35 Free CNA Practice Exam Online Questions and Answers on Transfer Skills

Transferring patients is one of the first steps of nursing care process which all nursing assistants must know well and ensure the safe moving for their patients. It is thought that this skill is extremely important for a nurse to master because the transference can directly affect the patients mood. Because of the crucial role of transfer skill, 35 Free CNA Practice Exam Online Questions and Answers on Transfer Skills is highly recommended to everyone with the aim of supporting nurse to sharpen their techniques in transferring process. With profound expression of basic knowledge on the methods should be used to move patients, these free CNA exam questions are able to help refine your critical thinking, sharpen your skills and perfect your exam preparation.Practice with these quizzes now to raise your mood and promote your patients’ safety!

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35 Free CNA Practice Exam Online Questions and Answers on Transfer Skills

pivot

• nurse or physical therapist
• truemore room to maneuver
• weakness of an extremity
• turn of entire body as one unit

T or F: you should use an under-hand grasp of the transfer belt when moving patient and grab it from the front

• a
• true
• false
• d

When transferring a patient to a chair, as they near the chair you should instruct them to lean ____ as they sit:a. forwardb. backwardc. neither - keep hips and chest in lined. toward their stronger side

• d
• false
• a
• true

transfer belt

• a transfer belt used to help a patient ambulate
• moving a patient by hand or bodily force
• falseinjury risk for patient and/or you
• worn by patient to assist you during patient transfer

T or F: it is possible for a hydraulic lift to be operated by a single nursing assistant

• a
• true
• d
• false

T or F: a patient should never put their hands on you during a transfer

• truemore room to maneuver
• falseinjury risk for patient and/or you
• falseshould be at same level
• truecould injure you if patient falls, is disoriented, ect

T or F: to protect your wrists you should use an underhand grasp when using a moving sheet

• false
• inability to move
• falseover waist in the front
• falseoverhand

paralysis

• true
• false
• a
• inability to move

T or F: a transfer belt should always be worn over clothing

• d
• a
• false
• true

sliding board

• worn by patient to assist you during patient transfer
• falseinjury risk for patient and/or you
• plastic or woodenhas slippery surfaceused for sitting (lateral) transfer
• patient sits throughout transfersliding board may be used

T or F: a transfer belt can he used to lift a patient

• false
• a
• true
• d

T or F: you should place you hands under a patient's arms or shoulders during a transfer

• falseshould be at same level
• truemore room to maneuver
• falseinjury risk for patient and/or you
• falseover waist in the front

manual patient handling

• moving a patient by hand or bodily force
• inability to move
• turn of entire body as one unit
• ability to stand on one or both legs

T or F: before moving the patient to a mechanical lift, the patient should have their arms crossed over their body

• a
• true
• d
• false

30 Free CNA Practice Test Online Questions and Answers on Ambulation

As a nursing assistant, you must surely know that you are never allowed to use ambulation assistive devices (canes, crutches, walkers) as transfer devices. Plus, there are many principles which you must conform when you assist patients with ambulation. In case you still lack of the basic knowledge about this skill, 30 Free CNA Practice Test Online Questions and Answers on Ambulation can help you to cover and master them. In these free CNA test questions, we collect the essentials which a nursing assistant must and should do for transferring patients with care. With a step-by-step guidance and many valuable tips presented under an easy-to-follow format, this quizzes will never make you disappointed. Practice with it to perfect your exam preparation and achieve CNA certification as you expected.

To view full questions and answers of this quiz, please visit our site at here: https://hapiland.net/8070/30-free-cna-practice-test-online-questions-and-answers-on-ambulation/

   gait

• the way in which a person walks
• foot on weaker side
• 30 degrees
• to walk

ambulate

• a
• to walk
• false
• true

T of F: you should encourage a patient to take short, quicker steps

• false-always use footrests
• false-normal, even, moderate steps
• foot on weaker side
• false-patient should never be left standing

T or F: canes are for balance, not weight-bearing support

• false
• true
• b
• c

TLC pad

• used by patient who have 2 weak legs-have crutch enclosing forearm
• used to lift patients-has handles-may be left under patient in wheelchair
• false-patient should never be left standing
• false-another nursing assistant should follow behind patient with wheelchair

orthopedic

• relating to musculoskeletal system
• foot on weaker side
• to walk
• the way in which a person walks

T or F: wheelchairs are "one size fits all"

• true
• b
• a
• false

If a walker is fit properly, the patient's elbows will be bent at what angle?

