Safety with Lifting, moving, and positioning
Who Am I? where the two bones meet or more bones in the body meet; allow movement, slightly movement, or immovable... Who Am I?
Joints
Who Am I? I am the outer, thinner layer and I make vitamin D for absorption of phosphorus and calcium. Also, I contain melanocytes that secretes melanin?
Epidermis
What is the name of the risk assessment tool?
Braden Scale
A nurse observes an area of skin on a patient that is intact but shows non-blanchable redness. The skin may feel firm or soft, warmer or cooler compared to surrounding tissue, and the patient may report pain or itching.
What stage of pressure injury is this?
Answer: Stage 1
I am responsible for urine and stool elimination. Nurses assess me by monitoring intake and output, bladder distention, urine characteristics, bowel sounds, and stool patterns. Interventions include hydration, stool softeners or laxatives, catheterization if needed, perineal care, and teaching elimination techniques.
Which system am I?
Urinary and Gastrointestinal Elimination System
I am responsible for body alignment, stability, joint mobility, and muscle strength. Nurses assess my function by evaluating range of motion, muscle tone, muscle mass, gait, and risk of contractures. Interventions include repositioning, weight shifts, active or passive ROM exercises, use of assistive devices, and promoting bone strength through nutrition.
Which system am I?
Musculoskeletal System
A nurse is assessing a patient’s urine. The pH of normal urine is typically slightly acidic.
What is the normal pH range of urine?
5.5-7.0
A nurse is teaching a patient how to use crutches safely. What are the key instructions for proper crutch use, including fitting, positioning, and gait?
Key Instructions for Crutch Use:
Do not alter crutches after they have been properly fitted.
Follow the prescribed crutch gait (alternate weight from one leg to the other and on the crutches).
Support body weight on the hand grips, keeping elbows flexed at 20–30 degrees.
Use proper technique for sitting and rising: hold both crutches in one hand and grasp the arm of the chair with the other hand for balance.
Tripod position: the basic stance where crutches are placed 15 cm (6 in) in front of and 15 cm (6 in) to the side of each foot to provide a wide base of support.
What devices am I? I redistributing pressure away from bony prominences, reducing risk of pressure ulcers development for a patient with limited mobility? What devices am I?
foam wedge
🚻 Who Am I?
I am an incontinent urinary diversion in which a surgeon creates a direct opening from the renal pelvis to the surface of the abdominal wall using a tube. I allow urine to drain continuously into an external collection device because the client cannot control my flow.
Who am I?
Nephrostomy
Who Am I? I am fluid-filled sac reduces friction in the joints. Who Am I?
Bursa
Who Am I? I have an inner, thicker layer, with blood vessels, nerves, fibroblasts gland and the base of hair follicles. Who Am I?
Dermis
When should skin be assessed in acute care?
on admission and at least every shift - (acute care)
on admission and weekly or with any change in condition - (long-term care)
A nurse notices a shallow open ulcer on a patient’s skin. The wound involves the epidermis and/or dermis and has a pink or red wound bed without slough. There may also be blistering or partial-thickness loss of skin.
What stage of pressure injury is this?
Stage 2
What factors affect the urinary elimination?
What are the six factors affecting the environment?
Temperature, ventilation, humidity, lighting, odor, and noise
Most healthy adults produce how much urine per day?
What is the average urine output per day?
produce 1,000 to 2,000 mL/day of urine.
1000 to 1500 ml/day is average urine output
What is four-point gait?
requires the client to bear weight on both legs. The client alternates each leg with the opposite crutch so three points of support are on the floor at all times.
What is difference between Semi-Fowler, Fowler, and High-Fowlers?
Semi-fowler - 15-45 degrees, this position prevents aspiration for any patients with difficulty swallowing and promotes lung expansion. (used for enteral feeding)
Fowler- 45-60 degree, this position allows chest expansion and ventilation. used for abdominal surgeries (used nasogastric tube)
High-fowler- 60-90 degree, promotes lung expansion, relieve severe dyspnea, and prevents aspiration during meals.
