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CCBC Nursing 153: Exam Two Prep | Questions and Answers Latest {} A+ Graded | 100% Verified
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CCBC Nursing 153: Exam Two Prep | Questions and Answers Latest {} A+ Graded | 100% Verified
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CCBC Nursing 153: Exam Two Prep | Questions and Answers Latest {2024- 2025} A+Graded | 100% Verified
What are 4 nursing responsibilities in regards to mobility? - 1. Assess patient's mobility status and needs
2. Utilize good body mechanics
3. Work with other disciplines
4. Interventions
What part of the body acts as the center of gravity for proper body alignment? - The hips.
What is the term used to describe an increased lumbar curvature? What population is this most
commonly found in? - Lordosis, most commonly found with pregnant women.
What is the term used to describe an exaggeration of posterior curvature of thoracic spine? What
population is this most commonly found in? - Kyphosis (hunchback), most commonly found with older
adults.
What is the term used to describe a lateral spinal curvature? What population is this most commonly
found in? - Scoliosis, most commonly found with teenage girls.
What are 4 common effects of immobility? - 1. Atony: loss of muscle tone
2. Loss of muscle strength (weakness)
3. Contractures: permanent shortening of the muscles because of the flexor muscles overpowering the
weaker extendor muscles
4. Osteoporosis: decalcification of the bone
What are 5 nursing interventions important to use in regards to mobility? - 1. ROM exercises
2. Encourage active exercises
3. Proper body alignment
4. Use assistive devices
,5. Montior blood calcium levels (bones become brittle with low levels)
What are the 4 common effects that immobility has on elimination? - 1. Urinary Stasis: can lead to UTI
2. Renal Calculi: due to urinary stasis AND bone demineralization
3. Decreased Bladder Tone: inability to fully empty the bladder
4. Constipation or Fecal Impaction: from decreased peristalsis
What are 7 nursing interventions the nurse can provide in regards to elimination problems as a result of
immobility? - 1. Increase activity
2. Maintain adequate fluid intake
3. Change positions frequently
4. Assess labwork (urinalysis)
5. Observe urine clarity, color, odor
6. Monitor bowel sounds
7. Document bowel movements
What are 4 effects that immobility has on Oxygenation? - 1. Decreased metabolic needs so oxygen
needs are less.
2. Respirations are slower and more shallow.
3. Atelectasis: collapse of the alveoli. *This leads to impaired gas exchange and can lead to hypostatic
pneumonia: pooling of respiratory secretions, warm, moist, dark environment.*
4. Decreased muscle strength.
What are 5 nursing interventions that can be used in regards to oxygenation problems as a result of
immobility? - 1. Increase activity
, 2. Incentive spriometer EVERY HOUR
3. Coughing and deep breathing exercises
4. Elevate HOB
5. Keep well hydrated
What are 4 effects that immobility has on Perfusion? - 1. Increased cardiac workload
2. Edema and pressure ulcers
3. Venous stasis and thrombus formation (DVT)
4. Orthostatic hypotension
What are 7 nursing interventions that can be used in regards to perfusion problems as a result of
immobility? - 1. Increase activity!!
2. Check vitals: HR
3. Assess peripheral circulation: pulses, edema
4. Monitor for signs of DVT
5. Turn every 2 hours, ROM
6. TEDs and SCDs
7. Dangle, move gradually when getting patient OOB
What are 4 effects of immobility on Nutrition and Metabolism? - 1. Loss of appetite
2. Increased risk of dehydration
3. Increased risk of electrolyte imbalance
4. Altered carb, fat, and protein metabolism
What are 5 nursing interventions that can be used in regards to nutrition and metabolism problems as a
result of immobility? - 1. Work with dietary: provide patient with adequate needs for total protein,
calories, fiber, fluids and other nutrients
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