Mobility

Question 1

Trapeze Bar

Answer 1

triangular shaped device that is attached to an overhead bed frame. Patients can use the base of the triangle as a grip bar to move up in bed, turn, and pull up in preparation for getting out of bed or getting on or off the bed pan.

Question 2

Footboard

Answer 2

a device placed at the end of the bed to prevent foot drop and outward hip rotation. But it does not relieve heel pressure and can lead to pressure injury.

Question 3

Trochanter roll

Answer 3

prevent external hip rotation when the patient is in a supine position. They are made from tightly rolled towels, bath blankets, or foam pads. They are placed adjacent to the hips and thighs to prevent external rotation of the hips.

Question 4

Abduction pillow

Answer 4

prevent internal hip rotation and hip adduction when the patient is in supine position. Also prevents strain on hip ligaments in neutral position.

Question 5

Boots and splints

Answer 5

boots: mad of spongy rubber with heel cutouts and ankle cushioning help prevent skin breakdown. rigid heel-lift boots, in addition, help to prevent foot drop and external hip rotation. Wedge-shaped piece of spongy material are used after femoral fracture, hip fracture or surgery. Straps wrap around the patients thighs and holds the patient in the correct position.

Question 6

Sizing canes

Answer 6

• ask patient to stand erect and place the cane tip 20 cm (4in) to the side of foot.
• top of cane should reach the top of the hip joint so that the patient can hold the cane with her elbow flexed 30 degrees

Question 7

Sizing walkers

Answer 7

• ask patient to stand erect and hold onto walker/
• walker should extend from floor to the hip joint so that the patient can comfortably hold the walker with a 30 degree flexion of elbow.

Question 8

Canes

Answer 8

• hold cane on stronger side
• distrubute weight evenly between feet and cane.
• Advance cane and weaker leg simultaneously, then bring stronger leg through.
• avoid leaning over or on cane,

Question 9

Walkers

Answer 9

• stand between the back legs of walker. Dont stand to far behind walker.
• pick up walker and advacne as you step ahead.
• if one leg is weaker, move it forward as the walker moves forward.
• pick up rather than slide walker

Question 10

Crutches

Answer 10

-place crutches 15 cm (6in) in front of feet.

Question 11

Dangling

Answer 11

position to help prepare the patient to get up in a chair, to stand, or to ambulate.

Question 12

Preventing orthostatic hypotension

Answer 12

antiembolism stockings with compression wraps to prevent pooling of venous blood. Abdominal binders. Medications to control orthostatic hypotension.

Question 13

Assisting the patient to walk

Answer 13

assist readiness to walk.

Question 14

Cardiovascular

Answer 14

• Increased cardiac workload –Thrombus

- Orthostatic hypotension

Question 15

Musculoskeletal

Answer 15

Muscle

- Disuse atrophy
- Joint contractures
    - Footdrop

Skeletal

- Disuse osteoporosis
- Pathological fractures

Question 16

Urinary stasis

Answer 16

Urine that is sitting to long in body and increases risk of infection. CMs cloudy, concentrated urine

Question 17

Paralytic ileus

Answer 17

is what develops when peristalsis comes to a halt, no peristalsis at all. Auscutate for bowel sounds

Question 18

Pseudodiarrhea

Answer 18

severe constipation, fecal impaction develops.

Question 19

Integumentary

Answer 19

• Negative nitrogen balance

- Pressure injury

Question 20

Psychosocial

Answer 20

Sensory deprivation
Sleep alterations
Depression

Question 21

Integumentary interventions

Answer 21

Assessing skin every 2 hours, skin that’s in contact with a surface. Excellent skin care. High protein diet, high calorie diet, adequate vitamin c and d intake.

Question 22

Elimination interventions

Answer 22

monitor urine, measure uop every 8 hours, acidify urine with cranberry juice, void frequently

Question 23

Psychosocial

Answer 23

provide as much socialization as possible