Exam 3: Patient Skills - March 10th PP Flashcards
To prevent pressure injuries, a patient should be in a position in bed for a maximum of ___ hours
two
To prevent pressure injuries, a patient should be in a patient while sitting for a maximum of ___ minutes
15
If a patient has increased risk factors, they should be repositioned more ____ to prevent a pressure injury
frequently
List the 13 factors that could increase susceptibility to pressure injuries
decreased mobility fragile skin skin breakdown incontinence impaired sensation impaired circulation cachexia muscle atrophy postural impairment friction/shear nutritional deficiencies impaired cognition medication
If a patient is lying supine, what are the possible pressure points that could develop a pressure injury
occipital protuberance scapula olecranon sacrum calcaneus
If a patient is side lying, what are the possible pressure points that could develop a pressure injury
ear acromion process greater trochanter medial and lateral condyles of femur lateral malleolus
If a patient is lying prone, what are the possible pressure points that could develop a pressure injury
zygoma acromion process breasts pubic symphysis patella metatarsals
If a patient is in a wheel chair, what is the possible pressure point that could develop a pressure injury
ischial tuberosity
The goals of positioning a patient after a total hip arthroplasty from a posterolateral approach are
avoid hip flexion beyond ___ to ____
avoid hip adduction past ___
avoid hip internal rotation past ___-
60 to 90
0
0
What are the three goals of positional a patient after a THA
avoid hip flexion beyond 60 to 90
avoid hip adduction past 0
avoid hip internal rotation past 0
A patient should be lying ____ with an abduction wedge in between their legs. The patient should hip _____ in sidelying
supine; adduction
The goals of positioning a patient after a CVA with hemiplegia include
prevent _____
prevent wrist and hand ___
avoid ____ of the hemiplegic shoulder
contractures
edema
distraction
What are the three goals of positioning a patient after a CVA with hemiplegia
prevent contractures
prevent hand and wrist edema
avoid distraction of the hemiplegic shoulder
What are the five common patterns of contracture development after positioning a patient with a CVA with hemiplegia
scapular retraction
shoulder adduction, flexion, and internal rotation
elbow, wrist, and finger flexion
hip adduction, flexion, and internal rotation
knee flexion
ankle plantarflexion
What are the two positions that a patient post CVA can lay in with adequate support/cushion
supine and side lying
