Ch 47 Flashcards
Body alignment is in condition of:
Joints, tendons, ligaments, and muscles in the various body positions
Coordination and regulation of muscle groups depend on:
Muscle tone; activity of antagonistic, synergistic, antigravity muscles; and neural input to muscles
Immobility prevents hazards in the:
Physiological, psychological, and developmental dimensions
Pts with impaired body alignment require nursing care to maintain correct positioning such as the:
Fowlers, supine, prone, side-laying, and Sims position
An older adult has limited mobility as a result of a surgical repair of a fractured hip. During assessment you note that the PT cannot tolerate lying flat, what assessment data supports possible pulmonary problem relating to impaired mobility?
Privations 26 per minute
HR 114
Crackles heard on auscultation
An older adult fracture his femur and has been immobilized for 5 days, which nursing diagnosis is related to PT safety when the nurse assists the PT out of bed for the first time?
Risk for activity intolerance
A PT of any age can develop a contracture of a joint when:
The muscle fibers become shortened because of disuse
Immobilized pts are at risk for impaired skin integrity. What interventions would reduce this risk?
Using an objective, valid scale to assess pts risk for pressure ulcer development
Using a device to relieved pressure when PT is seated in a chair
Teaching a PT how to shift weight at regular intervals while sitting in a chair
A good rule is: the higher the risk for skin breakdown, the shorter the interval between position changes
What would indicate that additional assistance is needed to transfer the PT from the bed to a stretcher?
The PT received an injection of morphine 30 min ago for pain
What is an outcome for a PT diagnosed with osteoporosis?
Maintain independence with activities of daily living
Where is calcium stored?
In the bones
What fibrous tissue binds joints together?
Ligaments
Who are most likely to have osteoporosis?
Women (80%)
Impairment of skin as a result of prolonged ischemia in tissues is a:
Pressure ulcer
