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

1
Q

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

A

Assessing activity and mobility

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

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2
Q

Assessing activity and mobility involves:

A

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

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

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3
Q

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

A

Gait, coordination, strength, and posture

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

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4
Q

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

A

joint mobility and movement.

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

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5
Q

Focused questioning and a thorough physical assessment help determine

A

expected and unexpected findings.

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

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6
Q

_____ and _____ help determine expected and unexpected findings.

A

Focused questioning and a thorough physical assessment

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

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7
Q

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

A

musculoskeletal

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

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8
Q

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.

A

nervous

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

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9
Q

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

A

cardiopulmonary

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

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10
Q

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

A

Gastrointestinal

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

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11
Q

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

A

Psychological and psychosocial

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

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12
Q

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

A

Integumentary

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

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13
Q

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

A

Circulatory

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

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14
Q

______ complications include pneumonia and atelectasis.

A

Pulmonary

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

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15
Q

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

A

hypotheses

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

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16
Q

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

A

mobility hypotheses

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

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17
Q

Common mobility hypotheses include:

A

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)

18
Q

Most mobility hypotheses are not critical unless

A

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)

19
Q

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

A

Improving the mobility needs of the patient.

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

20
Q

Overall goals for mobility hypotheses include:

A
  • 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)

21
Q

Mobility solutions involve:

A

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)

22
Q

Fall precautions are used for patients with

A

weakness, poor muscle tone, and impaired mobility.

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

23
Q

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

A

Fall precautions

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

24
Q

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

A

Positioning

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

25
Q

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

A

musculoskeletal and neurologic

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

26
Q

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

A

Positioning aids

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

27
Q

Positioning aids include

A

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

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

28
Q

Transfer techniques and transfer-assist devices are designed to

A

reduce injury to nurses and promote patient safety.

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

29
Q

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

A

Transfer aids

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

30
Q

Transfer aids include

A

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

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

31
Q

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

A

Ambulation

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

32
Q

Ambulation aids include

A

transfer belts, canes, crutches, and walkers.

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

33
Q

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

A

Exercise and ambulation

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

34
Q

Exercise and ambulation are priority interventions after

A

an illness, injury, or surgery.

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

35
Q

There are interventions and evaluations for the mobility hypotheses of

A

Impaired Mobility,Paralysis,Weakness, andActivity Intolerance.

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

36
Q

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

A

atelectasis and pneumonia.

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

37
Q

Common pulmonary interventions include

A

coughing, deep breathing, and incentive spirometry.

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

38
Q

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

A

Antiembolism

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

39
Q

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

A

Anticoagulant

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

40
Q

Gastrointestinal system interventions include what two areas?

A

Nutrition and bowel elimination

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