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NUR 1022C - Foundations of Nursing Exam #2 - Complete Answered
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NUR 1022C - Foundations of Nursing Exam #2 - Complete Answered
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NUR 1022C - Foundations of NursingExam #2 - Complete Answered
What /.are /.some /.examples /.of /.pathological /.influences /.on /.mobility? /.- /.
(correct /.answer) /.-- /.Postural /.abnormalities /.- /.e.g. /.scoliosis, /.lordosis, /.kyphosis, /.club /.foot, /.knock
/.knee
- /.Damage /.to /.CNS /.- /.spinal /.cord /.injuries, /.MS /.= /.multiple /.sclerosis /.
- /.Musculoskeletal /.Trauma /.
- /.Impaired /.muscle /.dvlpmt /.- /.muscular /.dystrophy
- /.decreased /.flexibility
What /.is /.chvostek's /.sign? /.- /.(correct /.answer) /.-Push /.the /.cheek /.and /.it /.spasms
(low /.calcium) /.due /.to /.hypocalcemia
What /.are /.some /.therapeutic /.reasons /.for /.bed /.rest? /.- /.(correct /.answer) /.-
Definition: /.Mobility /.restriction /.where /.the /.pt. /.Is /.confined /.to /.their /.bed /.for /.Tx /.reasons /.i.e. /.W
eakness, /.decreased /.O2 /.consumption, /.major /.surgery/ /.blood /.loss, /.to /.rest /.a /.body /.part /.I.e. /.fra
ctures, /.safety /.reasons, /.reduces /.pain, /.preeclampsia
What /.is /.CBR? /.- /.(correct /.answer) /.-Complete /.Bed /.Rest, /.pt /.uses /.a /.bedpan
What /.is /.BRP? /.- /.(correct /.answer) /.-
Bed /.rest /.with /.bathroom /.privileges, /.pt /.should /.use /.the /.call /.light
What /.is /.BSC? /.- /.(correct /.answer) /.-Bed /.rest /.with /.bedside /.commode, /.usually /.with /.assistance
What /.is /.dangle /.on /.the /.side /.of /.bed? /.- /.(correct /.answer) /.-
Used /.with /.hypotensive /.pts, /.pts /.who /.have /.had /.major /.surgery
What /.is /.up /.to /.bedside /.chair? /.- /.(correct /.answer) /.-
The /.pt /.goes /.from /.bed /.to /.bed /.side /.chair, /.always /.use /.another /.nurse /.for /.heavy /.pts.
,What /.is /.disuse /.atrophy? /.- /.(correct /.answer) /.-
When /.cells /.and /.tissues /.reduce /.in /.size /.due /.to /.disuse
What /.is /.OOB /.with /.assistance? /.- /.(correct /.answer) /.-Out /.of /.bed /.with /.assistance
What /.is /.OOB /.Ad /.lib? /.- /.(correct /.answer) /.-
Out /.of /.bed /.at /.liberty, /.they /.can /.freely /.walk /.around, /.make /.sure /
.catheters/foleys /.are /.empty, /.supportive /.shoes
What /.are /.the /.systemic /.effects /.of /.immobility? /.- /.
(correct /.answer) /.-- /.Glucose /.intolerance /.> /.high /.blood /.glucose
- /.decreased /.calcium /.absorption /.> /.bone /.breakdown /.(osteoporosis) /.
- /.decreased /.peristalsis /.> /.fecal /.impaction/ /.constipation /.
- /.muscle /.breakdown /.> /.negative /.nitrogen /.balance /.> /.fatigue
- /.atelectasis /.(collapsed /.alveoli) /.
- /.pts /.can /.'t /.expand /.their /.lungs /.as /.often /.> /.can't /.move /.secretions /.out /.of /.their /.respiratory /.tr
ack /.> /.secretions /.can /.end /.up /.in /.their /.lungs /.> /.hyperstatic /.pneumonia /.
- /.decreased /.metabolic /.activity, /.metabolize /.protein /.in /.the /.muscles /.
- /.orthostatic /.hypotension, /.decreased /.cardiac /.output, /.blood /.clots /.due /.to /.reduced /.circulation, /.i
schemia /.> /.necrosis, /.tachycardia
- /.urine /.can /.stay /.in /.the /.pelvic /.area /.and /.lead /.to /.renal /.calculus /.aka /.kidney /.stones /.
