Mobility

Front 1

body mechanics

Back 1

descibes the coordinated efforts 0f the musculoskeletal and nervous system

Front 2

negative nitrogen balance produces tissue catabolism from what

Back 2

metabolic changes from immobility

Front 3

mobility is the ability to move freely within environment and serves what 3 purposes

Back 3

performance of ADLSs recreational activities and self defense

Front 4

coordinated body movements involves integrated functioning of skeletal muscle and nervous system and consists of what 6 parts

Back 4

bones-joints-ligaments(bone2bone)-tendons (muscle2bone)-cartilage(supporting connective tissue)-skeletal muscle

Front 5

how many bones in the body?

Back 5

206

Front 6

what are the 4 diff types of bones?

Back 6

long-short-flat-irregular

Front 7

what provides attachments for muscles and ligaments and provides leverage for movements?

Back 7

bones of the skeleton

Front 8

the connection between bones

Back 8

joint

Front 9

what joint is btw tibia and fibula

Back 9

fibrous

Front 10

cartiliginious

Back 10

bones joined by cartilage vertebrae

Front 11

synovial

Back 11

bones separate by a fluid filled joint cavity

Front 12

what is composed of fibers and major functions are movement/posture/body heat

Back 12

muscles

Front 13

name 4 ways to assess client mobility

Back 13

ROM(active and passive) Gait exercise and activity tolerance body alignment

Front 14

Torticollis

Back 14

inclining of head to affected side in which sternocleidomastoid muscle is contracted that is congentital or acquired

Front 15

Kyphosis

Back 15

increased convexity in curvature of thoracic spine from rickets or osteoporosis tuburculosis of spine

Front 16

footdrop

Back 16

inability to dorsiflex and invert foot because of peroneal nerve damage

Front 17

six systems that are affected by immobility

Back 17

metabolic/respiratory/cardiovascular/muscoskeletal/urinary and bowel/skin

Front 18

immobility ------ metabolic rate

Back 18

decreases

Front 19

disuse osteoporosis leads to ?

Back 19

calcium reabsorption and bone loss

Front 20

kidney stones from immobility is from what?

Back 20

increased urinary calcium excretion

Front 21

how do you measure metabolic changes?

Back 21

height weight and skin calipers intake/output electrolytes serum protein BUN(nitrogen in the end product protein) food I/O and assess wound healing

Front 22

Atelectasis

Back 22

collapse of alveoli and secretions block a bronchus and the distal lung tissue collapses as the existing air is absorbed producing hypoventilation and sometimes patient ability to cough declines

Front 23

what does the nurse need to do to monitor respiratory in immobile patient?

Back 23

assess lungs every 2 hours/identify decreased breath sounds crackles and wheezes

Front 24

orthostatic hypotension

Back 24

decreased circulating fluid volume/pooling of blood in lower extremeties/decrease autonomic response/decreased venous return/decrease cardio output/decline in BP/increase in heart rate drop in Bp when patient goes from supine to standing

Front 25

Thrombus formation

Back 25

accumulation of platlets / fibrin/clotting

Front 26

4 things to monitor in immobile patient in cardio system?

Back 26

BP-apical and periphal pulses-signs of venous stasis-DVTs

Front 27

how do you assess pressure sore

Back 27

turn every 2 hrs-braden scale( sensory moisture activity mobility nutrition friction and shear)

Front 28

hazards of immobility in metabolic

Back 28

anthropometric measures/wound healing rate

Front 29

hazards of immobility in respiratory

Back 29

every 2 hrs/ check chest wall movement/breath sounds to see if diminshed or any crackles or wheezes

Front 30

hazards of immobility in cardio

Back 30

Bp/pulse/peripheral circulation/DVTs

Front 31

hazards of immobilty in muscles

Back 31

ROM/strength/tone/mass

Front 32

hazards of immobilty in skin

Back 32

every 2 hrs check color integrity and turgor

Front 33

reactions to immobilty can include

Back 33

depressed bored angry isolated

Front 34

what does an immobile client need for best metabolism?

Back 34

protein calories and vitamin b( skin integrity and wound healing) C ( replace protein stores)

Front 35

To prevent reppiratory problems in immobile patient what do u do?

Back 35

T/C/DB take in 3 deep breaths and cough with the 3rd exhalation which helps avoid fatigue promotion of chest and lung expansion removal of excretions maitnenece of patent airway

Front 36

dangling isometric exercises and increase activity will help what in the immobile patient

Back 36

reduce orthostatic hypotension

Front 37

oreintation x3 communication and client particpation helps with hazards of

Back 37

psychsocial immobility

Front 38

SCDs(sequential compression device)

Back 38

alternately inflates and deflates and decreases venous stasis by increasing venous return through the deep veins of the legs tell client not to cross legs/put pillows under knees/or massage legs bc it could dislodge thrombus

Front 39

how do you move client from bed to wheelchair

Back 39

if it is more than 35 lbs get help or assistive device/ explain/ put chair next to bed with back in same plane as head of bed/see if they can bear weight

Front 40

If client can only partially bear weight in transfer what do u do

Back 40

only one nurse and they pivot client into chair with belt or powered standing assist lift

Front 41

What is used for uncooperative patient with partial weight or cant bear weight or no upper body strength

Back 41

2 people and body sling

Front 42

patient cant bear weight is cooperative and has upper body strength

Back 42

a seated transfer aid like friction reducing lateral assist with or wo belt

Front 43

always transfer clients with partial weight bearing toward the weaker or stronger side

Back 43

stronger

Front 44

ADLs are

Back 44

eating grooming tranferring and toileting

Front 45

IADLs are

Back 45

activities to be independent in society beyond ADLS like shopping cooking taking meds and banking

Front 46

when moving client pivot on foot father away from chair because

Back 46

maintains support for them and room for them to move

Front 47

Ted hose

Back 47

veins in the perophal vascular system

Front 48

rr for older adult are

Back 48

12-20 or 15 and decrease with age

Front 49

loss of high frequency tones is common with aging

Back 49

true

Front 50

normal aging with eyes include

Back 50

prebyopia(close detailed work) chaning light to dark glares smaller pupils yellow of lens altered color

Front 51

use close ended questions when talking about sexuality with elderly

Back 51

false

Front 52

more calories are needed in hospital after surgery for elderly

Back 52

true

Front 53

nutritional needs for elderly are

Back 53

less sodium fat sugar and more fiber calcium iron vitamin A and C

Front 54

elderly use more of this when eating to compensate dimenished taste

Back 54

salt and sugar which leads to anemia and trouble with bowels

Front 55

diff ways old people do to cope are

Back 55

therapeutic communication validation therapy reminiscence body image interventions

Front 56

things to promote good health in elderly are

Back 56

smoking cessation meaures to reduce falls exercise and good nutrition avoid adverse med effects