Ch 38 Flashcards
Coordinated body movement required integrated functioning of which body systems?
Skeletal, muscles, ad nervous
_______ are the coordinated efforts of the musculoskeletal and nervous systems as the person moves, lifts, bends, and completes daily activities.
Body mechanics
Muscles associated with movements are located in what region?
Skeletal region.
Coordination and regulation of muscle groups depends on what?
Muscle tone, activity of antagonistic, synergistic, and antigravity muscles.
The nervous system controls balance through the functions of:
Cerebellum and inner ear
Mechanical devises to promote walking include:
Canes, walkers, and crutches
Which actions are appropriate for the nurse to implement when a PT experiences orthostatic hypotension
Call for assistance
Allow PT to sit down
Take pts blood pressure and pulse
If pt begins to faint, allow him to slide against the nurses leg to the floor
Which is the following is a principle of proper body mechanics when lifting or carrying objects?
Maintain a wide base of support
A NAP asks for help transferring a 125lbs from the bed to the wheelchair. The patient is unable to assist. What is the nurses best response?
Call the lift-tam for additional assistance
You are transferring a PT who weighs 320 pounds from his bed to the chair. The PT has an order for partial weight baring as a result of bilateral reconstructive knee surgery. What is the best technique for transfer?
Use the ceiling-mounted lift
Which is the correct gait when a PT is ascending stairs on crutches?
A modified two-point gait. The affected leg advanced between the crutches to the chair
A PT recovering from bilateral knee replacement is prescribed bilateral weight bearing. What crutch gait is most appropriate for this patient
Two point gait
A PT on week long bed rest is now performing isometric exercises. What nursing diagnosis best addresses the safety of this PT?
Risk for activity intolerance
Which following activities does the nurse delegate to the NAP in regards to crutch walking?
Notify the nurse if the PT reports pain during, before, or after exercise
Notify the nurse if the PT complains of increased fatigue, dizziness
Notify nurse of all vital signs
Prepare the PT for exercise by assisting in dressing and putting on shoes
A PT is discharged after an exacerbation of COPD. She states that she’s afraid to go to pulmonary rehabilitation. What is your best response?
Pulmonary rehabilitation provides a safe environment for monitoring your progress