What are the factors affecting immobility?
Why is it important in healthcare facilities to prevent falls in older adults? Why is it the nurses #1 priority in healthcare facilities?
Because Medicare and Medicaid no longer reimburse for treating injuries resulting from falls.
Who Am I? I am made of keratin and have no blood supply and no nerve endings. Who Am I?
Hair and Nails
Who Am I? I am another main type of pressure injury that is caused by downward and forward pressure on tissues beneath the skin. Also, it can occur when a patient is sliding down in a chair, bedclothes are pulled from beneath the patient; or when a patient slides up in a bed without pad underneath their bodies. Who am I?
Shearing force
A nurse assesses a wound on a patient where there is full-thickness skin loss, and subcutaneous tissue is visible, but bone, tendon, or muscle are not exposed. The wound may have slough or tunneling, and the edges may appear undermined.
What stage of pressure injury is this?
Stage 3
🚻 Who Am I?
I am a type of urinary incontinence that occurs when small amounts of urine leak due to increased abdominal pressure, without any contraction of the bladder muscle. I often happen during activities such as laughing, sneezing, coughing, or lifting. I commonly affect females who have weakened pelvic floor muscles after childbirth or menopause, and I can also affect males who have changes in the urethra following a prostatectomy.
Who am I?
Stress Urinary incontinence
Which of the following correctly distinguishes biohazard from bioterrorism?
A) Biohazard is naturally occurring or accidental exposure to harmful biological substances, while bioterrorism is the intentional release of harmful biological agents to cause harm.
B) Biohazard only includes chemical substances, while bioterrorism involves biological agents.
C) Biohazard is always intentional, while bioterrorism is accidental.
D) Biohazard and bioterrorism are the same thing.
Answer is A
What is difference between an fracture pan and regular pan
What is three-point gait?
requires the client to bear all weight on one foot while using both crutches. The affected leg should never bear weight or touch the ground.
What is body position? The client lies on their side with most of the weight on the dependent hip and shoulder and the arms in flexion in front of the body. They should have a pillow under the head and neck, upper arms, and legs and thighs to maintain body alignment. This is a good sleeping position, but the client needs turning regularly to prevent the development of pressure ulcers on the dependent areas. What body position am I?
Lateral or side-lying
What is the most common injuries to healthcare workers
lower back strain
What has to be completed for each client at admission and at regular intervals?
LPN must Complete a fall-risk assessment
List the four main functions of the skin
protection
sensation
temperature regulation
excretion and secretion
What are three complications of immobility?
contracture - resistances to stretch in damaged muscles that pull a joint into a frozen position
muscle cramps
muscle atrophy - decrease in muscle mass, flexibility, and strength
A nurse finds a wound with full-thickness skin and tissue loss. Bone, tendon, or muscle are exposed, and there may be slough or eschar present. The wound often includes tunneling or undermining.
What stage of pressure injury is this?
Stage 4
Why should you report to the provider if anyone has
less than 30 ml/hr for more than 2 hours?
because inadequate urinary output is a manifestation of urinary retention, hypovolemia, or impaired kidney function.
Which statement correctly differentiates skin traction from skeletal traction?
Skin traction: Uses straps, boots, or belts applied to the skin; supports lighter weights (5–10 lbs); usually temporary; risks include skin breakdown.
Skeletal traction: Uses pins or wires inserted into the bone; supports heavier weights (20–30 lbs or more); can be continuous; risks include infection at pin site, osteomyelitis, or nerve injury
Urinary elimination is a precise system that involves which of the following processes?
A) Filtration, reabsorption, and excretion
B) Digestion, absorption, and elimination
C) Circulation, respiration, and excretion
D) Secretion, ingestion, and filtration
A) Filtration, reabsorption, and excretion
What is two-point gait?
requires the client to have partial weight bearing on both feet. The client moves a crutch while moving the opposite leg at the same time. This is to mirror the movements of normal arm and leg motion during walking.
