Potter 38 (Activity and Exercise) & 39 (Immobility) Flashcards
_______ involves a health history and interview questions, followed by inspection and palpation.
Assessing activity and mobility
(Potter 38/39 Assess&Recognize Sherpath Key Points)
Assessing activity and mobility involves:
a health history and interview questions, followed by inspection and palpation.
(Potter 38/39 Assess&Recognize Sherpath Key Points)
___, ____, ___, and ____ assessments are essential elements for joint mobility and movement.
Gait, coordination, strength, and posture
(Potter 38/39 Assess&Recognize Sherpath Key Points)
Gait, coordination, strength, and posture assessments are essential elements for ____ and ___
joint mobility and movement.
(Potter 38/39 Assess&Recognize Sherpath Key Points)
Focused questioning and a thorough physical assessment help determine
expected and unexpected findings.
(Potter 38/39 Assess&Recognize Sherpath Key Points)
_____ and _____ help determine expected and unexpected findings.
Focused questioning and a thorough physical assessment
(Potter 38/39 Assess&Recognize Sherpath Key Points)
Alterations in the _____ system include fractures, amputations, muscle atrophy, contractures, reduced bone density, and weakness, and each one has specific relevant cues.
musculoskeletal
(Potter 38/39 Assess&Recognize Sherpath Key Points)
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.
nervous
(Potter 38/39 Assess&Recognize Sherpath Key Points)
A ______ system alteration is activity intolerance (compromised ability to perform activities). There are specific relevant cues for each.
cardiopulmonary
(Potter 38/39 Assess&Recognize Sherpath Key Points)
______ alterations related to activity level include anorexia (lack of appetite) and constipation (passage of hard stools or difficulty passing stools).
Gastrointestinal
(Potter 38/39 Assess&Recognize Sherpath Key Points)
_____ and _____ alterations include isolation and altered self-concept and are related to the inability to cope effectively with the alterations in activity levels.
Psychological and psychosocial
(Potter 38/39 Assess&Recognize Sherpath Key Points)
_______ complications include pressure injuries, ranging from Stage 1 to Stage 4, depending upon severity of breakdown.
Integumentary
(Potter 38/39 Assess&Recognize Sherpath Key Points)
_______ complications include deep vein thrombosis (DVT) and pulmonary embolus (PE); a PE is a medical emergency and requires immediate attention.
Circulatory
(Potter 38/39 Assess&Recognize Sherpath Key Points)
______ complications include pneumonia and atelectasis.
Pulmonary
(Potter 38/39 Assess&Recognize Sherpath Key Points)
To develop mobility______, the nurse analyzes the information by organizing and linking relevant cues.
hypotheses
(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)
Common ________ _______ include:Impaired Mobility, Risk for Fall,and Activity Intolerance.
mobility hypotheses
(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)
Common mobility hypotheses include:
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)
Most mobility hypotheses are not critical unless
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)
Expected outcomes are derived from the mobility hypotheses and focus on:
Improving the mobility needs of the patient.
(Potter 38/39 Analyze Cues and Prioritize Hypotheses; Plan and Generate Solutions Sherpath Key Points)
Overall goals for mobility hypotheses include:
- 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)
Mobility solutions involve:
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)
Fall precautions are used for patients with
weakness, poor muscle tone, and impaired mobility.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
______ are used for patients with weakness, poor muscle tone, and impaired mobility.
Fall precautions
(Potter 38/39 Implement & Take Action Sherpath Key Points)
________ is a musculoskeletal and neurologic intervention that is used for mobility hypothesis and outcomes.
Positioning
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Positioning is a ______ and ______ intervention that is used for mobility hypothesis and outcomes.
musculoskeletal and neurologic
(Potter 38/39 Implement & Take Action Sherpath Key Points)
______ include pillows, splints, braces, hand rolls, and trochanter rolls.
Positioning aids
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Positioning aids include
pillows, splints, braces, hand rolls, and trochanter rolls.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Transfer techniques and transfer-assist devices are designed to
reduce injury to nurses and promote patient safety.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
________ include slide boards, friction-reducing sheets, trapeze bars, and mechanical lifts.
Transfer aids
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Transfer aids include
slide boards, friction-reducing sheets, trapeze bars, and mechanical lifts.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
______ aids include transfer belts, canes, crutches, and walkers.
Ambulation
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Ambulation aids include
transfer belts, canes, crutches, and walkers.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
_____ and ______ are priority interventions after an illness, injury, or surgery.
Exercise and ambulation
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Exercise and ambulation are priority interventions after
an illness, injury, or surgery.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
There are interventions and evaluations for the mobility hypotheses of
Impaired Mobility,Paralysis,Weakness, andActivity Intolerance.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
It is important to provide pulmonary interventions for immobilized patients to maintain lung expansion and prevent respiratory complications of immobility, such as _____ and _____
atelectasis and pneumonia.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Common pulmonary interventions include
coughing, deep breathing, and incentive spirometry.
(Potter 38/39 Implement & Take Action Sherpath Key Points)
______ stockings and SCDs promote blood flow of venous return and decrease the risk for DVT formation.
Antiembolism
(Potter 38/39 Implement & Take Action Sherpath Key Points)
______ therapy is beneficial in preventing DVT formation and may be given prophylactically.
Anticoagulant
(Potter 38/39 Implement & Take Action Sherpath Key Points)
Gastrointestinal system interventions include what two areas?
Nutrition and bowel elimination
(Potter 38/39 Implement & Take Action Sherpath Key Points)
