NUR 2206 Exam 15 - Answer a. developmental level b. physical healt...

NUR 2206 Exam 15

• Factors affecting mobility

Answer

• developmental level

• physical health

-problems with MS or nervous system

• mental health

-energy level -fear -pain

• lifestyle

-sedentary vs. active

• isotonic exercise

Answer muscle shortening & active movement`

• isometric exercise

Answer muscle contraction without shortening

• isokinetic exercise

Answer muscle contraction with resistance

• effect of exercise on CV system?

Answer -increased heart efficiency & venous return

-decreased HR & BP -improved circulation 1 / 4

• effect of exercise on respiratory?

Answer improved pulmonary function

• effect of exercise on MS system?

Answer -increased muscle mass, tone, strength, joint mobility

-improved coordination -stregthen bones

• effect of exercise on metabolic?

Answer increased efficiency of metabolism & body temp regulation

• effect of exercise on GI?

Answer improved digestion and elimination

• effect of exercise on GU?

Answer increased efficiency in maintaining fluid & acid-base balance, waste excretion

• effect of exercise on skin?

Answer improved circulation --> good skin tone, color, & turgor

• effect of exercise on psychosocial

Answer -increased energy

-improved sleep, self-concept -positive self-care behaviors

• effects of immobility on CV? 2 / 4

Answer decreased venous return--> risk for blood clots

• effects of immobility on skin?

Answer increased risk of breakdown--> pressure in- juries

• effects of immobility on respiratory?

Answer -atelectasis (collapsed lung)

-pneumonia

• effects of immobility on MS?

Answer -muscle wasting/atrophy

-contractures -decreased bone mass -loss of functional mobility -increased fall risk

• effects of immobility on GI?

Answer decreased peristalsis & motility

• effects of immobility on GU?

Answer -urinary stasis (urinary retention)

-renal calculi

• effects of immobility on metabolic/nutrition?

Answer 3 / 4

-decreased metabolic rate

-hydration/nutrition deficiencies

• effects of immobility on psychosocial

Answer -depression, loss of motivation

-fatigue

• activity/mobility assessment (subjective vs objective)

Answer subjective

-ADLs (activities of daily living) -usual exercise/activity level objective

-focus on MS and neurotransmitters systems -assess for effects of immobility

• mobility assessment

Answer -general ease of movement

-gait & posture -alignment -joint structure and function -muscle mass, tone, and strength -endurance -use of assistive devices

• / 4