What is this body position? The client lies on their back with the head and shoulders elevated on a pillow and forearms on pillows or at their sides. A foot support prevents foot drop and maintains proper alignment. Which body position is this ?
Supine or dorsal recumbent
I am a condition characterized by unpleasant or foul-smelling breath. I can result from poor oral hygiene, gum disease, certain foods, smoking, or underlying medical conditions. Nurses often educate clients on proper oral care and hydration to help manage me.
Who am I?
Halitosis - means bad breath
There are many injuries happening with healthcare workers on a daily basis. What are a few proper body mechanics and positioning techniques that reduces the number of cases of injured healthcare workers on a daily basis?
Obtain help whenever possible
Bend at the knees and lower slowly without straining your back (using your leg muscles)k
keep feet about shoulders' width apart. this establishes a wide base of support and provides stability for movement.
use smooth, coordinated movement instead of jerking
work at the same level or height as the object to be moved
keep elbows and work close to the body
How does skin help regulate temperature?
by dilating and constricting and blood vessels and activating or inactivating sweat glands.
what is necrosis?
local death of tissue from disease or injury
What is this position? The client lies flat on their abdomen and chest with the head to one side and back in correct alignment. This position promotes drainage from the mouth after throat or oral surgery but inhibits chest expansion. It is for short-term use only. This position helps prevent hip flexion contractures following a lower extremity amputation. Which body position is this?
Prone
🚻 Who Am I?
I am a type of urinary incontinence that is temporary and reversible. I occur when underlying factors such as urinary tract infections, temporary cognitive impairment, metabolic disturbances like hyperglycemia, or certain medications (e.g., diuretics, anticholinergics, sedatives) interfere with normal bladder control. Once the underlying cause is treated or removed, my symptoms typically resolve.
Who am I?
Transient Urinary Incontinence
I am an essential assessment performed on patients with fractures, casts, or traction to ensure their limbs are safe and properly perfused. Nurses check me by evaluating circulation, motion, and sensation—looking for changes in color, temperature, pulse, movement, and feeling in the extremities. Early detection of problems can prevent complications such as compartment syndrome or nerve damage.
Neurovascular assessment (CMS check)
I am a commonly performed diagnostic test that uses a random, non-sterile urine specimen to assess a client’s health status. I help diagnose and monitor conditions such as kidney disorders, urinary tract infections, and systemic diseases like diabetes mellitus. The specimen collected for me is analyzed for color, clarity, pH, and the presence of substances such as blood, protein, glucose, and ketones. Before I am collected, the nurse explains the procedure to ensure client understanding and cooperation. After collection, my container must be properly labeled with the client’s identifying information and transported to the laboratory according to facility policy to ensure accurate results.
Who am I?
Urinalysis
A nurse is teaching a patient how to use a walker safely. What are the key steps and safety instructions for proper walker use, including height, positioning, and gait?
Key Instructions for Walker Use:
Adjust walker height so the hand grips are at the inside of the client’s wrist while standing straight.
Hold the walker firmly with both hands.
Keep elbows flexed 15–30 degrees when standing inside the walker.
Stand behind the client, with the walker slightly to one side for support.
Advance the walker forward 15–20 cm (6–8 in) and place all four feet firmly on the floor.
Support body weight on the walker, then advance one foot forward followed by the other, move the walker, and repeat the steps.
What is this body position? The client is on their side halfway between lateral and prone positions, with the weight on their anterior ileum, humerus, and clavicle. The lower arm is behind them while the upper arm is in front. Both legs are in flexion, but the upper leg is flexed at a greater angle than the lower leg at the hip as well as at the knee. It differs from the side-lying position in the distribution of the client’s weight. This is a comfortable sleeping position for many clients, and it promotes oral drainage. Which body position is this?
Lateral Semi-prone Recumbent Position
📝 Question
How often should a nurse perform full mouth care for an unconscious patient to maintain oral hygiene and prevent complications?
