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ImmobilityFundamentals of Nursing

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What positions should be avoided for someone at risk for DVTs?
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Crossed legs, prolonged sitting, restrictive clothing around legs or waist, pillows under knees
ROM exercises to prevent DVT should be done every ____.
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1-2 hours. Knee flexion every hour while awake.
Clients at risk for skin breakdown should shift their weight every ____.
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15 minutes.
How long can a client at risk for skin breakdown sit on a chair?
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1 hr.
A ____ prevents external rotation of the whips when a client is supine.
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Trochanter roll
Hand rolls maintain the thumb in slight ____ and in opposition to the fingers.
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Adduction. Used on clients with paralyzed arms or who are unconscious
The best position for any joint to decrease the risk of injury is?
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Supported, slightly flexed, no pressure areas, 30? lateral position
A client with hemiplegia in the supine position should have:
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affected side with pillow under shoulder, affected arm away from body with elbow extended and palm up, knee flexed 30?
____ people are required to move a client that is less than 200 lbs and able to partially move self.
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2 or 3
A client with a spastic hand should have it positioned?
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with wrist in neutral position or slightly extended, with arches maintained, and fingers palm down
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Describe the supported Fowler's position.
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HOB= 45-60?, knees slightly elevated, supported feet/sacrum/heels, pillow positioned at lower back, pillow under thigh, pillow under ankles
Where are pillows placed for a client in the supine position?
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head, lumbar, upper shoulders, trochanter, under ankle, under arms, hand rolls
A client with flaccid hand should have it positioned?
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with the wrist slightly extended, arches of the hand maintained, fingers partially flexed (used 1/2 ball)
Who benefits from the prone position?
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ARDS, acute lung injury
What is the difference between Sims and side-lying positions?
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Side: client on side, 30? lateral position, weight on hip and shoulder; Sims: laying partially on abdomen, weight on anterior ileum, humerus, and clavicle
Shopping, preparing meals, banking and taking meds are examples of ____.
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Instrumental ADLs
Which clients require nursing supervision during transfers?
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first time after prolonged bed rest, surgery, critical illness, or spinal cord trauma
When walking with a patient with hemiparesis or hemiplegia, you should stand on the ____ (strong or weak) side.
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Weak. Support with gait belt, NOT arm!
  
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