Potter 38 (Activity and Exercise) & 39 (Immobility)

Question 1

_______ involves a health history and interview questions, followed by inspection and palpation.

Answer 1

Assessing activity and mobility

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 2

Assessing activity and mobility involves:

Answer 2

a health history and interview questions, followed by inspection and palpation.

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 3

___, ____, ___, and ____ assessments are essential elements for joint mobility and movement.

Answer 3

Gait, coordination, strength, and posture

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 4

Gait, coordination, strength, and posture assessments are essential elements for ____ and ___

Answer 4

joint mobility and movement.

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 5

Focused questioning and a thorough physical assessment help determine

Answer 5

expected and unexpected findings.

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 6

_____ and _____ help determine expected and unexpected findings.

Answer 6

Focused questioning and a thorough physical assessment

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 7

Alterations in the _____ system include fractures, amputations, muscle atrophy, contractures, reduced bone density, and weakness, and each one has specific relevant cues.

Answer 7

musculoskeletal

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 8

A ______ system alteration that is related to activity and mobility is paralysis, while a cardiopulmonary system alteration is activity intolerance (compromised ability to perform activities). There are specific relevant cues for each.

Answer 8

nervous

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 9

A ______ system alteration is activity intolerance (compromised ability to perform activities). There are specific relevant cues for each.

Answer 9

cardiopulmonary

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 10

______ alterations related to activity level include anorexia (lack of appetite) and constipation (passage of hard stools or difficulty passing stools).

Answer 10

Gastrointestinal

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 11

_____ and _____ alterations include isolation and altered self-concept and are related to the inability to cope effectively with the alterations in activity levels.

Answer 11

Psychological and psychosocial

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 12

_______ complications include pressure injuries, ranging from Stage 1 to Stage 4, depending upon severity of breakdown.

Answer 12

Integumentary

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 13

_______ complications include deep vein thrombosis (DVT) and pulmonary embolus (PE); a PE is a medical emergency and requires immediate attention.

Answer 13

Circulatory

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 14

______ complications include pneumonia and atelectasis.

Answer 14

Pulmonary

(Potter 38/39 Assess&Recognize Sherpath Key Points)

Question 15

To develop mobility______, the nurse analyzes the information by organizing and linking relevant cues.

Answer 15

hypotheses

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 16

Common ________ _______ include:Impaired Mobility, Risk for Fall,and Activity Intolerance.

Answer 16

mobility hypotheses

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 17

Common mobility hypotheses include:

Answer 17

Impaired Mobility, Risk for Fall,andActivity Intolerance, Deep Vein Thrombosis, Weakness, Impaired Skin Integrity, Constipation,andSocial Isolation.

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 18

Most mobility hypotheses are not critical unless

Answer 18

the patient develops a pulmonary embolus or breathing problems from a cervical injury.

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 19

Expected outcomes are derived from the mobility hypotheses and focus on:

Answer 19

Improving the mobility needs of the patient.

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 20

Overall goals for mobility hypotheses include:

Answer 20

• Maintain expected activity levels
• Return to previous levels of functioning, if possible
• Promote independence in performing tasks
• Prevent complications of immobility
• Prevent risks associated with specific mobility alterations

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 21

Mobility solutions involve:

Answer 21

providing mobility aids and assistance with movements and preventing complications.

(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)

Question 22

Fall precautions are used for patients with

Answer 22

weakness, poor muscle tone, and impaired mobility.

(Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 23

______ are used for patients with weakness, poor muscle tone, and impaired mobility.

Answer 23

Fall precautions

(Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 24

________ is a musculoskeletal and neurologic intervention that is used for mobility hypothesis and outcomes.

Answer 24

Positioning

(Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 25

Positioning is a ______ and ______ intervention that is used for mobility hypothesis and outcomes.

Answer 25

musculoskeletal and neurologic (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 26

______ include pillows, splints, braces, hand rolls, and trochanter rolls.

Answer 26

Positioning aids (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 27

Positioning aids include

Answer 27

pillows, splints, braces, hand rolls, and trochanter rolls. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 28

Transfer techniques and transfer-assist devices are designed to

Answer 28

reduce injury to nurses and promote patient safety. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 29

________ include slide boards, friction-reducing sheets, trapeze bars, and mechanical lifts.

Answer 29

Transfer aids (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 30

Transfer aids include

Answer 30

slide boards, friction-reducing sheets, trapeze bars, and mechanical lifts. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 31

______ aids include transfer belts, canes, crutches, and walkers.

Answer 31

Ambulation (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 32

Ambulation aids include

Answer 32

transfer belts, canes, crutches, and walkers. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 33

_____ and ______ are priority interventions after an illness, injury, or surgery.

Answer 33

Exercise and ambulation (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 34

Exercise and ambulation are priority interventions after

Answer 34

an illness, injury, or surgery. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 35

There are interventions and evaluations for the mobility hypotheses of 

Answer 35

Impaired Mobility, Paralysis, Weakness, and Activity Intolerance. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 36

It is important to provide pulmonary interventions for immobilized patients to maintain lung expansion and prevent respiratory complications of immobility, such as _____ and _____

Answer 36

atelectasis and pneumonia. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 37

Common pulmonary interventions include

Answer 37

coughing, deep breathing, and incentive spirometry. (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 38

______ stockings and SCDs promote blood flow of venous return and decrease the risk for DVT formation.

Answer 38

Antiembolism (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 39

______ therapy is beneficial in preventing DVT formation and may be given prophylactically.

Answer 39

Anticoagulant (Potter 38/39 Implement & Take Action Sherpath Key Points)

Question 40

Gastrointestinal system interventions include what two areas?

Answer 40

Nutrition and bowel elimination (Potter 38/39 Implement & Take Action Sherpath Key Points)