NCLEX Basic Care and Comfort – Mobility questions and answers

What do you want? Pt. Up and active Questions to consider. How well can they move? Factors affecting mobility. Factors affecting mobility. Joint health. ADL capability. Activity ability. LOC. Etc. Scoliosis tx Lateral Curvature - inc. strength O2 and circulation of blood ** Girls may have uneven dress due to curvature. How to assist to sit. Hand under shoulder and knee, pt. digs elbow into bed, nurse lifts shoulder and knee. For confused patients.. what is one thing you can do to help orient? Place calendar/date in room. Osteoporosis Estrogen depletion, diet == can lead to renal calculi Tx. osteoporosis Diet inc. calcium and Vit. D; weight bearing exercises to strengthen long bones; FOSAMAX - recalcifies Immobility leads to Protein Catabolism which leads to... Nitrogen toxicity. Immobility causes bone depletion leading to... Hypercalcemia tx. inc. fluids decrease calcium in diet. Key Facts Regarding Thrombus Formation NO BED KNEE GATCH; NO PILLOW UNDER KNEE Stasis Resp Secretion Tx. Turn, cough, deep breathe; Postural draining. Purpose of placement in fowler's Inc. venous return; Improve lung expansion Mod. trendelenberg Feet Inc. 20 degrees for shock patients Crutch use: 2 fingers below axilla Support weight on hands crutches 8-10 inch out to side flex elbows 20-30 degrees up with the good; down with the bad. Walkers Elbow 20-30 degrees move forward 8-10 in forward bad leg; support good leg Cane Elbow 30 degrees 15 cm lateral to base of 5th toe Hold onto strong side hand advance cane and weak leg lean on cane when moving strong leg Herniated Inter vertebral Disk Tx: Meds; traction; TENS Post Op: Avoid long periods of sitting log roll body alignment Deviated Dysplasia of the Hip s/s Limb abduction short limb affected side Deviated Dysplasia Tx: Newborn - 6m: paulin harness 3-6 months 6-18m: Traction; cast Older child: open reduction and spica cast Rheumatoid Arthritis Nodules; systemic; contracture; remission/exacerbation; fever/rash Osteoarthritis Inc. age; obesity; repetition Gout High uric acid levels Tx: AVOID PURINES (organ meats, legumes, beer, etc)