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Fundamentals of Nursing > Activity > Flashcards

Activity Flashcards

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1
Q

what percent of nursing back injuries are preventable

A

89%

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2
Q

what are some variables leading to back injury in health care workers

A

manual lifing
uncoordinated lifts
exceeding recommended lift weight limits
using outdated techniques
transferring/repositioning uncooperative or confused patients

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3
Q

what is the proper body mechanics when lifting

A

work close to an object
face the direction of movement
slide, roll, push, or pull rater than lift
brand base of support
flex your knees and straight back
strong core
low center of gravity
use the longest and strongest bones for power
use the weight of your body by rocking

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4
Q

what is the recommended weight limit for lifting

A

35lbs

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5
Q

what position do we not put patients in

A

trendelenburg

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6
Q

what does no manual lift- safe patient handling laws enforce

A

hospitals must provide living devices

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7
Q

effects of immobility
increase

A

cardiac workload
risk for venous thrombosis
urinary stasis
risk for contractures
risk for skin breakdown
sense of powerlessness
bone loss
work of breathing

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8
Q

effects of immobility
decrease

A

depth of respiration
rate of respiration
bladder muscle tone
muscle size, tone and strength
endurance, stability, coordination
sensory stimulation

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9
Q

patients on bed rest had a higher incidence of

A

death

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10
Q

AM PAC 6 clicks
1-4 score

A

turning over in bed
sitting down and standing up from chair with arms
moving from lying on back to sitting on the side of the bed
moving to and from a bed to a chair
need to walk in hospital room
climbing 3-5 steps with railing

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11
Q

what is paired with the AMPAC 6 clicks

A

John hopkins

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12
Q

what does the John Hopkins determine

A

based on the score of the AMPAC 6 clicks it tells us what activity the patient should be doing

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13
Q

what is the clinical site progressive exclusion criteria

A

physiologically unstable patients
hypotensive
new EKG changes
elevated cardiac enzymes
INR >5 PTT >100 (clotting test, these patients are at risk for bleeding)
patient who does not respond to verbal stimuli
suspected spinal trauma
unstable fractures
presence of femoral sheath
thrombolytic administration

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14
Q

what are some nursing interventions to promote safety and activity

A

ambulating
PROM
AROM
postion changes
trapeze bars
side rails
physical therapy consults
avoid knee catching
log rolling
specialty beds

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15
Q

what does the P in PROM stand for

A

passive

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16
Q

what does the A in AROM stand for

A

active

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17
Q

how often do we turn

A

Q2

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18
Q

fowlers degree

A

45-60

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19
Q

semi fowlers degree

A

30

20
Q

high fowlers degree

A

90

21
Q

what is protective positioning

A

we use things like pillows to protect the bony prominences, this might prevent a pressure injury

22
Q

what is knee watching

A

where the knees are bent

23
Q

orthopneic postion

A

90 degrees and leaning on a table

24
Q

prone

A

on belly and head laying on pillow to the side

25
Q

what does prone position help with

A

perfusion

26
Q

what illness/disease do we use the prone position

A

COVID

27
Q

when we use the lateral side lying what is important to add

A

Protective positioning with a pillow in-between legs to prevent knee on knee and ankle on ankle

28
Q

malleolus

A

inner ankle bony prominences

29
Q

sims postion

A

laying on stomach to the side a little
face to the side on a pillow
one arm is faced toward the face
other arm is bent behind the back
protective positioning under the knee

30
Q

lithotomy

A

lying flat but legs up in air
almost in stirup position when at the OBGYN

31
Q

trendelenburg

A

head down
feet up

32
Q

reverse trendelneburg

A

head up
feet down

33
Q

what can we use for protective positioning

A

pillows
pressure reducing mattress
support boots
hand rolls
trochanter rolls

34
Q

what do hand rolls do

A

prevent clinched fist

35
Q

what do trochanter rolls do

A

prevent externally rotating hips which lead to a not normal postion

36
Q

log rolling is used for

A

patient who need to have head, neck and spine in line the whole time

37
Q

when we are moving patients what would we tell them to do with their hands

A

put them on their chest

38
Q

we can prop patients up with a wedge which could allow what area to not have pressure

A

sarcum

39
Q

we use foot boots which look like hightop sneakers to prevent what condition

A

foot drop

40
Q

the foot boots that prevent foot drop also help prevent pressure injuries where

A

on the heel

41
Q

we would use a bed cradle for patients who have

A

burns

42
Q

patients who are able to walk normally

A

don’t walk on their own accords

43
Q

when we have a one nurse assist where do we help the patient

A

on the weak side

44
Q

walkers are adjusted to the height of the patients

A

hip

45
Q

how do we walk with a cane

A

advance cane
advance weak leg
advance strong leg

46
Q

what side do patients hold the cane

A

on the strong side

47
Q

2 types of crutches

A

axillary
forearm

Fundamentals of Nursing (23 decks)

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