• 30 degrees
• 90 degrees
• 30
• true

What must you always do when parking a wheelchair?

• relating to musculoskeletal system
• false-normal, even, moderate steps
• apply brakes to keep chair from moving while stopped
• the way in which a person walks

When transporting a patient in a stretcher, it should be directed...a. head end first b. feet end first c. doesn't matter d. depends on situation

• used by patient who have 2 weak legs-have crutch enclosing forearm
• d-feet first: out of elevator; pushing forward across flat surface-head first: down ramp; into elevator
• false patient should never be left standing
• true-think about scuffing your toe on carpet with rubber-soled shoes

T or F: when moving a walker forward, all 4 legs of the walker should be lifted and hit the ground at the same time

• a
• 30
• true
• c

T or F: when assisting a patient with ambulation, if you need to attend to leave, keep the patient standing against a wall for a short time until you return

• false-normal, even, moderate steps
• false-patient should never be left standing
• relating to musculoskeletal system
• false-always use footrests

Lofstrand crutches/Canadian crutches

• used to lift patient-has handles-may be left under patient in wheelchair
• used by patient who have 2 weak legs-have crutch enclosing forearm
• patient must have strong upper body and good balance
• false-patient should never be left standing

T or F: footwear that prevents slipping on tile and linoleum floors can actually be hazardous on carpet

• true-think about scuffing your toe on carpet with rubber-soled shoes
• false-always use footrests
• false-patient should never be left standing
• false-normal, even, moderate steps

The can should move at the same time as (for 2-point gait) or just before (3-point gait) which foot?

• to walk
• foot on weaker side
• false
• 90 degrees

T or F: not all patients need to use the footrests of a wheelchair when they are in one

• false-always use footrests
• foot on weaker side
• false
• false-normal, even, moderate steps

T or F: never use ambulation assistive devices (canes, crutches, walkers) as transfer devices

• false
• b
• c
• true

When the brakes of a wheelchair are locked and patient is moving into or out of it, the caster wheels (front wheels) should be pointed in which direction?-a. forward-b. 90 degrees (toward outside of chair)-c. 90 degrees (toward inside of chair)-d. doesn't matter as long as brakes are locked

• a
• b
• c
• 30

T or F: if a patient falls you should get them back into bed as quickly as possible, then tell your supervisor

• false-call the nurse so that patient can be assessed BEFORE moving-do not leave room - use call button or call out but don't leave patient
• false-always use footrests
• false-another nursing assistant should follow behind patient with wheelchair
• false-patient should never be left standing

28 Useful Free CNA Practice Exam Questions and Answers on Functional Mobility

With a comprehensive coverage of physical and occupational therapists roles in functional mobility as well as the different types of supportive devices such as orthotics, walking aids and wheelchairs, 28 Useful Free CNA Practice Exam Questions and Answers on Functional Mobility is highly recommended for both nurses and nursing students to accumulate experiential techniques, sharpen their nursing skills and prepare better for their CNA exams. These free CNA test questions in this quiz not only present a list of definitions about aspects of functional mobility but also mention to their usage and the reasons for these use. Similar to other CNA free test at our site, this practice test consists of multiple choice questions with instant answers which make your score automatically marked by a “submit” clicking. Through daily practice, you can be familiar with the actual exam format, for sure, feeling comfortable with the exam is obvious. Hope it work out on you!

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   What is a Walking base?

• Distance between 2 placements of the same foot.
• Average step rate.
• Distance between the line of 2 feet.
• A style of walking.

What is the Physical Therapist's role in functional mobility?

• ...
• Average step rate.
• A style of walking.
• You fall.

What does HKAFO stand for? What are some important information about it?

• It takes both balance and power to move legs when walking.
• 1) HKAFO = Hip-Knee-Ankle-Foot Orthosis2) often given to patients who have
• 1) AFO = Ankle-Foot Orthosis2) aka = "drop foot" splint3) inserts into the shoe and extends up the back of the leg until about mid-calf.4) can be molded or pre-made.5) aka a MAFO (Molded Ankle-foot orthosis)
• 1) KAFO = Knee-Ankle-Foot Orthosis2) Can be cut down to a MAFO3) Affective for patients who present with knee weakness, knee hyperextension, or foot problems.4) Often given to patients with spina bifida, cerebral palsy, and paraplegia

What are some safety techniques for patients using ambulating devices and who are unsteady on them?

