Questions
which parts of the brain are not responsible for smooth control of voluntary motor functions?
A. Limbic system
B. Cerebral cortex
C. Basal ganglia
D. Cerebellum
A. Limbic system
1. orthostatic hypotension
2. thrombus
3. increased cardiac workload
regulations
1. use least amount of restraint
2. all other less restrictive interventions tried first
3. physician order required every 24 hours
4. supporting documentation required with charting on patient safety every hour. release restraint and examine skin, reposition
assistive devices for walking
1. walkers
2. canes
3. crutches
4. quad canes
which of the following terms describes movement characterized by slow, irregular, twisting motions?
A. ataxia
B. tremor
C. chorea
D. athetosis
D. Athetosis
muscle effects
1. loss of muscle mass
2. muscle atrophy
short term complications
1. hyperthermia
2. new onset bowel and bladder
3. incontinence
4. pressure ulcer formation
5. increase risk nosocomial infection
mechanical aids for ambulation
1. gait belt
2. walkers
3. crutches
4. cane
is the following statement true or false?
if a patient being assisted into bed begins to fall in the chair he occupied, the best action for the nurse is to try to redirect the patient's direction back toward the bed
false
urinary elimination
1. urinary stasis
2. renal calculi
3. infection
long term complications
1. nerve injuries
2. joint contractures
3. strangulation injuries
4. death from strangulation
implementation
1. muscle strengthening
2. dangling the legs
3. transfer belts
4. walkers
4. canes and quad canes
5. crutches
musculoskeletal (#)
skeletal(-)
1. loss of endurance and muscle mass
2. decreased stability and balance
-impaired calcium absorption
-joint contractures
what type of knot is most beneficial for wrist/ankle restraints?
quick release knot
tools for moving patients safely
1. lift teams
2. hydraulic lifts
3. ceiling lifts
4. stand-up assist lifts
5. two or three person lifts
6. lateral sliding board/sheet
integumentary
1. pressure ulcers
2. ischemia
ways to prevent back injury
1. assess the situation and get the appropriate devices and assistance
2. use friction decreasing devices whenever possible
3. only use manual lifting as a last resort
4. keep in mind the principles of body mechanics during all nursing tasks