Chapter 39

Question 1

Describe the coordinates effort pf musculoskeletal and nervous system

Answer 1

Body mechanic

Question 2

Which are some effect of muscular deconditioning??

Answer 2

disuse atrophy
Physiological
Psychological
Social

Question 3

Changes in mobility alter, which systems???

Answer 3

endocrine metabolism
Ca resorption
GI
Produce atelectasis and hypostatic pneumonia

Question 4

What is atelectasis???

Answer 4

collapse of alveoli

Question 5

What is hypostatic pneumonia??

Answer 5

inflammation of the lungs from statis or pooling of secretion

Question 6

Virchows’triad referred to ?? (thrombus)

Answer 6

damage of the vessels Wall
Alterations of blood flow
Alterations in blood constituenst

Question 7

What are some nursing intervention’s steps to avoid complications in an inmmobile patient??

Answer 7

1-develop an early intervention protocol (exercise, repositioning)
2-health care agencies providing equipment
3-collaborative plan care

Question 8

When a patient os immobile assessment focuses on the status of the musculoskeletal system and includes…….??

Answer 8

RMO (range of motion )
Muscle strength 
Activity tolerance 
Posture 
Alignment

Question 9

The two diagnoses most directly related to monility problems are:

Answer 9

1-impaired airway clearance (not completely immobile)

2-Risk for discuse syndrome (immobile patients)

Question 10

Nursing care plan example
Ms jose, a 97 year old patient is admitted to a skilled care unit for rehabilitation 6 days after recovering from a surgically repaired fracture left hip. He has a history of smoking but stopped 40 years ago. She has no cardiac problems and no hypertension. She describes having ache and stiffness when lying still in bed but denies pain. The 3 small incisions are clean,dry and intact.

Answer 10

1-assessment activities, assessment finding

2-nursing diagnosis: impaired related to musculoskeletal impairment from suru

3-planning (goals and expected outcomes)

4-intervention (exercise therapy, pain management)
5- evaluation ( evaluation activities, patients response/finding, outcomes status)

Question 11

Position techniques in implementation.

Answer 11

1-supported Flowler’s position
2-supine position 
3-prone position (face and chest lies down)
4-side-lying position 
6-Sim’s position

Question 12

A patient has been on bed rest for over 5 days. Which of theses finding during the nurse’s assessment may indicate a complication aof immobility??

Answer 12

Decreased peristalsis

Question 13

The effect of immobility on the cardiac system include which of the following??

Answer 13

thrombus formation
Increased cardiac workload
Orthostatic hypotension

Question 14

A 46 year old patients is admitted to the emergency department following an automobile accident. The patient has multiple pelvic fractures.can not move
Which measures would be appropriate for this patient to prevent complications of bed rest.

Answer 14

1-have patients perfouincentive spirometry
2-RML exercise of upper extremities
3-apply sequencial compression devices to legs

Question 15

An older adult patient is admitted following a hip fracture and surgical repair. Before ambulating the patient postoperative which would be the most important assess??

Answer 15

preadmission activity tolerance

Basine heart rate