Positioning Patients & Antiembolic Stockings

Question 1

3 risk of bedrest

Answer 1

Muscular deconditioning
Muscle strength drop 3% per day
Disease atrophy

Question 2

5 goals of repositioning

Answer 2

maintain the patient’s airway and circulation throughout the procedure
maintain a neutral alignment
provide comfort to the patient
prevent soft tissue or musculoskeletal and other patient injury
ensures that pressure isnt concentrated on one point in order to avoid pressure ulcers

Question 3

5 Patient Bed Positions

Answer 3

Supported Fowler - head of the bed is elevated 45 - 60 degrees
Supine - is a back lying position
Prone - is lying chest down
Lateral - side laying
Sims - left laying with slight frontal rotation; upper right knee bent

Question 4

a thrombus that breaks off and travels to the lung

Answer 4

Pulmonary Embolism

Question 5

an intervention that restricts patients for therapeutic effect; not optimal for lung expansion

Answer 5

Bed rest

Question 6

Exercise that the patient can perform independently

Answer 6

Active ROM Activities

Question 7

Exercises that are carried out by someone else, without assisstance from the patient

Answer 7

Passive ROM Activities

Question 8

How does compression stockings or thromboembolic device prevents thrombus formation?

Answer 8

Maintaining external pressure on the muscle of the lower extremities
Promotes venous return

Question 9

Nursing interventions for patient with SOME mobility

Answer 9

Promote mobilization out of bed
Promote active ROM activities
Provide mobility aids
Provide analgesics

Question 10

Nursing Interventions for patients with RESTRICTED mobility

Answer 10

application of compression stockings
positioning devices/bed settings
repositioning in bed every 2 hours
provide passive ROM activities

Question 11

Performing passive ROM exercise

Answer 11

Working from head to toe, largest to smallest joints
Move patients extremities through the fullest ROM possible
Never force a joint beyond its capacity
Support the joint and the distal extremity during movements
Movements are slow and smooth
Repeat each movement 5x during the exercise session

Question 12

Positioning Aids

Answer 12

Pillows
Wedges
Foot Boot
Trochanter roll
Sandbags
Hand rolls
Hand wrist splints
Trapeze bar

Question 13

The ability to move easily and independently.

Answer 13

Mobility

Question 14

The maximum amount of movement available at a joint in one of the planes of the body

Answer 14

Range of Motion

Question 15

The purpose of Log Roll (Spinal Precaution)

Answer 15

Maintain alignment of the spine during repositioning

Question 16

Thrombus that develops usually in the deep veins of the lower extremities (leg or pelvis) as a result of venous statis.

Answer 16

Deep vein thrombosis

Question 17

What might impair mobility?

Answer 17

Illness
Surgery
Aging
Pain
Injuries

Question 18

What should the nurse assess for prior to applying compression stockings?

Answer 18

Edema
Peripheral pulse

Question 19

Why is mobility important to discuss in nursing?

Answer 19

In order to understand immobility, we must understand how mobility enables and protects the human body
Nurses need to care for people who are immobile