Nursing Care for Recumbent Patients
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Questions and Answers

What is the main goal of bowel care for patients?

  • Increase fluid intake
  • Prevent constipation (correct)
  • Promote weight gain
  • Reduce appetite

    • Which method is recommended for ensuring catheter lines remain functional?

  • Leave catheter lines exposed to air
  • Keep catheter lines wrapped tightly
  • Regularly switch out catheter lines
  • Flush for patency as needed (correct)

    • What should be used on skin areas to prevent moisture-related issues?

  • Baby oil
  • Barrier cream (zinc oxide, Vaseline) (correct)
  • Water-based gel
  • Perfumed lotion

    • What is one benefit of performing Passive Range-of-Motion (PROM) exercises?

    <p>Stimulates muscle contracture and decreases wasting</p> Signup and view all the answers

    When wrapping tails, which layer should be applied directly onto the skin for moisture wicking?

    <p>Cotton fabric</p> Signup and view all the answers

    What defines a recumbent patient?

    <p>A patient who cannot stand</p> Signup and view all the answers

    Which of the following is NOT a common predisposition for a recumbent patient?

    <p>Increased physical activity</p> Signup and view all the answers

    What is a key nursing concern for recumbent patients regarding their bedding?

    <p>It should reduce risk of decubitus ulcers</p> Signup and view all the answers

    Which complication is associated with recumbent patients?

    <p>Pressure sores</p> Signup and view all the answers

    What is the primary cause of decubital ulcers?

    <p>Continuous pressure on bony prominences</p> Signup and view all the answers

    Which of the following is NOT a recommended method for preventing pressure sores?

    <p>Limiting patient hygiene to avoid discomfort</p> Signup and view all the answers

    Which practice helps in the prevention of infections in recumbent patients?

    <p>Using clean techniques for all procedures</p> Signup and view all the answers

    How can nursing care address bladder and bowel elimination for recumbent patients?

    <p>Maintaining regular monitoring and care</p> Signup and view all the answers

    Which treatment is suggested for small ulcers?

    <p>Astringents like zinc oxide</p> Signup and view all the answers

    For optimal pain management in recumbent patients, what should be avoided?

    <p>Giving overly sedating medications</p> Signup and view all the answers

    What is the role of passive range of motion (PROM) in caring for recumbent patients?

    <p>To prevent muscle stiffness and maintain mobility</p> Signup and view all the answers

    What nursing consideration involves providing appropriate sized spaces and reducing noise for recumbent patients?

    <p>Bedding and comfort</p> Signup and view all the answers

    What is the goal of good hygiene in preventing infections related to pressure sores?

    <p>Minimize organic debris</p> Signup and view all the answers

    What is the main purpose of cold therapy in physiotherapy?

    <p>Decrease pain and inflammation</p> Signup and view all the answers

    Which of these is a sign that IV catheter care is needed?

    <p>Increasing peripheral edema</p> Signup and view all the answers

    What is the preferred method of nutrition for improving GI motility in recumbent patients?

    <p>Increased activity and enteral feeding</p> Signup and view all the answers

    When is it most appropriate to use heat therapy post-injury?

    <p>48 – 72 hours after the injury</p> Signup and view all the answers

    What is a common complication for recumbent patients?

    <p>Pressure sore ulcers</p> Signup and view all the answers

    What type of bandage should be used for protecting pressure points?

    <p>Donut bandages</p> Signup and view all the answers

    How frequently should a heat source be applied for effective therapy?

    <p>q6–12 hours</p> Signup and view all the answers

    What is the correct action for passive range of motion exercises?

    <p>Beneficial in various conditions</p> Signup and view all the answers

    What should the skin temperature be monitored for during heat therapy?

    <p>To prevent burns and discomfort</p> Signup and view all the answers

    How often should the ET tube be changed for a patient on mechanical ventilation?

    <p>Every 24 hours</p> Signup and view all the answers

    What is the primary mechanism by which cold therapy reduces swelling?

    <p>Vasoconstriction</p> Signup and view all the answers

    What is the recommended frequency for lubricating the eyes of a recumbent patient?

    <p>Every 4-6 hours</p> Signup and view all the answers

    What should be done to prevent atelectasis in a recumbent patient?

    <p>Change patient positions every 2-4 hours</p> Signup and view all the answers

    Which of the following is true regarding oral care for a recumbent patient?

    <p>Moistened lips, tongue, and gingiva can help prevent ulcers.</p> Signup and view all the answers

    What is a major risk associated with bladder care in completely recumbent patients?

    <p>Urinary obstruction</p> Signup and view all the answers

    What should be done with the endotrachial (ET) tube to ensure proper care?

    <p>Change the ET tube daily for sterile ventilation.</p> Signup and view all the answers

    How can you decrease the risk of aspiration pneumonia in recumbent patients?

    <p>Clean the oropharynx regularly.</p> Signup and view all the answers

    What is a key aspect of caring for a recumbent patient's bladder?

