Hygiene, Safety and Mobility

Question 1

What are nursing interventions for immobility?

Answer 1

ROM
Turn and reposition the patient
Help to ambulate
SCDs for patients at risk for clotting
Assessing nutritional intake
Incentive Spirometer for breathing exercise
Coughing and deep breathing
Stool softeners/ high fiber diet for pt w/ constipation
Increase fluid intake if diet allows
Coping skill

Question 2

Why is important to maintain proper body mechanics?

Answer 2

To prevent injuries to ourselves and the patients

Question 3

What safety considerations will a nurse make prior to and during client care?

Answer 3

Patients GAIT
Are they a fall risk
Assessment to prevent injuries
How well do they move
Are they using an assistive device
Are there any allergies
Social, religious and cultural beliefs
Evaluate patient mental and health status

Question 4

What is the difference between active and passive ROM?

Answer 4

Active: the patient performs the ROM by his/herself
Passive: the nurse/PT assists or does ROM for the patient

Question 5

What are the nursing interventions related to heat and cold therapy?

Answer 5

Apply to area, make sure call light is in reach and instruct patients to report discomfort
Assess the site every 5-10 minutes to check for redness/pallor, pain/burning, numbness, shivering (w/cold applications), blisters, decreased sensation, mottling of the skin, cyanosis (w/ cold application)

Question 6

What should you do if the patient experiences any adverse effects to the heat/cold therapy?

Answer 6

Discontinue the treatment, or wait until treatment time is up to stop it

Question 7

What should you document while giving patient heat/cold therapy?

Answer 7

Location
Type and length of application
Condition of skin before, during and after application
Patients tolerance of the application

Question 8

What is center of gravity? How do we lower our center of gravity?

Answer 8

Center of gravity: Pelvic
We lower the center of gravity by squatting and bringing the object closer to you