• You fall.
• Average step rate.
• A style of walking.
• ...

Why is it important to make sure the axilla crutches reach 2-3 inches (fingers) below the axilla (armpit)?

• A style of walking.
• ...
• You fall.
• Average step rate.

What are some factors to consider when deciding which wheelchair is appropriate for a patient?

• A style of walking.
• Average step rate.
• ...
• You fall.

What are some wheelchair types?

• You fall.
• Average step rate.
• ...
• A style of walking.

What goes into making a wheelchair assessment?

• Average step rate.
• You fall.
• ...
• A style of walking.

What is important when walking?

• It takes both balance and power to move legs when walking.
• Distance between the line of 2 feet.
• A style of walking.
• Distance between 2 placements of the same foot.

What are some measurements for a wheelchair to keep in mind?

• Average step rate.
• You fall.
• ...
• A style of walking.

What does RGO stand for? What are some important information about it?

• A style of walking.
• You fall.
• Average step rate.
• ...

What can foot drop be caused by?

• A style of walking.
• Average step rate.
• Distance between the line of 2 feet.
• a lesion causing decreased dorsiflexion.

What is a reason why gait can change?

• A style of walking.
• Decreased use of a limb which causes atrophy.
• Distance between the line of 2 feet.
• Average step rate.

What are 2 different types of walkers?

• ...
• You fall.
• A style of walking.
• Average step rate.

Top 45 Free CNA Practice Exam Online Questions and Answers on Effects of Immobility

Beside provision nursing care to patients, nursing assistant must master the knowledge about effects of activities and immobility on patients’ body parts in order to assist patients to recover fast and correctly. Like other practice tests on nursing care, Top 45 Free CNA Practice Exam Online Questions and Answers on Effects of Immobility collect the most worthy multiple choice questions pertaining to effects of immobility for nursing students to improve their understanding. These free CNA test questions define terms to describe body positions and movements, so helps learners identify the effects of immobility quickly and rapidly. Plus, this quiz also presses the methods to apply the nursing process in provision of nursing care to clients with impaired mobility which is very essential for both nursing assistants and students. With a nice layout and well-written content, this practice test will be good assistance of you on the way to get flying colours in CNA exams.

To view full questions and answers of this quiz, please visit our site at here: https://hapiland.net/8079/top-45-free-cna-practice-exam-online-questions-and-answers-on-effects-of-immobility/

   What are the effects of exercise on the Gastrointestinal System?

• The assumption of the supine position.
• The state of being bent.
• Increase appetite, increase intestinal tone.
• The state of being in a straight line.

Pronation

• The assumption of the prone position.
• The assumption of the supine position.
• Flexion of the foot.
• The state of being bent.

External Rotation

• Lateral movement of a body part away from the mid line of the body.
• Lateral movement of a body part toward the mid line of the body.
• A body part turning on its axis toward the mid line of the body.
• A body part turning on its axis away from the mid line of the body.

What are the effects of exercise on the Cardiovascular system?

• Increase sense of powerlessness, decreased self-concept, decrease social-interaction, decrease sensory stimulation, altered sleep-wake pattern, increase risk for depression.
• Increase risk for skin breakdown and formation of pressure ulcers.
• Increase the efficiency of the heart, decrease resisting heart rate and blood pressure, increase blood flow and oxygenation of all body parts.
• Increase efficiency of metabolic system, increase efficiency of body temperature regulation.

What is an example of Isokinetic Exercise?

• Increase appetite, increase intestinal tone.
• Rehabilitative exercises for knee, and elbow injuries and lifting weights.
• Isotonic Exercise, Isometic Exercise, Isokinetic Exercise.
• Involves muscle shortening and active movement.

What does the nursing history portion of the nursing process in provision of nursing care to clients with impaired mobility include?

• Daily endurance levels, endurance, exercise/fitness goals, mobility problems, physical/mental health alterations, external factors affecting mobility.
• Isotonic Exercise, Isometic Exercise, Isokinetic Exercise.
• Decrease muscle size, tone, and strength. Decrease joint mobility, flexibility. Bone demineralization. Decrease endurance and stability. Increase risk for contracture formation.
• Involves muscle shortening and active movement.

What are the effects of immobility on the Respiratory System?

