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A E KAPLAN > Altered Functions Related to Immobility > Flashcards

Altered Functions Related to Immobility Flashcards

1
Q

2 pulmonary reasons to reposition someone

A
  • promotes pulmonary function

- promotes pulmonary drainage

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2
Q

Why use the Tilt board?

A
  • weight bearing on the long bones, prevent breakdown and renal stones
  • use elastic stockings to prevent postural hypotension
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3
Q

with immobility does cardiovascular workload increase or decrease?

A

increase and could eventually lead to tachycardia

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4
Q

what does supine position help with?

A
  • min hip flexion
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5
Q

laying on the side

A

-drainage of oral secretions

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6
Q

side with legs bent (sims)

A

-allows drainage of oral secretions via abdominal tension

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7
Q

folwers

A

inc venous return and max lung expansion

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8
Q

head and knees elevated slightly

A

inc venous return and maximal lung expansion

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9
Q

feet 20 degress and head elevated modified trendelenburg

A

-inc venous return and increase blood tot he brain

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10
Q

elevation of extremity

A

inc venous return

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11
Q

flat on back and thighs flexed legs abducted

A

expose perineum

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12
Q

prone

A

extends hip joint

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13
Q

when would we use isometric exercises

A

-when the joint is immobile but we want to maintain the muscle strength

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14
Q

if someone has a stronger and weaker side which side do you move the patient?

A

-toward the stronger side

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15
Q

when using crutches where should the weight be

A

on hand-piece not on the axilla

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16
Q

stairs and critches?

A

up with the good and down with the bad

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17
Q

shift to the left

A

in in immature neutrophils

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18
Q

highly sen C reactive protein is a marker for what?

A

inflammation

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19
Q

most common hospitial aquired

A

UTI STAPH

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20
Q

fears of surgery for toddler

A

-separation

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21
Q

surgery fear preschooler

A

mutilation

22
Q

scholl age fear for surgery

A

loss of control

23
Q

adolescence fear of surgery

A

loss of independence being different from peers body image

24
Q

elderly fear 4 things

A

physical decline
dec independence
fear of death
fear of nursing home

25
Q

what to assess before teaching

A
  • history of illness
  • why surgery
  • what kind of implications of surgery
  • client’s readiness for learning
26
Q

what do when teaching about surgery

A
  • elecit fears
  • clear misconceptions
  • explain procedure
  • lap tests
  • skin prepare
  • explain NPO
  • meds
  • teach post op producure
  • pain reporting
27
Q

should you be taking supplements before the surgery

A

-no stop them all 2-3 weeks before the procedure

28
Q

apical pulse

A
  • most accurate form of assessment
  • PMI
  • 5th intercostal mid-clavicular
29
Q

enema

A
  • PT on left side SIMS R leg flexed
30
Q

Presbycusis

A

loss of hearing in old pple

31
Q

small bp cuff

A

higher bp

32
Q

large bp cuff

A

lower bp

33
Q

Parenteral Nutrition

A 
IV feeding a persom
AA
LIPIDS
VITAMINS
Glucose 
given to PT with very bad GI dysfunctioning
34
Q

Complications of PN

A
  • catheter infection
  • liver disease
  • GI disease
35
Q

low residue diet

A
  • dec bowl movements
  • inc time for bowl in intestine
  • little milk, milk products or pruine juice
  • also low fiber
36
Q

Femoral Angiogram

A

-dye in injected and then X ray is taken shows you blood flow and obstruction

37
Q

Elastic Stockings

A

help prevent thrombus
aka compression socks
helps inc in venous flow back up to the heart

38
Q

Bronchoscopy

A

monitor for sudden dyspnea which could indicate a bronchospasm
-monitor for the return of the gag reflex should take 2 hours

39
Q

thoracentesis

A
  • monitor for PT breathing on one side or if both are moving- pneuothroax Risk of pneumothorax: Observe for sudden shortness of breath, tracheal deviation, anxiety, and altered vital signs and decreased oxygen saturation.
    Assist patient with remaining still during the procedure to prevent trauma to the visceral pleura. Patient needs to hold breath and avoid coughing during the procedure.
40
Q

lumbar punture

A
  • measure leg strength for baseline before the exam
  • check bladder distention for last voiding & allow PT to void before the procedure
  • spinal headache- teach pt to stay in the log position
  • NASIDS and Opiods for the pain
  • there should not be large amounts of drainage from the site
41
Q

Bone Marrow

A
  • pain with happen

- apply pressure after the extraction

42
Q 
Intake
total
drinks
solid
oxidative
A

2200-2700
oral-1100-1400
solid-800-1000
oxidative-300

43
Q

output

total

A

2200-2700
urine-1400
lungs- 500-600
GI-100-200

44
Q

Role of assivitve personal and RN in intake and output measurements and assessments

A

RN must assess, do any comparisons, record the input of an IV the only thing an assistive personal can do is measure the input or output and write it down.

45
Q

Hypoxia is a result of

A

-lack of oxygen to tissue bc no oxygen in the blood

46
Q

what level do we place patients when recieving tube feeding

A

semi fowlers- 30-45

47
Q

high fowlers when do we use it

A

feeding 90

48
Q

low folwers when do we use it

A

normal position 30

49
Q

moist to dry dressing cosequences

A
  1. May adhere to healthy tissue
    Have the ability to collect exudates and debris
  2. Primarily used to débride a wound bed
  3. Available in many sizes and forms
50
Q

clear diet

A

liquid at room temp

A E KAPLAN (1 decks)

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