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NDSU NURS 251 Exam 2 Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NDSU NURS 251 Exam 2 Questions and Answers 2024/2025( A+ GRADED 100% VERIFIED).
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NDSU NURS 251 Exam 2Active ROM - ANS Performed by client without assistance
Passive ROM - ANS The nurse moves the patient's joints 100% for them. Patient cannot move
it at all on their own
Active Assisted ROM - ANS the patient can do some on their own, but still requires assistance
abduction - ANS away from the body
Adduction - ANS towards the body
five safety considerations for ROM - ANS Stand on the side of the joint you are working with;
Slow movements and work from top to bottom;
Don't force a joint past the point of resistance;
Repeat each movement 5 times;
Hold joint distally and proximally
supine - ANS laying flat on back
prone - ANS laying chest or face down
fowlers - ANS the head of patient's bed is at 45 degrees or more and knees are up a little
sims - ANS laying on left side with knees up towards chest; weight on clavicle and humerus
supported fowlers - ANS the head of the bed is elevated 45 to 60 degrees, and the patient's
knees are slightly elevated without pressure to assist circulation in the lower legs
side lying/ lateral - ANS normal side lying
purpose of footboard - ANS prevents foot drop by keeping foot in dorsiflexion
purpose of trochanter roll - ANS keeps hips in correct position
purpose of trapeze bar - ANS helps an active patient position themselves in bed (remember
this can only be used in patients with good upper body strength)
purpose of hand rolls - ANS keeps the joints of the hand open so that they don't fuse
, safety considerations for positioning - ANS Aspiration, Body alignment, Circulation, major
Arteries, Ventilation (ABCYA)
when placing Ted Stockings on a patient, the nurse should maintain ________ __________ to
promote _________ _________ to the heart - ANS external pressure; venous return
Ted Stocking procedure - ANS ensure appropriate fit; assess for tears; put hand all the way in
and turn inside out while keeping the "foot" on your hand; with the rest of the stocking inside out,
start working up the patient's leg; work fabric on fabric; ensure that the toe is pulled up
Where should the gait belt be placed? - ANS around the waist
where should the nurse stand when ambulating a patient - ANS on the weak side
physical restraint - ANS any method, device, material, or equipment that restricts a person's
freedom of movement
chemical restraint - ANS any medication that sedates a patient or changes their mood
when using restraints, the nurse needs a new order every ______ hrs to keep using them -
ANS 24
things to document when using restraints - ANS how long they have been restrained; agitation;
care provided
what kind of knot to use for restraints - ANS slipknot
when a patient is in restraints, they need to be checked on every _________ minutes - ANS 15
positional affixal - ANS patient can fight restraints causing them to move and can end up
suffocating
functions of the skin - ANS Protection, secretion, excretion, temperature regulation, and
sensation
purposes of hygiene - ANS cleanliness, exercise, relaxation, self-image, stimulation (circulatory/
respiratory), enhance lymphatic drainage, opportunity for assessment
factors influencing hygiene - ANS Social practices, personal preferences, body image,
socioeconomic status, health beliefs and motivation, cultural variables, developmental stage,
physical condition
hygiene guidelines - ANS provide privacy, maintain safety, maintain warmth, promote
independence, anticipate needs
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