Hygiene and Activity- Exam 3

Activates of daily living

Self-care activities such as bathing, dressing, toileting, transferring, continence, feeding

Permanently contracted state of a muscle

Contractures

Footdrop

Complication resulting from extended plantar flexion

Instrumental activities of daily living

Tasks like managing finances and meal preparation.

Isokinetic exercise

Movements against a variable resistance such as leg extensions, hamstring curls, and bicep curls are examples of…

Isometric exercise

Muscle contraction without shortening such as planks, wall sits, side planks, and goblet squats are examples of…

Isotonic exercise

Movement in which muscles shorten (contract) and move (muscle shortening with active movement) such as squats, bicep curls, and push-ups are examples of…

Range of motion

Complete extent of movement of which a joint is normally capable

Before Breakfast

When would you assist a patient with toileting, washing their face and hands, and provide mouth care.

After Breakfast

When would you perform tasks like toileting, dressings, position a patient for comfort, refreshing or changing bed linens and tidying up bedside?

AM Care

When are we encouraging independence for the patient

Priorities for after breakfast care

The three P’s (Pain, potty, and positioning)

Nurse

Who must apply ointment when prescribed by a doctor?

Dry’s skin and a medium for bacterial growth, discouraged for use

Baby powder

Elevate head

After providing AM care, what must you do for the patients head?

After feeding pt with enteral feeding tube

When do you have to elevate the patients head.

Cluster activities

What should you do while providing care in the morning for a pt.

Every 2 hours

How often should we be providing oral care

Diaphoretic

Changing of clothing and bed linens happens often for these types of pt’s…

Hour of sleep

When would you offer a back massage, change any soiled bed linens, or position a patient comfortably?

Lower hip height

Fractured bedpans are used for what type of patients?

Every 4 hours

How often should you use artificial tears?

Blink reflex is absent

When do you use the artificial tear or normal saline for the eyes?

External

Where are you cleaning the ear?

Applying warm, moist compress

How do you remove crusted secretions around the nose?

Asking them to blow

How do you clean a patients nose?

Use both hands to open eye and then squeeze closed to pinch contact out

How do you remove a contact lens from a patient?

Foot care

• Avoid soaking feet

• Antifungal foot powder if necessary

• Avoid using scissors or nail clippers

• Consult a podiatrist

• Wear appropriate footwear

• Wear cotton socks

• Apply moisturizer to feet if dry

Neurological effects

Decrease of anxiety, risk of stroke, and dementia. Increase in cognitive function

Endocrine

Decrease in weight, diabetes, LDL, and increase in HDL

Musculoskeletal

Decrease of osteoporosis, falls, and disability levels

Oncological

Decrease in prostate cancer, breast cancer, and bowel cancer

Cardiovascular

Decrease in mortality, coronary artery disease, and blood pressure

Active movement (Muscle contraction)

What type of exercise is isotonic, isometric, and isokinetic?

Body movement

What type of exercise is aerobics, stretching, strengthening and endurance, and movement and ADL’s

NANDA Nursing Diagnoses r/t activity

• Activity intolerance

• Impaired transfer ability

• Risk for activity intolerance

• risk for constipation

• Risk for injury

A footboard

What on the pt’s bed can prevent footdrop?

Roll a towel up and have them grip it

To prevent hand contraction and keeping the hand balled up what can you do?

When bathing

When do you remove compression stockings

Activity VI (4)

Using graduated compression stockings (Remove when bathing)

Activity V (5)

Moving a pt up in bed

Activity VI (6)

Moving a pt from a bed to stretcher or chair

Activity VII (7)

Assisting with active/passive ROM exercises

Activity VIII (8)

Assisting with ambulation (ex walking with a walker, cane, crutches, or brace)