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NRS 108 > Chapter 18 (21) > Flashcards

Chapter 18 (21) Flashcards

1
Q

the inability to move

A

immobility

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2
Q

collapse lung

A

atelectasis

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3
Q

hardened or puttylike feces in the rectum and sigmoid colon

A

fecal impaction

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4
Q

protein deficiency

A

hypoproteinemia

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5
Q

redness

A

erythema

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6
Q

tendon

A

connect muscle to bone

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7
Q

fibrous connective tissue that acts as a cushion

A

cartilage

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8
Q

ligament

A

connects bone to bone

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9
Q

reason for placing pillows under the ankles

A

to left the heels off the mattress, and prevents the chances of pressure ulcers

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10
Q

psychosocial effects of immobility include:

A
  • depression
  • fear
  • anxiety
  • social withdrawal
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11
Q

movements performed by the patient

A

active range of motion

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12
Q

movements performed by another person

A

passive range of motion

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13
Q

maintain muscle tone without moving the joints

A

isometric exercises

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14
Q

Norton scale

A

scale used to identify patients in risk for developing pressure ulcers

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15
Q

5 categories used in the Norton scale

A
  • physical condition
  • mental condition
  • activity
  • mobility
  • incontinent
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16
Q

explain stage l

A
  • pressure ulcer is erythema
  • does not blanch
  • little destruction of tissue has occurred
17
Q

explain stage ll

A
  • some skin loss in the epidermis and dermis

- a blister or shallow ulcer develops

18
Q

explain stage lll

A
  • full thickness loss of the dermis and hypodermis
19
Q

explain stage lV

A
  • full thickness loss
  • bone may be exposed
  • may be infected
  • foul odor
  • purulent drainage
20
Q

treatment for stage l & ll

A
  • cleaned with water and mild soap
  • avoid pastes, creams, ointments on area
  • maintain a temp close to body temp
21
Q

treatment for stage lll & lV

A
  • irrigation tools may be used
22
Q

symptoms of fecal impaction

A
  • painful defecation
  • fullness in the rectum
  • abdominal distention
  • watery stools

NRS 108 (24 decks)

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