
o Adolescents
 False confidence, feel indestructible
 Risk taking behaviors

, Professional Nursing I Concept Guide Exam 1


 Smoking, alcohol, drugs, prescription meds, texting while driving,
driving unsafely to impress peers, loud music
 Most lack adult judgment
 Homicide is #2 cause of death
o Adults
 #1 cause of death: unintentional poisoning
 Alcohol, prescription medication
 May be exposed to injury in the workplace
 Chemicals, tools
 Lifestyle choices
 Some decline in strength and stamina  others maintain fitness
o Older adults
 Proximity to RN station is patients that are fall risk (older adults)
 Loss of muscle strength
 Loss of joint mobility
 Slowing reflexes
 Sensory losses
 Risk for burns
 College Age Students: What are the health risks? *
o Sleep deprivation
o IBS
 Safety – Home safety
o Co2 monitoring
 Odorless, colorless gas
 Produced by burning fuels, gas, wood, oil, kerosene
 Faulty furnace or gas/water heater
 Nonconventional ways to stay warm like an oven
 Prevention: carbon dioxide detector
 Treatment: 100% humidified air
o Poisoning
 Food, household chemicals, lead, medicines, cosmetics
 Prevention: proper food handling, storage, preparation, cabinet locks, store
poison, keep poison control telephone number available
 Treatment: depends on the type of poison ingested; antidotes, charcoal,
etc.
o Scalds and burns
 Elderly have decreased sensation
 Heating pads may burn
 Hot water, grease, sunburn, cigarettes
 Prevention: guardrails by fireplace, turning pot handles, sunscreen, care
when warming food in microwave
o Fires
 Cooking fires
 Smoke inhalation
 Home heating equipment
 Prevention