    <p>Monitor bladder size routinely.</p> Signup and view all the answers

    What should be used to clean the prepuce and vulva in recumbent patients?

    <p>Dilute chlorhexidine three times daily</p> Signup and view all the answers

    What is a primary benefit of using Passive Range-of-Motion (PROM) techniques for recumbent patients?

    <p>Reduces muscle wasting</p> Signup and view all the answers

    Which of these actions is crucial for preventing scalding when caring for a patient's tail?

    <p>Using moisture wicking cotton before wrapping</p> Signup and view all the answers

    In bowel care for recumbent patients, which stool softener is commonly recommended?

    <p>PEG 3350</p> Signup and view all the answers

    Which purpose does applying barrier cream, such as zinc oxide or Vaseline, serve in patient care?

    <p>To prevent moisture-related skin damage</p> Signup and view all the answers

    What is an important consideration when managing catheter lines for recumbent patients?

    <p>Ensure no kinks and maintain patency</p> Signup and view all the answers

    What is one of the key nursing concerns related to nutrition for a recumbent patient?

    <p>Prevent aspiration during feeding</p> Signup and view all the answers

    Which of the following complications is not commonly associated with recumbent patients?

    <p>Hypoglycemia</p> Signup and view all the answers

    What aspect of bedding and comfort is important for preventing complications in a recumbent patient?

    <p>Using soft, padded surfaces to reduce pressure</p> Signup and view all the answers

    How can a veterinary nurse contribute to the prevention of infections in recumbent patients?

    <p>By ensuring cleanliness of fluid and catheter lines</p> Signup and view all the answers

    What nursing intervention can help reduce the risk of impaired ventilation and perfusion in a recumbent patient?

    <p>Encouraging frequent turning and repositioning</p> Signup and view all the answers

    Which position should be carefully managed to avoid complications such as pressure sores in a recumbent patient?

    <p>Securing with appropriate padding</p> Signup and view all the answers

    What is a recommended practice for ocular care in recumbent patients?

    <p>Applying lubricants regularly to prevent drying</p> Signup and view all the answers

    What is a primary purpose of cold therapy in physiotherapy?

    <p>Reduce pain and inflammation</p> Signup and view all the answers

    What is a common reason for impaired gut motility in recumbent patients?

    <p>Lack of movement and activity</p> Signup and view all the answers

    Which condition is NOT an indication for using heat therapy?

    <p>Acute swelling phase</p> Signup and view all the answers

    In which time frame should cold therapy ideally be applied to an acute injury?

    <p>Immediately after injury</p> Signup and view all the answers

    Which of the following is a complication associated with improper application of cold therapy?

    <p>Temperature burns</p> Signup and view all the answers

    What is a key consideration for monitoring during heat therapy application?

    <p>Skin temperature</p> Signup and view all the answers

    What type of therapy is appropriate for managing a muscle strain 48-72 hours after injury?

    <p>Heat therapy</p> Signup and view all the answers

    Which statement about passive range of motion exercises is accurate?

    <p>They can benefit all patients, including those with neurological conditions.</p> Signup and view all the answers

    What is the typical recommendation for frequency of monitoring a recumbent patient for potential complications?

    <p>Every 4 hours</p> Signup and view all the answers

    What is a critical factor in the prevention of decubital ulcers?

    <p>Frequent patient turning and repositioning</p> Signup and view all the answers

    What should be prioritized to prevent infection in relation to pressure sores?

    <p>Emphasizing good hygiene practices</p> Signup and view all the answers

    Which of the following is commonly used to treat small ulcers?

    <p>Calamine lotion</p> Signup and view all the answers

    What is the main goal of pain medication for recumbent patients?

    <p>To maintain comfort without excessive sedation</p> Signup and view all the answers

    What option is essential for managing large ulcers effectively?

    <p>Surgical treatment</p> Signup and view all the answers

    What is one method to evaluate catheter care in a recumbent patient?

    <p>Palpate and visualize the skin and insertion site</p> Signup and view all the answers

    Which of the following practices helps increase GI motility in recumbent patients?

    <p>Increasing patient activity levels</p> Signup and view all the answers

    Which condition is associated with a recumbent patient's inability to respond to vascular volume changes?

    <p>Ineffective blood circulation</p> Signup and view all the answers

    What is the recommended interval for repositioning a recumbent patient?

    <p>Every 2-4 hours</p> Signup and view all the answers

    Which method is recommended for cleaning the oral cavity of a recumbent patient?

    <p>Wiping with water or chlorhexidine and gauze</p> Signup and view all the answers

    What type of catheter system should be used for a completely recumbent patient?

    <p>Closed collection system</p> Signup and view all the answers

    What is a key risk associated with bladder management for recumbent patients?

    <p>Urinary obstruction</p> Signup and view all the answers

    How often should the eyes of a recumbent patient be lubricated?

    <p>Every 4-6 hours</p> Signup and view all the answers

    What is the purpose of performing a fluorescein dye test on a recumbent patient?

