Hygiene & Activity Fundamentals Chapter 32

Questions and Answers

Which nursing intervention is primarily aimed at preventing injury during patient movement?

Using graduated compression stockings

Implementing safe patient handling techniques (correct)

Assisting with active ROM exercises

Positioning patient in bed with foam wedges

What is an example of an activity that can develop endurance?

Stretching exercises

Isometric exercises

Housework (correct)

Gait belt usage

Which device might be used to assist in patient transfers?

Foot board

Trapeze

Gait belt (correct)

Graduated compression stockings

What is the primary focus of the evaluation phase related to activity?

Determine joint structure and function Signup and view all the answers

Which nursing diagnosis indicates a patient may struggle with activities of daily living (ADLs)?

Activity intolerance Signup and view all the answers

What role do foam wedges play in patient care?

Providing ergonomic patient positioning Signup and view all the answers

What is the purpose of using isometric exercises in nursing interventions?

To strengthen muscles without joint movement Signup and view all the answers

Which of the following strategies is NOT recommended for patient positioning?

Leaving the patient in a static position for long periods Signup and view all the answers

What is the purpose of providing oral care every 2 hours for a patient?

To ensure mouth cleanliness if indicated Signup and view all the answers

Which of the following is NOT part of HS (Hour of Sleep) Care?

Refreshing bed linens Signup and view all the answers

Which technique is recommended for cleaning the eyes?

Clean from inner to outer canthus with a wet cloth Signup and view all the answers

What should be done for patients who are diaphoretic?

Change linens and clothing as needed Signup and view all the answers

When should artificial tear solution or normal saline be used for unconscious patients?

If blink reflex is absent Signup and view all the answers

What is the first step in hair care for patients?

Note any history of scalp issues Signup and view all the answers

What is one of the two major types of exercise?

Isometric exercises Signup and view all the answers

Which method should be used when cleaning the external ear?

Wash with a washcloth-covered finger Signup and view all the answers

Which of the following best describes isometric exercise?

Exercise involving muscle contractions without changing muscle length. Signup and view all the answers

What does ADLs stand for in nursing care terminology?

Activities of Daily Living Signup and view all the answers

Which of the following actions best illustrates the concept of IADLs?

Preparing meals and managing finances. Signup and view all the answers

Foot drop is a complication that results from which of the following?

Extended plantar flexion. Signup and view all the answers

What is the primary purpose of assisting patients with hygiene measures?

To promote skin integrity and comfort. Signup and view all the answers

Which type of exercise allows for resistance that varies at a constant rate?

Isokinetic exercise Signup and view all the answers

What is the correct definition of contractures in a clinical setting?

Permanently contracted state of a muscle. Signup and view all the answers

Which nursing action would best address a patient's need for oral care before breakfast?

Providing mouth care. Signup and view all the answers

Study Notes

Learning Objectives

Techniques for assisting patients with hygiene measures.
Differentiation of isotonic, isometric, and isokinetic exercises.
Assessment and development of nursing diagnoses related to mobility problems.
Planning, implementing, and evaluating nursing care for mobility-related diagnoses.

Key Terms

Activities of Daily Living (ADLs): Essential self-care tasks including bathing, dressing, toileting, transferring, continence, and feeding.
Contractures: Condition of permanently shortened muscles.
Foot Drop: Complication from extended plantar flexion, impairing normal movement.
Instrumental Activities of Daily Living (IADLs): Tasks necessary for independent living, such as financial management and meal preparation.
Isokinetic Exercise: Muscle contractions with resistance that varies at a consistent rate.
Isometric Exercise: Muscle tension occurs without significant muscle length change.
Isotonic Exercise: Active movement involving muscle shortening and contraction.
Range of Motion: Full extent of movement potential in a joint.

Nursing Care: Hygiene

AM Care (Before and After Breakfast):
- Assist with toileting, wash face and hands, provide mouth care, bathe, perform skin care, manage hair, help dress, ensure comfort positioning, and tidy bedside.
PRN & HS Care:
- Offer hygiene measures as necessary, change linens for sweaty patients, perform oral care every two hours, and ensure comfort and accessibility of essentials.

Care of Eyes, Ears, Nose & Hair

Eye Care: Clean from inner to outer canthus; utilize artificial tears for patients without a blink reflex; manage eyeglasses/contact lenses as needed.
Ear & Nose Care: Clean external ears, apply warm compress to remove crusted secretions.
Hair Care: Address any history of scalp issues; perform shampooing and grooming.

Nursing Care: Activity

Types of Exercise:
- Muscle Contraction: Involves isotonic, isometric, and isokinetic exercises.
- Body Movement: Includes aerobics, stretching, strengthening, endurance activities, and daily life movement.
Assessment of Activity: Evaluates factors influencing mobility and exercise.

Nursing Diagnoses: Activity

Identify conditions such as activity intolerance, impaired transfer ability, risk for activity intolerance, risk for constipation, and risk for injury.

Nursing Interventions: Activity

Employ ergonomics to prevent injuries.
Utilize safe patient handling techniques including gait belts and transfer devices.
Position patients correctly using foam wedges, trapeze bars, and other supportive equipment.
Implement protective positioning and regular repositioning every two hours.
Use graduated compression stockings (remove during bathing).
Assist patients with active/passive ROM exercises and ambulation using various assistive devices.

Evaluation: Activity

Assess ease of movement and gait.
Check body alignment and joint function.
Evaluate muscle mass, tone, and strength.
Measure endurance levels.

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Description

This quiz covers key concepts from Chapter 32 of the Hygiene and Activity Fundamentals Text. Students will assess techniques for assisting patients with hygiene, explore different exercise types, and develop nursing care plans. Prepare to evaluate nursing diagnoses related to mobility challenges.