• Increase risk for skin breakdown and formation of pressure ulcers.
• Increase depth of respiration, increase respiratory rate, increase gas exchange at alveolar level, increase rate of carbon dioxide excretion.
• Decrease depth of respiration, decrease rate of respiration, pooling of secretions, impaired gas exchange.
• Increase sense of powerlessness, decreased self-concept, decrease social-interaction, decrease sensory stimulation, altered sleep-wake pattern, increase risk for depression.

Internal Rotation

• A body part turning on its axis toward the mid line of the body.
• Lateral movement of a body part away from the mid line of the body.
• A body part turning on its axis away from the mid line of the body.
• Lateral movement of a body part toward the mid line of the body.

What does the implementation portion of the nursing process in provision of nursing care to clients with impaired mobility include?

• Maintain active body alignment and support extremities, common bed positions, reposition every 2 hours, massage pressure areas every 2 hours, range of motion exercises (ACTIVE OR PASSIVE).
• Improved tone, color, and turgur resulting from improved circulation.
• Increase appetite, increase intestinal tone.
• The assumption of the prone position.

What are the effects of immobility on the Metabolic System?

• Increase risk for electrolyte imbalance, altered exchange of nutrients and gases.
• Increase risk for skin breakdown and formation of pressure ulcers.
• Increase appetite, increase intestinal tone.
• Contractions of the quadriceps, and gluteal muscles.

Rotation

• A body part turning on its axis toward the mid line of the body.
• Lateral movement of a body part toward the mid line of the body.
• A body part turning on its axis away from the mid line of the body.
• Turning on an axis; the turning of a body part on the axis provided by its joint.

Eversion

• Movement of the sole of the food inward (occurs at the ankle).
• Movement of the sole of the foot outward (occurs at the ankle).
• The state of being in a straight line.
• Contractions of the quadriceps, and gluteal muscles.

Isometic Exercise:

• Involves muscle contraction with resistance. The resistance is provided by an external device, which has a capacity for variable resistance.
• Movement of the sole of the food inward (occurs at the ankle).
• Involves muscle contraction without shortening (i.e., there is no movement or only a minimum shortening of muscle fibers.)
• Involves muscle shortening and active movement.

Adduction

• A body part turning on its axis toward the mid line of the body.
• Lateral movement of a body part toward the mid line of the body.
• Lateral movement of a body part away from the mid line of the body.
• A body part turning on its axis away from the mid line of the body.

What are the effects of exercise on Psychological Well-Being?

• Energy, vitality, general well being. Improved sleep, improved appearance, improved self-concept, positive health behaviors.
• The state of being in a straight line.
• Rehabilitative exercises for knee, and elbow injuries and lifting weights.
• Improved tone, color, and turgur resulting from improved circulation.

18 Fundamental Free CNA Practice Test 2014 Questions and Answers on Effects of Immobility

Immobility is a unexpected result for every patients after a surgery or injury. Not only does it cause the inconvenience but it also has lots of negative effects on other systems in patients’ body. To be a nursing assist, when caring for residents who face to the immobility issues, you must understand deeply about body parts and the effects of immobility to them. To assist nurses to enhance these knowledge quicker, 18 Fundamental Free CNA Practice Test 2014 Questions and Answers on Effects of Immobility list 8 systems affected by the immobility with a clear and specific description about the signs of illness. Only with few minutes to tick and check instant answers, you will have a solid ground of immobility effects. Take a plunge into these useful free CNA test questions now to get the high marks in your exams!

To view full questions and answers of this quiz, please visit our site at here: https://hapiland.net/8082/18-fundamental-free-cna-practice-test-2014-questions-and-answers-on-effects-of-immobility/

   8 systems effected by immobility

• consolidation and immobilization of joints as a result of immobility.
• appetite disturbance, altered protein metabolism, altered digestion
• cardiovascular, respiratory, G.I., musculoskeletal, urinary, metabolic, integument, psychological
• Increased risk for electrolyte imbalance

Psychological effects of immobility

• Increased risk for breakdown and ulcers
• appetite disturbance, altered protein metabolism, altered digestion
• Sense of powerlessness, lowered self-concept, lowered sensory and social stimulation, altered sleep/wake pattern, increased risk for depression.
• Decreased muscle size, tone and strength; Decreased joint mobility and flexibility; Decreased endurance, stability; Increased risk for contractures.