At least Every 4 hours
Who Am I? I can produce movement by contracting and I can enable movement. You need me to maintain posture, stabilize joints and I generate heat. Who Am I?
Skeletal Muscles (contraction) pg.280
What substance waterproofs the skin?
sebaceous glands produce sebum, which helps make the skin waterproof by preventing water loss from underlying tissues and too much water absorption from bathing and swimming
Why is Perineal Care so important?
Perineal care helps maintain skin integrity, relieve discomfort, and prevent transmission of micro-organisms (catheter care).
Class A, B, C, D and K is a multipurpose fire extinguisher that can be used for fires involving combustibles, flammable liquids, and electrical equipment, and etc. What is the purpose for each of these class?
Class A is for combustibles (paper, wood, upholstery, rags, other types of trash fires).
Class B is for flammable liquids and gas fires.
Class C is for electrical fires.
Class D is for metals/metal shavings.
Class K is for kitchen fires involving fats and oils.
🚻 Who Am I?
I am a type of urinary incontinence that happens when a person cannot hold urine long enough to reach the bathroom. I occur because the detrusor muscle of the bladder is overactive, causing increased bladder pressure and sudden, strong urges to urinate. I can result from bladder irritation, such as a urinary tract infection, or from an overactive bladder condition.
Who am I?
Urge Urinary Incontinence
A nurse is caring for a patient with a plaster or fiberglass cast. What are the key steps and precautions for proper cast care?
1. Keep the cast dry:
Use a plastic cover during bathing
2. Prevent pressure and damage:
Do not insert objects inside the cast to scratch.
Avoid resting the cast on hard surfaces.
Elevate the limb above heart level initially to reduce swelling.
3. Monitor for complications:
Check neurovascular status (CMS: circulation, motion, sensation) regularly.
Observe for pain, swelling, numbness, tingling, coolness, or discoloration.
Check for odor or drainage, which may indicate infection.
4. Skin care and hygiene:
Keep skin around edges clean and dry.
Here’s a “Who Am I?” style question for nursing students based on that statement:
🚻 Who Am I?
I am the primary organ responsible for urinary elimination, and I filter blood to remove waste and maintain fluid and electrolyte balance. Within me, nephrons perform most of the work of filtration, reabsorption, and elimination, ensuring that the body maintains homeostasis.
Who am I?
kidneys
A nurse is teaching a patient how to use a cane safely. Arrange the steps in the correct order and identify key instructions for proper cane use
Key Instructions for Cane Use:
Maintain two points of support on the ground at all times.
Hold the cane on the stronger side of the body.
Support body weight on both legs.
Move the cane forward 15–25 cm (6–10 in).
Advance the weaker leg toward the cane.
Advance the stronger leg past the cane
What is the body position? The client sits in bed or at the bedside with a pillow on the overbed table, which is across the client’s lap. They rest their arms on the overbed table. This position allows for chest expansion and is especially beneficial for clients who have COPD. Which body position is this?
Orthopneic
What does R.A.C.E stand for?
R - rescue
A - alarm
C - contain
E - extinguish/evaluate
Who Am I? I can connect muscle to bone to allow joint movement. Who am I?
Tendons
What are the 4 lifestyles changes that occur with age that will change your skin?
Elastic fibers and adipose tissue in dermis and subcutaneous layers cause skin to be thin
skin becomes thinner and more transparent
sebaceous activity causes more dry and itchy skin
hair changes thinner and growing more slower
Which way should you shave a man the correct way?
Move the razor over the skin in the direction of hair growth using long strokes on large areas of the face and short strokes around the chin and lips.
Triple Double Question.... Are you ready?
Should the nurse leave the patient while they are having a seizure?
What should a nurse do while an seizure is happening?
What should you do after a seizure is over?
🚑 Who Am I?
