2024 NSG 300 EXAM 1 WITH
CORRECT ANSWERS
Healthy People 2020 - CORRECT-ANSWERS-Attain high-quality, longer lives
free of preventable disease, disability, injury, and premature death.
-Achieve health equity, eliminate disparities, and improve the health of all
groups.
-Create social and physical environments that promote good health for all.
-Promote quality of life, healthy development, and healthy behaviors across
all life stages.
health beliefs - CORRECT-ANSWERSa person's ideas, convictions, and
attitudes about health and illness
(individuals perception about susceptibility, serious of illness, and if they will
take preventative action)
what is the importance of proper positioning and movement for promoting
clients comfort? - CORRECT-ANSWERSproper positioning and placing them in
correct body alignment can help reduce pressure risks
movement is important because immobility can cause many systemic effects
Metabolic System: Effects of Immobility - CORRECT-ANSWERSendocrine
(homeostasis is usual function, can decrease wound healing)
calcium absorption (hypercalcemia)
GI function (constipation)
Respiratory System: Effects of Immobility - CORRECT-ANSWERSatelectasis
(collapse of alveoli)
hypostatic pneumonia ( inflammation of lung from stasis or pooling
secretions
Cardiovascular System: Effects of Immobility - CORRECT-
ANSWERSorthostatic hypotension
thrombus
Musculoskeletal System: Effects of Immobility - CORRECT-ANSWERSloss of
endurance and muscle mass
decrease stability and balance
Muscular System: Effects of Immobility - CORRECT-ANSWERSloss of muscle
mass
Urinary System: Effects of Immobility - CORRECT-ANSWERSurinary stasis
renal calculi (kidney stones)
UTI
Integumentary System: Effects of Immobility - CORRECT-ANSWERSpressure
ulcer
ischemia
Safe application of physical restraints - CORRECT-ANSWERSmake sure
physician knows about this (restraint order) and visits the client within 1 hour
of the client receiving physical restraints
restraint should never interfere with treatment
should not be SNUG (2 fingerwidths btwn)
fit properly and be as discreet as possible
be easy to remove or change (every 2 hours for toileting and checking
neurovascular status)
only used 4 hrs for adults. for physician prescription, it can go up to 24 hrs.
trochanter roll - CORRECT-ANSWERSprevents external rotation of the hips
when a patient is in a supine position
how is a trochanter roll implemented? - CORRECT-ANSWERSfold cotton towel
length wise to a width that extends from greater trochanter of the femur to
lower border of popliteal space
hand roll - CORRECT-ANSWERSroll placed in the hand to prevent hand
contraction
trapeze bar - CORRECT-ANSWERSallows the client to pull with the upper
extremities to raise the trunk off the bed, assist in transfer, or to perform
exercises increases independence, helps maintain upper body strength,
decreases the shearing action
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