Effects of immobility on cardiovascular

• appetite disturbance, altered protein metabolism, altered digestion
• Increased risk for breakdown and ulcers
• Increased risk for electrolyte imbalance
• Increased cardiac workload, risk for orthostatic hypotension, risk for blood clots (DVT)

flaccid

• without muscle tone
• too much muscle tone
• Increased risk for electrolyte imbalance
• paresis

Effect of immobility on metabolic

• too much muscle tone
• without muscle tone
• Increased risk for breakdown and ulcers
• Increased risk for electrolyte imbalance

Atelectasis (def.)

• Increased risk for breakdown and ulcers
• appetite disturbance, altered protein metabolism, altered digestion
• consolidation and immobilization of joints as a result of immobility.
• Incomplete expansion or collapse of lung tissue. The result from decreased rate and depth of respirations from immobility.

paralyzed

• without muscle tone
• paresis
• too much muscle tone
• Increased risk for breakdown and ulcers

Ankylosis

• consolidation and immobilization of joints as a result of immobility.
• Increased risk for electrolyte imbalance
• without muscle tone
• Increased risk for breakdown and ulcers

Hypostatic pneumonia

• During periods of immobility, calcium leaves the bones and enters the blood, influencing blood coagulation, thus elevating risk of thrombus formation.
• the result of immobility and its effect on respiration. Secretions pool in lungs, increasing risk of respiratory tract infections.
• Decreased DEPTH and RATE of respirations, pooling of secretions, impaired gas exchange
• consolidation and immobilization of joints as a result of immobility.

Orthostatic hypotension

• Increased risk for breakdown and ulcers
• Increased risk for electrolyte imbalance
• appetite disturbance, altered protein metabolism, altered digestion
• abnormally low blood pressure when the person suddenly stands up; postural hypotension

Effects of immobility on Urinary

• Increased urinary stasis (UTI), Increased risk for stones (caliculi), Decreased bladder muscle tone.
• Decreased muscle size, tone and strength; Decreased joint mobility and flexibility; Decreased endurance, stability; Increased risk for contractures.
• Increased risk for breakdown and ulcers
• Increased risk for electrolyte imbalance

Effect of immobility on integument (skin)

• Increased risk for electrolyte imbalance
• Increased risk for breakdown and ulcers
• too much muscle tone
• without muscle tone

Effects of immobility on respiratory

• Increased risk for electrolyte imbalance
• Increased risk for breakdown and ulcers
• Decreased DEPTH and RATE of respirations, pooling of secretions, impaired gas exchange
• appetite disturbance, altered protein metabolism, altered digestion

8 Basic Free CNA Practice Exam 2014 Questions and Answers on Adverse Effects of Immobility

The body always has some mechanisms to react the negative effects from the environment. Sometimes they are manifested in self-protective signs, sometimes they are signs of illness which show us that our body are vulnerable. For immobility, the body also has the symptoms for us to realize its adverse effects on other body parts. As a nursing assistant, you must understand, realize these symptoms and quickly give patients a nursing interventions in order to decrease the effects of immobility. To rapidly grasp all these effects and diagnosis, you can take a look at 8 Basic Free CNA Practice Exam 2014 Questions and Answers on Adverse Effects of Immobility for practice in few minutes. These free CNA test questions will present clear and thorough explanation for each effect so that you can enhance and remember in long time. Hope it’s useful for you!

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   ischemia & pressure ulcers

• integumentary
• urinary
• respiratory
• digestive

urinary stasis & renal calculi (kidney stones)

• integumentary
• respiratory
• digestive
• urinary

isolation, change in roles, depression, & loss of ego integrity

• musculoskeletal
• metabolic
• digestive
• psychosocial

atelectasis & hypostatic pneumonia

• respiratory
• urinary
• metabolic
• integumentary

endocrine, calcium absorption, & weight control and management

• metabolic
• urinary
• respiratory
• digestive

loss of endurance and muscle mass/atrophy, joint abnormalities/contractures, decreased stability and balance

• digestive
• musculoskeletal
• psychosocial
• metabolic

decreased motility & constipation

• integumentary
• metabolic
• digestive
• urinary

orthostatic hypotension & thrombus formation/DVT

• psychosocial
• urinary
• cardiovascular
• digestive

40 Essential Free CNA Practice Test Questions and Answers on Effects of Immobility

With the hope to provide nursing assistant with the in-depth knowledge of the adverse effects of immobility on the patients’ other body systems, 40 Essential Free CNA Practice Test Questions and Answers on Effects of Immobility brings up a list of specialized terms pertaining to results of motionlessness and the portions of the nursing process in provision of nursing care to patients. These free CNA test questions especially press 8 systems affected by immovability including integument, metabolic, cardiovascular, gastrointestinal, respiratory, psychological, urinary and musculoskeletal systems. Additionally, these questions are designed under the multiple choice testing with instant answers in order to help you get used to the exam format and bring out the best in your exam practice. Click now to master all the basic knowledge of immobility and its effects!

