Exam 2: NUR 2356/ NUR2356 Multidimensional Care 1 (MDC 1) Exam 2 Review | Complete Guide with Questions and 100% Correct Verified Answers| 2023/ 2024 New
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QUESTION
Effects of immobility on the circulatory system
Answer: increases workload of the heart, promotes venous stasis, orthostatic hypotension, risk of thrombus formation
QUESTION
Nursing interventions for immobility related to the circulatory system
Answer: in- crease client activity, assess for peripheral, sacral, and pedal edema, assess calves for signs and symptoms of thrombus formation, measure calf circumferences and compare, use TED hose or SCDs, administer low dose heparin
QUESTION
Effects of immobility on metabolism
Answer: drop in metabolic rate, can stimulate stress response, decreased appetite, weight loss, bone loss from calcium reabsorp- tion, muscle mass reduction
QUESTION
Nursing interventions for immobility related to metabolism
Answer: provide a high calorie, high protein diet, vitamin and mineral supplement, monitor I's & O's, calorie count
QUESTION
Effects of immobility on the integumentary system
Answer: external pressure leads to compressed capillaries in the skin causing tissue ischemia and eventual necrosis
QUESTION
Nursing interventions for immobility related to the integumentary system-
Answer: change positions as needed, assess client for pressure ulcer risk, teach client to shift weight every 15 minutes if possible, use positioning devices as needed, assess skin and provide skin and perineal care as needed
QUESTION
Effects of immobility on the GI system
Answer: slows peristalsis, constipation, para- lytic ileus
QUESTION
Nursing interventions for immobility related to the GI system
Answer: maintain hydration, include fresh fruit and vegetables in the diet, promote as normal a position as possible for elimination
QUESTION
Effects of immobility on the genitourinary system
Answer: stagnant urine leads to increase in UTIs, kidney stone formation
QUESTION
Nursing interventions for immobility related to the genitourinary system
Answer: - encourage fluid intake, bladder training, assess for urinary retention using a bladder scanner, promote urination by pouring warm water over the perineum area
QUESTION
Psychological effects of immobility
Answer: isolation, mood change, depression, anx- iety
QUESTION
Nursing interventions for immobility related to the psyche
Answer: involve clients in daily care, provide stimuli such as newspapers, tv and magazines, assist with grooming and hygiene, involve the client in planning of daily routine, maintain orientation to time
QUESTION
Semi-Fowler position
Answer: 30 degrees, promotes respiratory function, lowers di- aphragm to allow better expansion
QUESTION
High-Fowler position
Answer: 45-90 degrees, helps with cardiac disfunction
QUESTION
Orthopneic position
Answer: patient leans forward to help with respiration, used with
SOB
QUESTION
Lateral recumbent position
Answer: side-lying with legs in line
QUESTION
Oblique position
Answer: lying semi to the side with leg slightly bent
QUESTION
Prone position
Answer: lying on the stomach; allows for chest expansion and better respiration, should only be used for short periods of time, causes significant lordosis, never use in patients with back surgery or injury
QUESTION
Sim's position
Answer: lying semi-lateral and semi on the stomach; position for suppos- itory, enema administration, perineal procedures, facilitates mouth drainage, limits trochanter and sacral ulcers
QUESTION
Supine position
Answer: (dorsal recumbent); shoulders and head elevated in pillows, should be comfortable, usually with spinal injury
QUESTION
Gravity of center
Answer: should be close to the base of support
QUESTION
Base of support
Answer: holds your body up [Show Less]