Mobility 1
Demonstrate abduction and adduction of the leg.
Abduction - moving away from body
Adduction - moving toward body
If the patient's left leg is injured, they should hold the cane on the _________ side.
Right
What is the difference between non-weight bearing and partial weight bearing?
non-weight - no weight at all
partial - some weight
What is the difference between high fowlers and semi-fowlers?
high fowlers = 90 degrees
semi fowlers = 30-45 degrees
What is the difference between active ROM and passive ROM?
Active - pt does by themself
Passive - nurse or PT moves the joint for the pt
Name one indication and one contraindication for SCD's.
Indication - decreased mobility after surgery
Contraindication - blood clot in the leg
What is the main reason a person would be put in a prone position?
critically ill / severe respiratory issues
Which abnormality in spinal curvature could be described as a hunch-back?
Kyphosis
Which abnormality in spinal curvature has an exaggerated lumbar curve?
Lordosis
Which abnormality in spinal curvature has an S or C shaped spinal column with unequal heights of hips and shoulders?
Scoliosis
-get help
-space feet apart for wide base of support
-hold pt close to your body
-bend your knees, keep your back straight
What is reverse Trendelenburg? Give one reason a patient might need to be in this position.
When back has to be flat after spinal surgery but they need to raise the HOB
Name 2 nursing interventions that can help with constipation.
-increase fluids
-increase mobility / walking
Who is responsible for assessing a patient in restraints and what should the assessment focus on?
-the nurse
-LOC, necessity for restraints, VS, pulses, skin integrity
Which crutch walk would be recommended for a patient who is non-weight bearing on the left foot? (2, 3, or 4 point crutch walk)
3-point crutch walk
A nurse at the hospital asks you to help a patient (that you haven't met) up to the bathroom. List at least 3 things you need to know before you assist this patient.
-How much do they weigh
-Do they have any limitations/injuries
-How much assistance have they been using
-How long has it been since they last got up / have they gotten up at all since they've been here
What is Trendelenburg? Give one reason why a patient might need to be in this position.
Low BP, moving up in bed
Give one appropriate and one inappropriate reason for using restraints.
Appropriate - confused, agitated, removing necessary medical devices, risk for harming self or others
Inappropriate - fall risk, not staying in bed
On what part of the body should the top part of a cane line up with?
The greater trochanter (hip joint)
Where should crutches be in relation to the patient's axilla?
2-3 finger widths below
Give one example of a negative effect that immobility can have on each of these systems:
Cardiovascular - Integumentary -
Respiratory - Gastrointestinal -
Musculoskeletal - Urinary -
Cardio - blood clots Integumentary - wounds
respiratory - pneumonia GI - constipation
musculoskeletal - atrophy, decreased ROM urinary - stasis
What are the 5 P's you should assess with Casts and Traction?
When going up the stairs with crutches, which leg goes up first?
The good leg
When going down stairs with a cane, which leg goes down first?
The bad leg
What is the difference between osteoarthritis and osteoporosis?
Osteoporosis - fragile bones. Loss of bone tissue. *focus on safety and strengthening
Osteoarthritis - Inflammation of the joints. *focus on pain management