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NSG 131 Module 3 Exam Objectives Questions And Answers $12.79   Add to cart

Exam (elaborations)

NSG 131 Module 3 Exam Objectives Questions And Answers

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  • NSG 131
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  • NSG 131

exhaustion GAS ~ GAS: final stage and it occurs if the body's resources are depleted by chronic stress, Decreased blood pressure and vasodilation and exhaustion occur. debridement ~ surgical, mechanical, bio, or chemical removal of foreign material and dead tissue from a wound in order t...

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  • August 8, 2024
  • 35
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  • Exam (elaborations)
  • Questions & answers
  • NSG 131
  • NSG 131
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NSG 131 Module 3 Exam
Objectives Questions And
Answers

Apply the Assessment step of the nursing process in provision of nursing care to

clients with impaired mobility (What would you look for)


✓~ 1- Nursing History


2- General Ease of Movement


3- Alignment


4- Joint structure and Function


5- muscle mass, tone, and strength


6- equipment used and needed


7- ROM


8- Symmetry


9- Masses, swelling


10- Pain, tenderness, numbness, paresis

,Describe the use of body mechanics to protect self from injury and to teach

clients and caregivers


✓~ Proper body mechanics: erect posture and use internal girdle, use the longest and

strongest muscles, keep objects close to the body, use body weight for

pushing/pulling. Use protective equipment as needed.




Effect of immobility on respiratory system


✓~ respiratory- decreased depth of respirations, decreased rate of respirations,

pooling of secretions, impaired gas exchange




Effect of immobility on musculoskeletal


✓~ musculoskeletal- decreased muscle size, tone, and strength; decreased joint

mobility and flexibility; decreased endurance and stability; increased risk for

contractors.




Effect of immobility on gastrointestinal


✓~ gastrointestinal- appetite disturbances, altered protein metabolism, altered

digestion

,Effect of immobility on urinary


✓~ increased urinary stasis, increased risk for stones, decreased bladder muscle tone




Effect of immobility on metabolic


✓~ increased risk for electrolyte imbalance




Effect of immobility on integument


✓~ increased risk for breakdown and ulcers




Effect of immobility on Psychological well being


✓~ increased sense of powerlessness, decreased self-concept, decreased sensory and

social stimulation, altered sleep/wake pattern, increased risk for depression




Effect of immobility on cardiovacular


✓~ cardiovascular- increased cardiac workload, increased risk for orthostatic

hypotension, increased risk for blood clots

, Apply the Diagnosis step of the nursing process in provision of nursing care to

clients with impaired mobility


✓~ 1- Activity tolerance

2- impaired physical mobility


3- immobility as an etiology of other problems




Apply the Planning step of the nursing process in provision of nursing care to

clients with impaired mobility


✓~ 1- Outcome identification: measurable, achievable, specific

2- Goals: promote multisystem function, prevention of problems caused by

immobility




Apply the Implementation step of the nursing process in provision of nursing

care to clients with impaired mobility


✓~ 1- Maintain body alignment and support extremities

2- common bed positions


3- reposition q2h


4- massage pressure areas q2h (unless already red or injured)

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