mobility and safety

Questions

100

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

200

which of the following terms describes movement characterized by slow, irregular, twisting motions?

A. ataxia

B. tremor

C. chorea

D. athetosis

D. Athetosis

300

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 

systemic effects of immobility

100

cardiovascular

1. orthostatic hypotension

2. thrombus

3. increased cardiac workload 

200

muscle effects 

1. loss of muscle mass 

2. muscle atrophy 

300

urinary elimination

1. urinary stasis

2. renal calculi

3. infection 

400

musculoskeletal (#)

skeletal(-)

1. loss of endurance and muscle mass 

2. decreased stability and balance 

-impaired calcium absorption 

-joint contractures 

500

integumentary 

1. pressure ulcers

2. ischemia 

restraints

100

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

200

short term complications

1. hyperthermia 

2. new onset bowel and bladder 

3. incontinence 

4. pressure ulcer formation

5. increase risk nosocomial infection 

300

long term complications 

1. nerve injuries

2. joint contractures 

3. strangulation injuries 

4. death from strangulation

400

what type of knot is most beneficial for wrist/ankle restraints?

quick release knot

ambulation/ transferring/lifting patients

100

assistive devices for walking 

1. walkers 

2. canes

3. crutches

4. quad canes

200

mechanical aids for ambulation

1. gait belt

2. walkers 

3. crutches 

4. cane

300

implementation

1. muscle strengthening

2. dangling the legs 

3. transfer belts 

4. walkers 

4. canes and quad canes

5. crutches 

400

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

500

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