Skills Lab #6 - Preventing Complications of Immobility Flashcards
Which of these is a reason for client immobility? (Select all that apply)
a. ) Generalized Weakness
b. ) Depression
c. ) Hospitalization
d. ) Impairment of musculoskeletal systems
e. ) Severe pain
a. ) Generalized Weakness
b. ) Depression
d. ) Impairment of musculoskeletal systems
e. ) Severe pain
What is disuse atrophy?
a. ) During immobility, bones demineralize and deplete of calcium. Bones become spongy and may fracture easily.
b. ) During immobility, joint mobility is limited when muscles do not shorten and lengthen. The muscles become permanently shortened.
c. ) During immobility ventilation is decreased and pooled secretions block bronchioles. Being immobile does not allow for the alveoli to remain open.
d. ) During immobility unused muscles decrease in size causes losses in most strength and normal function.
d.) During immobility unused muscles decrease in size causes losses in most strength and normal function.
What is a positive Homan’s Sign and what does it indicate?
a. ) A positive Homan’s sign is pain or cramping in the ankle area during dorsiflexion, it indicates a ligament tear in the lower leg.
b. ) A positive Homan’s sign is when a patient is unable to stand straight with their eyes closed for one minute, this indicated a problem is the vestibular.
c. ) A positive Homan’s sign is pain or cramping in the calf of the leg during dorsiflexion, this indicates thrombophlebitis.
d. ) A positive Homan’s sign is a decreased blood pressure when changing positions, this indicates the blood is leaving the brain to perfuse to the extremities.
c.) A positive Homan’s sign is pain or cramping in the calf of the leg during dorsiflexion, this indicates thrombophlebitis.
Which of these is considered ADLs? (Select all that apply)
a. ) Eating
b. ) Bathing
c. ) Shopping
d. ) Toileting
e. ) Banking
a. ) Eating
b. ) Bathing
d. ) Toileting
What is the difference between isotonic and isometric exercises?
isotonic exercises = change in length
isometric exercises = change in tension
Which of these describes adduction?
a. ) movement of bone away from midline of body
b. ) movement of bone toward midline of body
c. ) decreasing the angle of a joint
d. ) increasing the angle of a joint
b.) movement of bone toward midline of body
Which of these decribes extension?
a. ) movement of bone away from midline of body
b. ) movement of bone toward midline of body
c. ) decreasing the angle of a joint
d. ) increasing the angle of a joint
d.) increasing the angle of a joint
Which of these describes abduction?
a. ) movement of bone away from midline of body
b. ) movement of bone toward midline of body
c. ) decreasing the angle of a joint
d. ) increasing the angle of a joint
a.) movement of bone away from midline of body
Which of these describes flexion?
a. ) movement of bone away from midline of body
b. ) movement of bone toward midline of body
c. ) decreasing the angle of a joint
d. ) increasing the angle of a joint
c.) decreasing the angle of a joint
Which of these is used to increase oxygenation and lung expansion? (select all that apply)
a. ) Elastic stockings
b. ) Turning every 2 hours
c. ) Deep breathing and coughing exercises
d. ) Lung inflation devices
e. ) Adequate hydration
c. ) Deep breathing and coughing exercises
d. ) Lung inflation devices
Which one of these combinations is correct?
a. ) Nasal cannula, 4-6 L/min, 25-45%
b. ) Face tent, 2-8 L/min, 30-50%
c. ) Face mask, 5-8 L/min, 40-60%
d. ) Transtracheal catheter, 10-20 L/min, 60-80%
c.) Face mask, 5-8 L/min, 40-60%
Nasal cannula, 2-6 L/min, 25-45%
Face tent, 4-8 L/min, 30-50%
Transtracheal catheter, 15-20 L/min, 60-80%
Which of these are safety precautions to be observed while administering oxygen? (Select all that apply)
a. ) Family may smoke as long as they go to the corner of the room
b. ) Make sure electrical devices are in good working order
c. ) Avoid wearing wool
d. ) Make known where fire extinguishers are located
e. ) Do not put a “caution” sign because it may offend people and embarrass the client.
b. ) Make sure electrical devices are in good working order
c. ) Avoid wearing wool
d. ) Make known where fire extinguishers are located
Which of the following are the correct nursing responsibilities when it comes to a client with restraints? Select all that apply.
a. ) Check on the client every 2 hours.
b. ) Perform ROM every 15 minutes.
c. ) Change the restraints when soiled or wet.
d. ) Educate the client and family about the need for restraints.
e. ) Assess circulatory status proximal to the restraint.
a. ) Check on the client every 2 hours.
c. ) Change the restraints when soiled or wet.
d. ) Educate the client and family about the need for restraints.
If your client’s pulse ox reading was 80, your first step of action as a nurse would be to?
a. ) Call the physician.
b. ) Ask the client if they are having trouble breathing.
c. ) Administer a face mask with a flow rate of 5L per the charge nurse’s orders.
d. ) Administer a nasal cannula with a flow rate of 2L.
b.) Ask the client if they are having trouble breathing.
Which of these reflect the characteristics of normal urine? (Select all that apply)
a. ) Dark amber color
b. ) Flat aromatic
c. ) pH 4.5-8
d. ) 60 mL/hour
e. ) Presence of glucose
f. ) Ketone bodies
b. ) Flat aromatic
c. ) pH 4.5-8
d. ) 60 mL/hour
