NUR 323 Exam 2 (B) - Activity, Mobility, Oxygenation, & Perfusion Questions and Correct Answers
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Course
NUR 323
Institution
NUR 323
What are the components with example questions assessed when collecting subjective data regarding mobility? ask questions about: Daily activity level Endurance Exercise/ fitness goals Mobility problems Physical and mental health alterations
What are the components of a physical assessment specific...
NUR 323 Exam 2 (B) - Activity, Mobility,
Oxygenation, & Perfusion Questions and
Correct Answers
What are the components with example questions assessed when collecting subjective
data regarding mobility? ✅ask questions about:
Daily activity level
Endurance
Exercise/ fitness goals
Mobility problems
Physical and mental health alterations
What are the components of a physical assessment specifically assessed for mobility?
✅general ease of movement
Gait and posture
Alignment
Joint structure and function
Muscle mass, tone and strength
Endurance
For older adult- include assessment of caring for self
Nursing diagnosis specifically addressing problems of mobility include ✅- activity
intolerance related to fatigue, generalized weakness, and exertional discomfort
- impaired transfer mobility related to pain and musculoskeletal impairment
- risk for injury related to altered sensation, unsteady gait and confusion
Nursing diagnoses when impaired mobility causes other problems ✅- risk for
constipation related to opioid use and decreases mobility
- toileting self-care deficit related to weakness and impaired mobility
- risk for ineffective peripheral tissue perfusion related to sedentary lifestyle, tobacco
use, obesity, and salt intake
Outcomes for fitness promotion ✅- identify personal benefits of regular exercise
- list support systems that will reinforce exercise efforts
- follow a program of regular physical exercise that improves cardiovascular function,
endurance, flexibility and strength
Outcomes for risk for mobility problem ✅- demonstrate correct body alignment
whenever observed
- demonstrate full range of joint motion
- demonstrate adequate muscle mass, tone, and strength to perform functional ALDS
, Outcomes for prevention of complications of immobility ✅- be free from alterations in
skin integrity
- show signs of adequate venous return
- be free of contractures
For both one and two person ambulation, how do you begin? ✅- raise head of bed to
high fowler's position ( assess for dizziness with each position change)
- have patient move to your side of the bed
- pivot patient by swinging legs over the edge of the bed (dangle)
- lower bed height (patient feet just touches floor) and apply gait belt
- assist to upright position (look forward, tuck bottom in as raise up) and snug gait belt
Secure all equipment and lines
One nurse assisting in ambulation ✅while grasping belt along the side opposite you,
standing slight to the side and behind, walk patient, short distances first as tolerated and
gradually increasing distance
Two nurse assisting in ambulation ✅- each nurse grasps gait belt hand nearest the
patient on each side of the patient
- support the patients near arm by holding the patients lower arm or hand
- walk slightly behind and to the side of the patient
What are the adaptive devices or assistive devices to promote mobility, activity and
promotion of adls ✅- long handled bath sponges
Reachers
- long-handled shoe horns and sock aids
- elastic shoelaces
- utensils that are enlarged, especially angulated or have special grips
- velcro devices universal cuffs (to hold silverware, comb, tooth brush)
- feeding devices such as plates or bowls with suction cup bottom and or lids to help
with scooping food
- splints and positioning devices
- shower chairs
- transfer benchers
- environmental adaptations - grab bars, ramps
What is ergonimics ✅the practice of designing equipment and work tasks to conform to
the capability of the worker, provides a means for adjusting the work environment and
work practices to prevent injuries
What is patient care ergonomics ✅practice of designing equipment and work tasks to
conform to the capability of the worker in relation to patient care
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