To view full questions and answers of this quiz, please visit our site at here: https://hapiland.net/8088/40-essential-free-cna-practice-test-questions-and-answers-on-effects-of-immobility/

   Diminished Cardiac Reserve

• HR increased by 15%, drop in systolic BP, drop in diastolic BP
• increased dependence on others, unable to carry out role in life
• decreased circulation to the skin, pressure of immobility
• hear rate increases (increases sympathetic stimulation), increased heart rate with minimal exertion, with increased heart rate there is decreased blood flow to the coronary arteries

Decreased Stimuli

• perception of time, problem solving skills, decision-making abilities diminish, life becomes too narrow for the client
• HR increased by 15%, drop in systolic BP, drop in diastolic BP
• increased dependence on others, unable to carry out role in life
• atrophy of the skin secondary to shift in body fluids, poor hydration

Atelectasis

• decreased circulation to the skin, pressure of immobility
• without weight bearing, bones demineralize causing a loss of calcium which will result in osteoporosis; bones will become spongy and deformed
• increased dependence on others, unable to carry out role in life
• when secretions pool in one area of the lung causes collapse of a lobe or lung; elderly or postoperative clients are most at risk

Ankylosis

• atrophy of the skin secondary to shift in body fluids, poor hydration
• stiffness and pain of the joint, without movement collagen becomes ankylosed, as bones demineralize excess calcium becomes deposited in the joints
• increased dependence on others, unable to carry out role in life
• stasis and alkalinity of the urine is an excellent medium for bacterial growth, risk factors are supine and alkalinity, contaminated by poor pericare and incontinence, most common organism is E. coli

Delayed Wound Healing

• atrophy of the skin secondary to shift in body fluids, poor hydration
• secondary to a decreased protein intake, negative nitrogen balance leads to malnutrition, proteins necessary for wound healing
• secondary to increased venous pressure of lower extremities, will note in sacrum and heels in immobilized client, note in feet and ankles when in chair; edematous tissue is more prone to breakdown
• increased dependence on others, unable to carry out role in life

Integumentary System Assessments and Interventions

• assess for skin breakdown, turn and reposition client every 2 hours, evaluate risk using the Braden Assessment Scale, monitor intake and output, administer skin care every shift
• increased dependence on others, unable to carry out role in life
• atrophy of the skin secondary to shift in body fluids, poor hydration
• inspect respiratory rate and depth, note sputum, fever or pain when breathing, auscultate the lungs, encourage cough and deep breathing, use of incentive spirometry (expand alveoli)

Respiratory Assessments and Interventions

• decreased circulation to the skin, pressure of immobility
• increased dependence on others, unable to carry out role in life
• inspect respiratory rate and depth, note sputum, fever or pain when breathing, auscultate the lungs, encourage cough and deep breathing, use of incentive spirometry (expand alveoli)
• assess for skin breakdown, turn and reposition client every 2 hours, evaluate risk using the Braden Assessment Scale, monitor intake and output, administer skin care every shift

Dependent Edema

• secondary to increased venous pressure of lower extremities, will note in sacrum and heels in immobilized client, note in feet and ankles when in chair; edematous tissue is more prone to breakdown
• secondary to a decreased protein intake, negative nitrogen balance leads to malnutrition, proteins necessary for wound healing
• increased dependence on others, unable to carry out role in life
• HR increased by 15%, drop in systolic BP, drop in diastolic BP

Skin Breakdown

• mood elevating substances, lack of exercise
• decreased circulation to the skin, pressure of immobility
• increased dependence on others, unable to carry out role in life
• HR increased by 15%, drop in systolic BP, drop in diastolic BP

Anorexia

• a clot that is loosely attached to an inflammed vein wall
• loss of appetite, occurs because of decreased BMR
• mood elevating substances, lack of exercise
• decreased circulation to the skin, pressure of immobility