- /.urinary /.retention /.> /.infection /.
- /.pressure /.ulcers /.
- /.psychosocial /.issues /.- /.depression, /.anxiety
What /.is /.hypostatic /.pneumonia? /.- /.(correct /.answer) /.-An /.infection /.of /.the /.lungs /.associated /.with
/.immobility /.caused /.by /.pts /.not /.being /.able /.to /.take /.deep /.breaths /.or /.cough
What /.are /.the /.metabolic /.changes /.that /.can /.occur /.due /.to /.immobility? /.- /.(correct /.answer) /.-
Muscle /.atrophy /.
(cells /.and /.tissue /.decrease /.in /.size /.due /.to /.immobility), /.protein /.muscles /.breakdown /.into /.amino
/.acids, /.amino /.acids /.breakdown /.into /.nitrogen. /.The /.pt /.basically /.loses /.more /.nitrogen /.then /.the
y /.can /.intake /.> /.protein /.supplements /.
Can /.lead /.to /.anorexia /.(not /.hungry, /.no /.appetite) /.and /.fatigue
, What /.subjective /.data /.can /.a /.nurse /.collect /.as /.part /.of /.her /.respiratory /.assessment /.on /.a /.pt? /.-
/.(correct /.answer) /.-Can /.the /.pt /.cough? /.
Does /.the /.pt /.have /.SOB? /.
Does /.the /.pt /.have /.angina /.w/ /.breathing? /.(maybe /.pleuritic) /.
Does /.the /.pt /.have /.a /.hx /.of /.respiratory /.disease? /.(Asthma, /.COPD)
Does /.the /.pt /.smoke?
What /.objective /.data /.can /.a /.nurse /.collect /.as /.part /.of /.her /.respiratory /.assessment? /.- /.
(correct /.answer) /.-Chest /.shape /.
(e.g. /.barrel /.shape /.= /.continuous /.over /.inflation /.of /.the /.lungs, /.kyphosis) /.
Positioning /.(tripod, /.laying /.down /.using /.pillows /.due /.to /.orthopnea) /.
Color /.( /.cyanotic, /.pallor) /.
Symmetric /.expansion /.(do /.they /.have /.fractured /.ribs /.or /.pneumothorax?) /.
WOB /.(are /.they /.using /.accessory /.muscles?) /.
Sputum /.color /.
( /.e.g. /.pink /.= /.heart /.failure, /.clear /.= /.cold, /.bronchitis, /.yellow/green /.= /.bacterial /.infection)
What /.measurements /.can /.a /.nurse /.use /.to /.assess /.a /.pt's /.respiratory /.function? /.- /.
(correct /.answer) /.-Pulse /.oximetry /.(are /.their /.O2 /.stats /.greater /.than /.95%?) /.
Cap /.refill /.(can /.tell /.the /.nurse /.if /.the /.pt /.has /.good /.peripheral /.perfusion) /.
Temperature /.
(are /.they /.the /.same /.temp /.on /.both /.sides /.of /.their /.body? /.Are /.their /.fingers /.and /.toes /.cold? /.If
/.so, /.this /.can /.indicate /.poor /.peripheral /.perfusion) /.
Lung /.sounds /.(Are /.they /.diminished? /.Are /.they /.clear? /.Does /.the /.pt /.have /.crackles /.or /.wheezing?
/.Do /.they /.have /.patent /.airways?)
What /.does /.TCDB /.mean? /.- /.(correct /.answer) /.-
turn, /.cough, /.deep /.breathe /.every /.2 /.hours, /.respiratory /.intervention
What /.are /.some /.respiratory /.interventions? /.- /.(correct /.answer) /.-
TCDB /.so /.they /.can /.get /.air /.all /.the /.way /.to /.their /.bases /.and /.move /.secretions. /.Incentive /.spirom
eter /
.(inspiration/inhalation) /.= /.helps /.the /.pt /.expand /.their /.lungs, /.suction /.oropharyngeal /.airway /.prn, /
.chest /.physiotherapy, /.hydration /.= /.breaks /.up /.the /.mucus
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