MULTIDIMENSIONAL CARE FINAL EXAM | QU ESTIONS AND ANSWERS | 2024|
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Course
NUR 2392 .
Institution
NUR 2392 .
MULTIDIMENSIONAL CARE FINAL EXAM | QU ESTIONS AND ANSWERS | 2024|
Immobility gastrointestinal - Slow Peristalsis, constipation, paralytic Illeus
Assessment after a fall - Neurovascular check, call for help, notify physician, notify family
Cast care - don't cover until dry, handle...
Assessment after a fall - Neurovascular check, call for help, notify physician, notify
family
Cast care - don't cover until dry, handle with palms of hands, don't rest on hard
surfaces, keep above level of heart, check pulses, color , sensation. Complication of
cast is numbness, tingling, no pulses, bluish color of the skin
closed fracture - broken bone with no open wound
open fracture - one in which the bone is broken and there is an open wound in the skin
transverse fracture - occurs straight across the bone- caused by pressure from top and
bottom
spiral fracture - a fracture in which the bone has been twisted apart
comminuted fracture - fracture in which the bone is splintered or crushed
impacted fracture - fracture in which bone fragments are pushed into each other
greenstick fracture - one in which the bone is bent and only partially broken
oblique fracture - Fracture that involves a separation from the two affected bones
Crepitus - a crackling or grating sound usually of bones
Osteoarthritis - Loss of articular cartilage in the joint
DVT - deep vein thrombosis- Prevention is prophylactic treatment with Lovenox, Ted
hose, SCD's (sequential compression devices), foot pumps
SCDs - sequential compression devices
, Promotion of Independence - Allow patient to do as much Active range of motion/
encourage independent activity as possible
benefits of activity - Improved CV and Respiratory health
--Decreased rates in CV disease
Improved strength and mobility
Maintenance of Bone Density
Maintenance of Healthy Weight and Metabolism
Improved
Psychosocial Health
posture - Position of the body in relation to the surrounding space
Immobility - Musculoskeletal - loss of 7-10% muscle strength per week, foot drop,
osteoporosis, decreased stability.
Immobility of the Genitourinary System - Urinary Stasis / Retention
UTI
Renal Calculi
Immobility: Respiratory - decrease all muscle strengths including lungs, increases
secretion, decreased ventilation, decrease respiratory depth, air passage blockage can
lead to atelectasis.
Immobility of the Integumentary System - - Pressure
- Shearing
- Bony prominences
- Pressure ulcers
-external pressure leads to compressed capillaries in the skin. Leads to tissue ischemia
and eventual necrosis.
Home Safety (Infant) - Risk for poisoning, carbon monoxide, burns, drowning,
suffocation/ smother is the leading cause of death by suffocation in infants.
never events - Serious but preventable errors that should never occur
Fall prevention - screenings, elements of focused history, physical examination,
functional assessment. adaption of the environment, minimization of psychoactive
medications, management of foot problems and footwear, exercise that emphasize
balance, strength and gait training.
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