NSG 131 Module 3 Exam Objectives Questions And Answers
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Course
NSG 131
Institution
NSG 131
exhaustion GAS
~ GAS: final stage and it occurs if the body's resources are depleted by chronic
stress, Decreased blood pressure and vasodilation and exhaustion occur.
debridement
~ surgical, mechanical, bio, or chemical removal of foreign material and dead tissue
from a wound in order t...
NSG 131 Module 3 Exam
Objectives Questions And
Answers
Apply the Assessment step of the nursing process in provision of nursing care to
clients with impaired mobility (What would you look for)
✓~ 1- Nursing History
2- General Ease of Movement
3- Alignment
4- Joint structure and Function
5- muscle mass, tone, and strength
6- equipment used and needed
7- ROM
8- Symmetry
9- Masses, swelling
10- Pain, tenderness, numbness, paresis
,Describe the use of body mechanics to protect self from injury and to teach
clients and caregivers
✓~ Proper body mechanics: erect posture and use internal girdle, use the longest and
strongest muscles, keep objects close to the body, use body weight for
pushing/pulling. Use protective equipment as needed.
Effect of immobility on respiratory system
✓~ respiratory- decreased depth of respirations, decreased rate of respirations,
pooling of secretions, impaired gas exchange
Effect of immobility on musculoskeletal
✓~ musculoskeletal- decreased muscle size, tone, and strength; decreased joint
mobility and flexibility; decreased endurance and stability; increased risk for
contractors.
Effect of immobility on gastrointestinal
✓~ gastrointestinal- appetite disturbances, altered protein metabolism, altered
digestion
,Effect of immobility on urinary
✓~ increased urinary stasis, increased risk for stones, decreased bladder muscle tone
Effect of immobility on metabolic
✓~ increased risk for electrolyte imbalance
Effect of immobility on integument
✓~ increased risk for breakdown and ulcers
Effect of immobility on Psychological well being
✓~ increased sense of powerlessness, decreased self-concept, decreased sensory and
social stimulation, altered sleep/wake pattern, increased risk for depression
Effect of immobility on cardiovacular
✓~ cardiovascular- increased cardiac workload, increased risk for orthostatic
hypotension, increased risk for blood clots
, Apply the Diagnosis step of the nursing process in provision of nursing care to
clients with impaired mobility
✓~ 1- Activity tolerance
2- impaired physical mobility
3- immobility as an etiology of other problems
Apply the Planning step of the nursing process in provision of nursing care to
clients with impaired mobility
✓~ 1- Outcome identification: measurable, achievable, specific
2- Goals: promote multisystem function, prevention of problems caused by
immobility
Apply the Implementation step of the nursing process in provision of nursing
care to clients with impaired mobility
✓~ 1- Maintain body alignment and support extremities
2- common bed positions
3- reposition q2h
4- massage pressure areas q2h (unless already red or injured)
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