NUR 220 Exam Three
- Priorities for mobile exercise
Answer Maintain alignment and balance
- Always assess what for 65+
Answer Fall risk
- Disuse atrophy
Answer loss of muscle mass due to inactivity
- Joint
Answer A place in the body where two bones come together
- Ligament
Answer Connects bone to bone
- Cartilage
Answer Nonvascular connective tissue that is more flexible than bone and that protects the ends of bones, keeps them from rubbing together, and supports body weight
- Tendon
Answer Connects muscle to bone 1 / 3
- Neurological causes of immobility
Answer Parkinson's, Myasthenia gravis, multiple sclerosis, stroke, spinal chord injuries, hemiplegia, hemiparesis, and nervous system / impulses damage
- Pathological Influences on Mobility
Answer postural abnormalities, muscle abnormalities, damage to CNS, musculoskeletal trauma, and joint disease
- Postural abnormalities
Answer Lordosis (swayback)
increased lumbar curvature Kyphosis (hunchback)
exaggeration of the posterior curvature of the thoracic spine Scoliosis
lateral spine curvature
- Muscle abnormalities
Answer Chane to tone - flaccid or change in movement
- Joint disease
Answer Pain or alteration in joint function, common diseases, bone/joint/muscle disorder (osteoporosis), and inflammatory joint disease (rheumatoid arthritis)
- Effects of Immobility
Answer Possible required bed rest, disuse atrophy, muscle atrophy, obesity, depression, and isolation 2 / 3
- When might bed rest be required
Answer To decrease oxygen needs, cardiac work- load, or pain, and when rest is needed for recovery
- Systemic effects of immobility
Answer Metabolic changes, Respiratory changes, Cardiovascular changes, Musculoskeletal changes, Urinary elimination changes, Skin changes (pressure injury), and Psychosocial effects (coping and social alterations
- Metabolic effects of immobility specifically for older adults
Answer Decreased appetite, decrease stamina, and increased fatigue
- Metabolic effects of immobility
Answer immobility decreases metabolic rate by altering metabolism of carbs, fat, protein, causing fluid electrolytes and calcium imbalance
- Respiratory effects of immobility
Answer atelectasis*, pneumonia, hypoventilation and mucus accumulation
- Atelectasis
Answer collapsed lung
- Cardiovascular effects of immobility
- / 3
Answer orthostatic hypotension, dizziness, nausea, tachycardia, thrombus, and alteration of blood flow due to damage of blood vessel