I am an infection that can occur while a client has an indwelling urinary catheter or within 48 hours after it is removed. I am one of the most common healthcare-associated infections. My risk increases with prolonged catheter use, frequent opening of the closed urinary drainage system, unnecessary catheter changes, and catheter irrigation. I may present with urinary frequency, urgency, nocturia, flank pain, hematuria, cloudy or foul-smelling urine, and fever. In older adults, I may cause new confusion, recent falls, incontinence, anorexia, tachycardia, hypotension, or fever.
Nurses prevent me by using aseptic technique during catheter insertion, keeping the drainage system sterile and closed, maintaining the bag below bladder level, preventing obstruction or backflow, providing routine perineal hygiene, assessing the ongoing need for the catheter daily, and emptying the bag before it is half full.
Who am I?
Catheter-associated urinary tract infection (CAUTI)
I am used to protect the patient’s feet and heels when they are immobile for long periods. I help prevent foot drop, pressure injuries, and skin breakdown. Nurses ensure I keep the feet in proper alignment, reduce pressure on bony prominences, and check circulation and skin integrity regularly.
Boots, splints, and footboards
🚻 Who Am I?
I am the opening through which urine leaves the body, allowing the bladder to empty during urination. I am also the entry point for a urinary catheter when one is inserted for medical purposes.
Who am I?
Urinary Meatus
🩺 Who Am I?
I am a device or piece of equipment used to prevent blood clots and promote circulation in patients who are immobile. Nurses must perform hand hygiene before applying me, check skin and circulation, ensure I fit properly, and remove me every 8 hours to assess for redness, warmth, or tenderness. I must be kept clean and dry, not too tight over the toes, and clients should avoid crossing legs, prolonged sitting, restrictive clothing, pillows behind knees, or massaging legs while using me. ROM exercises are encouraged to support my effectiveness.
Antiembolic stockings or Sequential Compression Device (SCD)
What is this body position? The entire bed is tilted with the head of the bed lower than the foot of the bed. This position facilitates postural drainage and venous return. Which is this body position?
Trendelenburg
What does P.A.S.S stand for?
P - PULL
A - AIM
S - SQUEEZE
S - SWEEP
Who Am I? I can connect bone to bone to provide support and strength. Who Am I?
ligaments
What are the factors that influence hygiene practices?
Age, cultural beliefs, personal preferences, health status, socialeconomic status, and physical ability
Which assessment data collection is this? I maintain intact skin. You have to observe the skin for breakdown, warmth, and change in color. Use pressure injury risk scale and assess at least every 2 hr. Nursing action you will have to position using corrective devices (pillows, foot boots, trochanter rolls, splints, wedge pillows) and turn every 1 to 2 hr, and use devices for support or per protocol. Which system is this?
Integumentary
🩺 Who Am I?
I am a type of pressure injury where the full depth of tissue loss cannot be determined because slough or eschar covers the wound bed. Until the dead tissue is removed, nurses cannot accurately assess my stage, but I require careful monitoring and wound care to prevent infection and promote healing.
Who am I?
Unstageable Pressure Injury
🚻 Who Am I?
I am a urine collection method used to obtain a specimen that is as free as possible from bacteria normally found on the skin surrounding the urethra. I am especially important for urine culture and sensitivity testing because I help identify infections or abnormalities within the urinary tract accurately. Before I am collected, the nurse teaches the client the proper technique. After thorough cleansing of the urethral meatus, the client begins voiding, then collects the urine midstream into a sterile container to avoid contamination.
Who am I?
Clean-catch midstream for culture and sensitivity (C&S)
Which statement correctly describes the difference between a trapeze bar and a trochanter roll in patient care?
A trapeze bar is a triangular device attached above the bed that allows a patient to use their upper extremities to lift themselves, reposition in bed, assist with transfers, and perform upper‑arm exercises.
A trochanter roll is a supportive roll placed along the outside of the thigh to prevent external rotation of the hips in immobile patients, helping maintain proper alignment and reduce the risk of contractures.
What is a significant contributing factor to skin breakdown and falls, especially in older adults.
