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NURS 2356 - Musculoskeletal | UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION WITH VERIFIED SOLUTIONS| GRADED A+| GET IT 100% ACCURATE!!$14.99
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1. effects of immo- £decreased lung expansion and impaired gas exchange
bility on the res- £ retained secretions, ineffective cough = increased risk of
piratory system infection
(2)
2. effect of immo- £decreased intestinal tone and motility causes constipa-
bility on the GI tion
system (3) £ decreased metabolic rate
£ anorexia, nausea and negative nitrogen balance
3. effects of immo- £decreased muscle strength and tone, muscle atrophy
bility on the mus- £ lack of coordination, altered gait = increased risk for falls
culoskeletal sys- £ decreased ROM and joint flexibility = contractures occur
tem (5) £ pain and activity intolerance
£ loss of bone mass
4. effects of immo- £decreased bladder tone
bility on the uri- £ increased risk of UTI & renal calculi
nary tract (2)
5. effects of immo- £increased cardiac workload
bility on the car- £ orthostatic hypotension
diovascular sys- £ pooling of blood and thrombus formation
tem (3)
6. effect of im- £pressure ulcers
mobility on £ pain
the integumen- £ infection
tary system (3)
7. effect of immo- £sensory deprivation
bility on cogni- £ confusion, anxiety, stress
tive and nervous £ delayed development
system (5) £ disturbed sleep patterns
£ disturbed self-concept
8. psycological ef- patient
fects of immobil- £ leads to sluggish intellectual and psychomotor responses
ity £ decreased communication skills
£ increased fantasizing
, NURS 2356 - Musculoskeletal
£ patient (4) £ decreased peer interactions & socializing
£ family (2) family
£ disrupts family function
£ may severely tax a family's resources and coping abilities
9. nursing manage- £play therapy using dolls, stuffed animals
ment for psycho- £ transport patient outside of the room i.e., playroom, out-
logical effects of side
immobility (5) £ have home items brought in
£ minimize family disruption
£ child should participate in self-care
10. nutrition for im- high protein and high calorie foods
mobile patients £ adequate hydration
11. what types of ex- passive exercises and movements to prevent atrophy
ercise is needed
for immobile pa-
tients
12. what are the ef- £increased length of stay - 18 extra days
fects of pressure £ increased charges - $85k
ulcers (3) £ increased mortality - 3.5x
13. how often are at admission and daily
skin assess- £ complete total skin assessment every 24 hours, with spe-
ments done on cial attention to bony prominences (i.e. coccygeal sacral
hospitalized pa- skin, heels, and skin adjacent to external devices)
tients? £ include in the medical record complete documentation of
any pressure ulcer found
14. how often are at admission and daily
pressure ul- £ evaluate all patients for pressure ulcers and pressure
cer risk assess- ulcer risk using a risk assessment tool (i.e. Braden Q
ments done on Scale, Glamorgan Scale) upon admission and every 24
hospitalized pa- hours thereafter and document the results in the chart
tients?
15. RICE therapy R: rest
£ limit activity
, NURS 2356 - Musculoskeletal
I: ice
£ 20 - 30 min on; 60 min off
C: compression
£ ace wrap or other elastic bandage or brace, check for
skin alterations when unwrapping
E: elevation
£ elevate extremity above the level of the heart to decrease
swelling
16. cold therapy for apply for 20 - 30 minutes; off for 1 hour and repeat
orthopedic ther- £ discontinue when numbness occurs
apeutic manage- £ place a towel between the cold pack and the skin to
ment prevent thermal injury
£ when is therapy
discontinued
£ how to prevent
thermal injuries
17. what is a an orthopedic appliance or apparatus applied to the body,
brace/orthotic? particularly the trunk and lower limbs, to support the
£ nursing implica-weight of the body, to correct or prevent deformities, or
tions (2) to control involuntary movements
£ specifically fitted for each child
nursing interventions:
£ skin integrity (cotton undergarment under device)
£ education on scheduled "on & off" time
18. what is a cast a rigid structure used encase and immobilize an injured
£ indications or displaced body part. it is not removable and is made of
a harder substance
£ used for fractures, dislocations or correcting deformities
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