Body Mechanics and Immobility Quiz

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Questions and Answers

What is the purpose of using good body mechanics for nurses?

  • To only reduce the risk of injury for themselves.
  • To increase work effort and strain on the musculoskeletal system.
  • To reduce the risk of injury for themselves, patients, and co-workers, and to decrease work effort and strain on the musculoskeletal system. (correct)
  • To only reduce the risk of injury for patients.

What contributes to the high incidence of work-related injuries among nurses?

  • Lifting and transferring patients (correct)
  • Utilizing good body mechanics
  • Teaching patients' families how to transfer or position patients properly
  • Working with immobile and physically dependent patients

What is a key responsibility of nurses in relation to patient mobility?

  • Understanding different methods of joint mobilization
  • Teaching patients' families how to transfer or position patients properly (correct)
  • Using the Braden Scale for predicting risk and reducing progression of pressure injury
  • Identifying pressure injury risk factors

What is the primary focus of the Braden Scale in relation to patient care?

<p>Predicting risk and reducing progression of pressure injury (A)</p> Signup and view all the answers

Which positioning device is used to prevent foot drop?

<p>Foot Boards/Foot Boots (D)</p> Signup and view all the answers

In which position is the patient lying face or chest down with the head to the side?

<p>Prone (D)</p> Signup and view all the answers

What is the goal of restorative care for an immobile patient?

<p>Maximize functional mobility (B)</p> Signup and view all the answers

What does ROM stand for in the context of nursing care?

<p>Range of Motion (D)</p> Signup and view all the answers

What is the purpose of passive ROM exercises?

<p>To assist clients who are unable to move their joints unassisted (A)</p> Signup and view all the answers

What does the term 'abduction' refer to in the context of ROM positions?

<p>Movement of the bone away from the midline of the body (B)</p> Signup and view all the answers

What does the term 'pronation' mean in the context of joint mobility?

<p>Move joint down (D)</p> Signup and view all the answers

What should the nurse do when providing passive ROM exercises?

<p>Leave joint in correct alignment position when finished (C)</p> Signup and view all the answers

When should ROM exercises be initiated for a client who has lost the ability to move a joint?

<p>As soon as possible after the client has lost the ability to move the joint (B)</p> Signup and view all the answers

What is the purpose of using trochanter rolls, hand rolls, and pillows in the supine position?

<p>To promote comfort (C)</p> Signup and view all the answers

What is the role of elastic stockings in restorative care?

<p>To prevent blood clots and promote circulation (D)</p> Signup and view all the answers

What is the main difference between active and passive ROM exercises?

<p>The level of client independence (A)</p> Signup and view all the answers

Which factor contributes to the formation of pressure sores by slowing blood flow?

<p>Pressure (B)</p> Signup and view all the answers

What does a lower score on the Braden Scale indicate?

<p>Higher risk of pressure sore development (C)</p> Signup and view all the answers

Which body system is not involved in movement regulation?

<p>Endocrine (B)</p> Signup and view all the answers

What is the primary purpose of using trochanter rolls, hand rolls, and pillows in the supine position?

<p>Maintain proper body alignment (A)</p> Signup and view all the answers

Which factor is not a risk factor for pressure sore development?

<p>Cardiovascular fitness (D)</p> Signup and view all the answers

What is the main focus of the Braden Scale?

<p>Predicting pressure sore development (B)</p> Signup and view all the answers

Which guideline is not recommended for lifting to prevent injury?

<p>Bend at the waist (A)</p> Signup and view all the answers

Which factor is not an effect of immobility?

<p>Endocrine (D)</p> Signup and view all the answers

What is the primary purpose of applying body mechanics and ergonomics in nursing?

<p>Prevent injury to healthcare workers (D)</p> Signup and view all the answers

Which guideline is not recommended for decreasing the effects of immobility on clients?

<p>Limit fluid intake (D)</p> Signup and view all the answers

What are the stages of pressure ulcers?

<p>1-4 (B)</p> Signup and view all the answers

Which factor does not contribute to pressure injury formation?

<p>Vibration (D)</p> Signup and view all the answers

Flashcards

Good Body Mechanics (Nurses)

Reduce injury risk for nurses, patients, and co-workers, and lessen musculoskeletal strain.

Cause of Nurse Injuries

Lifting and transferring patients.

Nurse's Teaching Role (Mobility)

Teach families proper patient transfer and positioning techniques.

Braden Scale Purpose

Predicting risk and reducing progression of pressure injuries.

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Foot Boards/Boots Use

Prevents foot drop.

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Prone Position

Lying face or chest down with the head to the side.

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Goal of Restorative Care

Maximize functional mobility.

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ROM Meaning

Range of Motion.

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Purpose of Passive ROM

Assist clients who cannot move their joints on their own.

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Abduction Definition

Movement of a bone away from the midline of the body.

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Pronation Definition

Move joint down.

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Nurse Action Post-ROM

Leave joint in correct alignment.

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ROM Timing

As soon as possible.

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Pillows, Rolls Purpose

To promote comfort

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Elastic Stockings Role

Prevent blood clots and promote circulation.

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Active vs. Passive ROM

The level of client independence.

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Pressure Sore Factor

Pressure

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Low Braden Score Meaning

Higher risk of pressure sore development.

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System NOT in Movement

Endocrine

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Body Alignment

Maintain proper body alignment

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NOT a pressure sore risk

Cardiovascular fitness

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Braden Scale

Predicting pressure sore development

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Lifting to Prevent Injury

Bend at the waist

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Not Affect of Immobility

Endocrine

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Primary Purpose

Prevent Injury to Healthcare Workers

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Decreasing effect Immobility

Limit fluid intake

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Pressure Ulcers Stages

Stages 1-4

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Not Contributes to Pressure

Vibration

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Study Notes

Principles of Body Mechanics

  • Wide base of support and low center of gravity for greater stability
  • Guidelines for lifting: plan, ask for help, widen base, bend at knees, tighten abs, lift with leg muscles
  • Three body systems for movement regulation: Muscular, Skeletal, Nervous
  • Effects of immobility: metabolic, cardiovascular, urinary, respiratory, musculoskeletal, integumentary, psychosocial
  • Factors contributing to pressure sores: intrinsic and extrinsic factors
  • Risk factors for pressure sore development: sensory perception, mobility, moisture, nutrition, friction, shear, age
  • Pressure injury formation: pressure slows blood flow, friction, shear, and maceration exacerbate the issue
  • Braden Scale for predicting pressure sore development: six risk subscales, lower score indicates higher risk
  • Stages of pressure ulcers: 1-4, common sites, pathogenesis of pressure injury
  • Resources for moving and positioning clients, proper body alignment, and contractures
  • Importance of applying body mechanics, ergonomics, safe patient handling, and immobility reduction in nursing
  • Guidelines for nurses to decrease the effects of immobility on clients and prevent pressure sores/injuries

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