Urinary System Assessments and Interventions

• monitor food intake and elimination patterns, encourage fluids, provide diet high in fruits veggies and fiber, assess bowel sounds
• hear rate increases (increases sympathetic stimulation), increased heart rate with minimal exertion, with increased heart rate there is decreased blood flow to the coronary arteries
• evaluate intake and output: increases the risk of renal impairment and dehydration increases the risk for skin breakdown, clot formation, respiratory infections, urinary infections, and constipation
• evaluate muscular atrophy, provide high protein and high calorie diet, monitor lab values (serum albumin and protein, BUN)

27 Ultimate Free CNA Practice Exam Online Questions and Answers on Effects of Immobility

27 Ultimate Free CNA Practice Exam Online Questions and Answers on Effects of Immobility is highly appreciated to navigate you to the key points of the immobility and its effects. Covering almost essential contents of portions of the nursing process to provide nursing care to patients who have problems with immovability, this quiz showcases many useful free CNA test questions with full answers under an easy-to-access format, which surely makes you quickly grasp entire understanding. Practice with these quizzes, you will have a big opportunity to seize your missing knowledge and sum up what you’re already proficient in. Let’s get started to try it out, you will never feel regret!

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   pulmonary PT interventions include:

• muscle wasting, poor wound healing, and poor immune response.
• monitor RR, chest PT (postural drainage, percussions to mobilize secretions), coughing and breathing education, positioning
• monitor muscle strength, tone and ROM, positioning to prevent contractures and pressure sores, ther ex (PROM, AROM, ISOMETRICS)
• diaphoresis which leads to dehydration and skin breakdown

Fluid and electrolyte effects include:

• wells clinical decision rule
• smell the roses and blow out the candle.
• red, swollen, shiny and warm
• diaphoresis which leads to dehydration and skin breakdown

Strength loss plateaus at ______ loss within _______ weeks.

• 4x
• 1-2%
• 50%, 4
• DVT

difficulty breathing while lying down

• orthopnea
• 50%, 4
• DVT
• 1-2%

A Homen's sign test is positive if there is ________.

• orthopnea
• pressure ulcers
• pain in the leg
• 50%, 4

If veins cannot get rid of blood in the lower extremities it will lead to _________ which leads to ________ which leads to __________.

• red, swollen, shiny and warm
• pooling, venous ulcers, DVT
• pain in the leg
• pressure ulcers

psychological changes:

• anxiety, apathy, depression, disorientation, passive / aggressive verbal and nonverbal communication, mood swings, listlessness, withdrawal, social isolation, regression, sensory deprivation, and altered body perception
• orthostatic hypotension, increased cardiac workload due to decreased venous return (non active muscle pump), thrombus formation due to pooling in blood
• decreased metabolism, poor appetite, decreased physical activity
• diaphoresis which leads to dehydration and skin breakdown

Skin effects:

• 50%, 4
• pressure ulcers
• orthopnea
• pain in the leg

Cardiovascular effects include:

• decreased metabolism, poor appetite, decreased physical activity
• orthostatic hypotension, increased cardiac workload due to decreased venous return (non active muscle pump), thrombus formation due to pooling in blood
• osteoporosis, kidney stones, decreased endurance and strength, atrophy, decreased stability, and contractures
• prevent orthostatic hypotension by rising slowly or using tilt table, monitor pulses and edema, check for Homen's sign or wells clinical decision rule, compression stockings, P/AROM

Musculoskeletal effects:

• orthostatic hypotension, increased cardiac workload due to decreased venous return (non active muscle pump), thrombus formation due to pooling in blood
• decreased metabolism, poor appetite, decreased physical activity
• diaphoresis which leads to dehydration and skin breakdown
• osteoporosis, kidney stones, decreased endurance and strength, atrophy, decreased stability, and contractures

Cardiovascular PT interventions:

• prevent orthostatic hypotension by rising slowly or using tilt table, monitor pulses and edema, check for Homen's sign or wells clinical decision rule, compression stockings, P/AROM
• orthostatic hypotension, increased cardiac workload due to decreased venous return (non active muscle pump), thrombus formation due to pooling in blood
• smell the roses and blow out the candle.
• monitor muscle strength, tone and ROM, positioning to prevent contractures and pressure sores, ther ex (PROM, AROM, ISOMETRICS)

Nutrition effects include:

• decreased metabolism, poor appetite, decreased physical activity
• muscle wasting, poor wound healing, and poor immune response.
• smell the roses and blow out the candle.
• impaired taste and smell and difficulty swallowing while in recumbent position, indigestion / poor appetite, decreased food intake and protein.