Discuss each position, how to move pt into the position, where the pressure

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Discuss each position, how to move pt into the position, where the pressure points are in each position (supine, lateral, Sims, prone, etc) - Correct Answer-- pt is positioned based of of disease process

- supported (semi) fowlers (HOB elevated): 45-60 degrees, knees slightly

elevated without pressure to restrict circulation in lower legs

- supine: on back

- prone: laying face down, head turned to side, used recently w covid pt,

increases oxygen levels

- side lying (lateral): pt on side, weight on dependent hip and shoulder

- sims: pt places weight on front of body

Discuss the usual position of the spine when looked at from a lateral view - Correct Answer-- spine should be aligned in reverse S pattern, head should be erect, cervical vertebrae should be anteriorly convex, thoracic vertebrae should be posteriorly convex, lumbar vertebrae should be anteriorly convex

Know the usual body alignment when sitting, standing, and laying down - Correct Answer-Standing- body should be straight and aligned Sitting- head is erect, body weight distriubuted evenly

Lying: normal alignment, for immobile pts, use lateral view for assessment

NUR-215 EXAM 2 / BRAND NEW

ACTUAL EXAM WITH 100% VERIFIED

QUESTIONS AND CORRECT SOLUTIONS

GRADED A+. 1 / 2

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Discuss the three components of mobility - Correct Answer--ROM -gait -exercise

Write nursing interventions and rationale for the following nursing

diagnoses: Impaired physical mobility, and activity intolerance r/t excess

weight - Correct Answer-

Describe "helping a pt to walk" in the acute care setting - Correct Answer-- asses patient risk to determine how much assistance is needed

• explain procedure to pt
• begin by sitting pt on side of bed for a few minutes w/ leg dangling

(ensure proper footwear)

• (apply gait belt if required) walk behind pt in case of falling risk

Describe positioning pt's and what the nurse might do before doing so - Correct Answer-- assess pt strength, vital signs, coordination, and balance

• carefully lay pt on side and assist to sitting position
• allow pt to sit on bed for 1-2 mins with feet dangling (prevent injury and

maintain safety)

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