Urinary incontinence
Can a nurse shave a male patient’s mustache or beard, or cut a patient’s hair without consent?
No, a nurse should never shave or cut a patient’s hair without the patient’s consent.
Hair care can be provided only if the patient agrees, or if there is a medical necessity documented in the care plan.
Always respect the patient’s personal, cultural, or religious preferences regarding facial or head hair.
What is this body position? The entire bed is tilted with the foot of the bed lower than the head of the bed. This position promotes gastric emptying and prevents esophageal reflux. Which is the body position?
Reverse Trendelenburg
A nurse is reviewing common patient safety concerns. Match each type of incident with an example:
Falls
Burns
Cuts / Bruises
Choking
Electrical hazards
Loss of possessions
Examples:
A) Hot liquids spilled on a patient’s arm
B) Patient trips over a loose rug
C) Patient cuts finger on broken glass
D) Patient aspirates food while eating
E) Faulty electrical equipment
F) Patient’s personal items stolen or misplaced
Answer Key:
1 – B: Falls → patient trips over a loose rug
2 – A: Burns → hot liquids spilled on a patient’s arm
3 – C: Cuts / Bruises → patient cuts finger on broken glass
4 – D: Choking → patient aspirates food while eating
5 – E: Electrical hazards → faulty electrical equipment
6 – F: Loss of possessions → patient’s personal items stolen or misplaced
Who Am I? I am the cushions for the joints to reduces all of that friction. Who Am I?
Cartilage
When doing giving a patient a bath what skin assessment should be documented or noted?
Skin color (redness, pale, blusish area)
skin temperature (warm or cool area)
skin integrity (cuts, soress, pressure)
Rashes bruises or swelling
dryness or moisture
Which system is? I can maintain airway patency, achieve optimal lung expansion and gas exchange, and mobilize airway secretions. It can be assessed by observe chest wall movement for symmetry, auscultate lungs and identify diminished breath sounds, crackles, or wheezes and observe for productive cough, and note the color, amount, and consistency of secretions. Which system is this?
Respiratory
I am responsible for providing energy, supporting tissue repair, and maintaining metabolic and nutritional balance. Nurses assess me by monitoring height, weight, skinfold thickness, intake and output, wound healing, hydration status, and relevant lab values. Interventions include providing a high-calorie, high-protein diet, vitamin supplementation, and enteral or parenteral nutrition when needed.
Which system am I?
Metabolic System
🚻 Who Am I?
I am a type of urinary incontinence characterized by the frequent loss of small amounts of urine caused by urinary retention. My underlying problem is usually bladder overdistention, obstruction of the urinary outlet, or impaired detrusor muscle function. I can occur in individuals with neurologic disorders, such as spinal cord injury or Multiple sclerosis, leading to a neurogenic (flaccid) bladder. I may also be seen in males with an enlarged prostate.
Who am I?
Overflow Urinary Incontinence
🩺 Who Am I?
I am a protective device applied to immobilize a fractured or injured limb. Nurses ensure I stay dry, clean, and free from pressure. They regularly check circulation, motion, and sensation in the fingers or toes, and make sure the patient avoids inserting objects inside me or resting me on hard surfaces. Elevation and movement of the digits help prevent swelling and maintain circulation. Patients are taught not to remove or tamper with me and to report any pain, swelling, numbness, or foul odor immediately
Cast
A nurse is reviewing a patient’s urinary output. Differentiate between polyuria and oliguria in terms of urine volume and possible causes.
Polyuria:
Definition: Excessive urine output, usually more than 2,000–2,500 mL/day in adults.
Possible Causes: Diabetes mellitus, diabetes insipidus, excessive fluid intake, diuretic therapy.
Oliguria:
Definition: Decreased urine output, typically less than 400 mL/day in adults.
Possible Causes: Dehydration, shock, acute kidney injury, urinary obstruction.