    <p>To detect corneal ulcers</p> Signup and view all the answers

    What should be done to the ET tube in ventilated recumbent patients to prevent complications?

    <p>Deflate the cuff regularly</p> Signup and view all the answers

    What is the primary benefit of moistening the lips and tongue of a recumbent patient?

    <p>To prevent oral ulcers</p> Signup and view all the answers

    Study Notes

    Recumbent Patient Nursing Considerations

    • A recumbent patient is unable to stand
    • Recumbent patients can be any age, and have various conditions (e.g., geriatric, respiratory, trauma, musculoskeletal, metabolic diseases, toxicities, neurological, coma)
    • The length of time a patient remains recumbent varies depending on the condition.

    Predispositions and Complications

    • Recumbent patients (aka cage rest complications) are prone to impaired ventilation and perfusion, desaturation (low oxygen levels), vomiting/regurgitation, aspiration pneumonia, and reduced gut motility.
    • Pressure sores (decubital ulcers) frequently occur due to continuous pressure over bony prominences. This leads to necrosis of tissue. Organic debris further increases infection risk.

    Nursing Concerns

    • Bedding and comfort: Reduce risk of decreased circulation, blood flow problems (edema), decubital ulcers, and muscle/nerve damage by using appropriate padding, space, and reducing noise. Provide bedding that allows the patient to watch videos if possible. Daily light cycles and TLC can also help provide comfort to the patients.

    • Pain medications/Anesthesia: Keep patients comfortable without over-sedation. Pain control is vital for function. Often needed even if the cause of hospitalization is not painful, since immobility can cause pain from stiffness and pressure sores. Anesthesia may be necessary if mechanical ventilation or extreme pain is needed.

    • IV fluid and catheter care: Palpate and visualize the insertion site regularly to monitor for catheter patency, infection (phlebitis), and bandage wetness. Monitor hydration levels, blood pressure, peripheral edema, and urination. Remove and replace catheters if there is redness, swelling, odor, discomfort, or oozing in the original insertion site.

    • Nutrition: Increase activity to improve GI motility to prevent ileus, stomach acid pooling, regurgitation, aspiration pneumonia. Provide enteral or parenteral nutrition, and position the patient to assist drainage and digestion.

    • Ocular care: Lubricate eyes frequently, using appropriate ointments/lubricants. Assess if eye care is needed every 4-6 hours. Have dedicated tubes for recumbent pets. Flush eye/conjunctival sac, as needed, if there is any eye discomfort. Assess for corneal ulcer risk, as needed.

    • Posture and positioning: Routinely change patient positions every 2-4 hours (or as needed). Positioning aids in ventilation and perfusion by increasing lung volume (placing in sternal recumbency). This helps prevent atelectasis, reduce work of breathing, and decreases hypoxia, especially in obese patients.

    • Mouth/airway care: Keep the tongue inside the mouth, moisturize lips, tongue, and gingiva. Clean oropharynx to reduce aspiration pneumonia risk. If intubated, provide humidification, sterile suctioning, cuff deflation/repositioning, and regular ET tube care. Coughing/nebulizing can help mobilize secretions.

    • Bladder and bowel elimination: Monitor for infections, urine/fecal scalding, urinary obstructions, and constipation. Provide appropriate bedding to prevent scalding. Catheter care for recumbent patients should include closed systems (to reduce infection), and careful expression of the bladder with dilute chlorhexidine solution cleaning.

    • PROM/Physiotherapy: Maintain mobility, prevent soft tissue and joint contractures, stimulate muscle contraction to decrease wasting, and reduce peripheral edema. This can involve passive range of motion exercises.

    • Ice or heat packs: Use cold therapy for the first 24-48 hours after injury during acute swelling. Use heat therapy after the acute swelling phase for muscle strains/sprains to help with relaxation and pain relief.

    • Hygiene Prevent organic debris and infection by ensuring good hygiene (handwashing, bedding cleaning, patient hygiene)

    Treatment

    • Small ulcers: Use astringents (calamine lotion, burrow's solution, zinc oxide), antiseptics (povidone-iodine, hydrogen peroxide), and +/- topical/systemic antibiotics, pain medications. Apply donut bandages.

    • Large ulcers: Surgical treatment.

    Quizzes

    • Recumbent patients are at risk for pressure sores, oral ulcers, corneal ulcers, and atelectasis. Thorough pain assessment and control is vital to recumbent patient care. Passive range of motion exercises are important for all recumbent patients, regardless of the reason for recumbency. A patient on mechanical ventilation should not have their ET tube changed every 24, 48, or 72 hours.

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    Nursing Recumbent Patients PDF

    Description

    This quiz focuses on essential nursing practices and considerations for caring for recumbent patients. It covers bowel care, skin management, pressure sore prevention, and overall patient comfort. Test your knowledge on the techniques and benefits that ensure the well-being of those unable to move independently.

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