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NUR 242 Exam 5 Galen College Of Nursing - Questions with complete solution

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NUR 242 Exam 5 Galen College Of Nursing - Questions with complete solution NUR 242 Exam 5 Assistive devices -Assess the client for actual/potential difficulty with communication and speech/vision/hearing problems -Assess the client's use of assistive devices -Assist client to compensate fo...

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  • October 22, 2024
  • 190
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 242 exam 5
  • nur 242 exam 5 galen college of nursing
  • nur 242 exam 5 galen college of nursing questi

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NUR 242 Exam 5
Assistive devices
-Assess the client for actual/potential difficulty with communication and
speech/vision/hearing problems
-Assess the client's use of assistive devices
-Assist client to compensate for physical and sensory impairment
-Manage the client who uses assistive devices or prostheses
-Evaluate the correct use of assistive devices by the client




Principles of Transfer and Positioning Techniques
-When moving a patient, knowledge of safe transfer and positioning is crucial.
-Pathological influences on body alignment mobility, and activity:
-Congenital defects
*Scoliosis and osteogenesis
-Disorders of bones, joints, and muscles
*Osteoporosis, osteomalcia, inflammatory joint disease
-Central nervous system damage
-Musculoskeletal trauma
*Bruises, contusions, sprains, fractures




Nursing knowledge base
-Comprehensive safe patient-handling programs

,-Ergonomics assessment protocol
-Patient assessment criteria
-Algorithms for patient handling and movement
-Special equipment
-Back injury resource nurses
-After-action reviews
-No-lift policy
-Safe patient handling
-Transfer techniques




Factors influencing activity and exercise
-Developmental changes
-Infants through school-age children
*Infants spine is flexed and lacks anteroposterior curves
*Toddler's posture is awkward because of the slight swayback and protruding
abdomen
*By the third year, the body is slimmer, taller, and better balanced
*Adolescence begins with a big growth spurt
*Changes in the adulthood occur mainly in pregnant women
*Older adult loses total bone mass
-Adolescence
-Young to middle-age adults
-Older adults
-Behavioral aspects
-Patients are more likely to incorporate an exercise program if those around
them are supportive

,Factors influencing activity and exercise cont.
-Environmental issues
-Work site
-Schools
-Community
-Cultural and ethnic influences
-Family and social support


-common barrier for patients is the lack of time needed to engage in daily
exercise




Assessment (activity)
-Thoroughly assess:
-Body alignment and posture with the patient standing, sitting, or lying down
-Normal physiological changes
-Deviations related to poor posture, trauma, muscle damage, or nerve
dysfunction
-Patients' learning needs
-Through the patient's eyes
-Assess patient expectations concerning activity and exercise




Assessment cont. (activity)
-Standing

, -Head: erect, midline
-Body: symmetrical
-Spine: straight with normal curvatures
-Abdomen: tucked
-Knees: slightly flexed
-Feet: pointed forward and slightly apart
-Arms: at sides


•The patient's center of gravity is in the midline, and the line of gravity is from
the middle of the forehead to a midpoint between the feet. Laterally, the line of
gravity runs vertically from the middle of the skull to the posterior third of the
foot.




Assessment cont. cont. (activity)
-Sitting
-Head: erect
-Neck and vertebral column: in straight alignment
-Body weight: distributed on buttocks and thighs
-Thighs: parallel and in a horizontal plane
-Feet: supported on the floor
-Forearms: supported on the armrest, in the lap, or on a table in front of the
chair




Assessment cont. cont. cont. (activity)
-Recumbent position

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