📝 Question
When a patient’s dentures are not in their mouth, where should they be kept, and what should they be filled with to maintain their shape, hygiene, and prevent loss? How long should dentures be removed to allow the oral tissues to rest, cleanse, and relieve pressure?
Dentures should be kept in a labeled container filled with water to maintain their shape, hygiene, and prevent them from being lost.
Dentures should be removed from the mouth for at least 6–8 hours daily to allow the saliva and oral tissues to cleanse and to relieve pressure
What is the body position? The client remains flat with the legs above the level of their heart. This position helps prevent and treat hypovolemia and facilitates venous return. Which is this body position?
Modified Trendelenburg
🧠 Who Am I?
I am a consequence of immobility that affects a person’s emotional and mental well‑being. When someone has limited mobility, they may feel sad or hopeless, worried or fearful, have trouble thinking clearly, and withdraw from social connections. These changes can make it harder to cope and stay engaged with daily life.
Psychological effects of immobility (such as depression, anxiety, confusion, and social isolation)
Who Am I? You have to make sure you keep my spinal aligned throughout transfer. Which technique would you use if you have to maintain the spinal alignment?
Logroll
Why is proper oral care important in long-term facilities?
helps decrease the risk of infection for clients living in long-term care facilities, especially from the transmission of pathogens that can cause pneumonia.
What are the four major seizures precautioning a nurse care should do to prevent injury to an patient who has an history of seizures?
🚻 Who Am I?
I am a type of urinary incontinence involving the involuntary loss of a moderate amount of urine, often occurring without warning. I result from hyperreflexia of the detrusor muscle and usually stem from spinal cord or central nervous system dysfunction, such as a stroke, Multiple sclerosis, or spinal cord lesions.
Who am I?
Reflex Urinary Incontinence
What are some therapeutic effects when using applications of heat or cold therapy?
Heat
Cold
A nurse is reviewing a patient’s urinalysis results. Match each finding with its correct description:
Glycosuria
Proteinuria
Hematuria
Pyuria
Ketonuria
Definitions (mixed):
A) Presence of pus or WBCs in the urine
B) Presence of ketone bodies in the urine
C) Presence of protein in the urine
D) Presence of blood in the urine
E) Presence of glucose in the urine
1 – E: Glycosuria → Glucose in urine
2 – C: Proteinuria → Protein in urine
3 – D: Hematuria → Blood in urine
4 – A: Pyuria → Pus / WBCs in urine
5 – B: Ketonuria → Ketone bodies in urine
🦶 Who Am I?
I am a supportive footwear option used to help prevent foot drop and maintain proper foot/ankle alignment in patients who are immobile or at risk for foot‑positioning problems. I provide extra ankle stability by extending above the ankle and helping keep the foot in a neutral position, which can reduce the risk of excessive plantar flexion (toes pointing downward) that contributes to foot drop
High‑top supportive sneakers (used as a preventive measure to help maintain foot alignment and reduce foot drop)
Question:
A nurse is assessing patients with different types of disabilities. Classify each of the following conditions according to:
a) A patient recovering after knee arthroplasty ______))_
b) A patient with paraplegia following spinal cord injury __________
c) A patient with fractures of the arm and leg after a motor-vehicle crash __________
d) A patient diagnosed with Multiple sclerosis ____________
🩺 Who Am I?
I am a set of complications that develop when a person cannot move freely or is confined to prolonged bed rest. Because of reduced movement:
breathing becomes shallow and the lungs cannot clear secretions easily, increasing the risk of infections;
blood pools in the legs, which can lead to clot formation and low blood pressure upon standing;
muscles weaken and shrink, joints stiffen, and bones lose calcium, leading to contractures and fractures;
digestion slows, causing constipation and loss of appetite;
urine does not flow normally, increasing the risk of infections and stones;
prolonged pressure on skin increases risk of skin breakdown;
emotional effects like anxiety, depression, confusion, and social withdrawal can occur.
Who am I?
Complications of immobility — the harmful physiological and psychological changes that occur when normal activity and movement are restricted.
What are the three hazards for improperly positioning a patient?
muscle atrophy, pressure ulcers. and respiratory issues
Why is foot care is extremely important for clients who have diabetes mellitus and who can perform it? What should you not do on a diabetic patient?
foot care prevents skin breakdown, pain, and infection.
a qualified professional must perform it
Do not soak the feet due to the risk of infection, and do not cut the nails. Instead, file nails using a nail file. Do not apply lotion between the fingers or toes because the moisture can cause skin irritation and breakdown.
I am responsible for heart function and blood circulation. Nurses assess me by checking blood pressure, pulse, heart sounds, edema, peripheral circulation, and signs of deep vein thrombosis (DVT). Interventions include promoting early activity, proper positioning, avoiding leg crossing or tight clothing, and preventing blood clots.
Which system am I?
Cardiovascular System
🫁 Who Am I?
I am a life-threatening condition that occurs when a blood clot travels from the veins of the lower extremities and blocks blood flow in one or more arteries of the lungs. My presence may cause sudden shortness of breath, chest pain, hemoptysis, decreased blood pressure, and a rapid pulse. When I am suspected, the nurse acts quickly by placing the client in high-Fowler’s position, administering oxygen, monitoring pulse oximetry, and preparing to give thrombolytics or anticoagulants.
Who am I?
Pulmonary Embolism
🚻 Who Am I?
I am a type of urinary incontinence that occurs when a person loses urine because they cannot respond to the urge to urinate, even though the bladder is functioning normally. My causes are often related to cognitive impairments, mobility limitations, or environmental barriers that prevent timely access to a toilet or bathroom.
Who am I?
Functional Urinary Incontinence
🩺 Who Am I?
I am a condition that involves inflammation of a vein, most commonly in the lower extremities, and I lead to the formation of a blood clot. My presence may cause pain, warmth, redness, and swelling in the affected limb. Nurses carefully monitor for my development by measuring both calves and thighs daily, because a sudden increase in size on one side may signal my early formation. If not detected promptly, I can lead to serious complications.
Thrombophlebitis and deep-vein thrombosis (DVT)
A nurse is reviewing urinary symptoms in patients. Match each term with its correct definition:
Anuria
Dysuria
Nocturia
Definitions:
A) Painful or difficult urination
B) Frequent urination at night
C) Little or no urine output (<100 mL/day)
1 – C: Anuria → Little or no urine output (<100 mL/day)
2 – A: Dysuria → Painful or difficult urination
3 – B: Nocturia → Frequent urination at night
🧠 Who Am I?
I am a set of consequences that occur when a person cannot move or is confined to bed for a long time. Because of reduced movement:
the intestines slow down, leading to constipation and decreased appetite,
urine may not flow normally, increasing the risk of urinary tract infections,
the bladder may not empty completely causing urinary retention,
and calcium changes and urinary stasis can lead to kidney stones
Effects of immobility on the gastrointestinal and genitourinary systems (constipation, decreased appetite, UTI, urinary retention, and kidney stones).
Quadruple Double Question... Are you ready?
Can a restraining order be used without a provider order in emergency situations?
What are the items listed on a doctor's order?
How many hours can you put a restrain on adult, clients btw the ages 9 to 17, and clients younger than 9 years old?
Can the providers write PRN orders for restraints?
Yes, only in an emergency situation when there is immediate risk to the client or others, nurses can place restraints on a client. The nurse must obtain a prescription from the provider as soon as possible according to the facility’s policy.
🩺 Who Am I?
I am a mobility aid used by people who cannot walk independently or have difficulty walking long distances. Before using me, my seat height and depth should be adjusted so that the user’s feet are flat and knees are at a 90‑degree angle. Users should learn how to lock the brakes, position their feet on the footrests, and steer safely. I help people move around and be more independent, but I do not support true leg weight‑bearing — to assess someone’s ability to put weight through their legs, they have to stand and bear weight outside of me.
Who am I?
Wheelchair