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NURS 5031 Study Guide: Mobility

NURS 5031 Study Guide: Mobility

  • Discuss physiological and pathological influences on body alignment and joint mobility.
  • Skeletal Changes:
  • Disuse Osteoporosis
  • Immobility leads to bone reabsorption - Ca is taken from the bone to blood steam
  • Joint Contracture
  • Fixation of joint, can be temporary or permanent (ex. Foot drop)
  • Note - skin breakdown and assessment of pressure injuries will not be included in this exam, but instead, incorporated in exam 2. 
  • Understand nursing interventions to prevent complications of immobility (DVT, respiratory atelectasis, changes in elimination patterns. 
  • DVT Prevention
  • Swelling, redness, and heat are indications
  • Anti Embolism elastic stockings (TED Hose): The pressure from the stocking will increase blood flow velocity and valve effectiveness
  • Sequential Compression Devices (SCD): Inflates with air to accelerate venous blood return. Can be just for ankle, calf, and/or thigh. Educate: proper size, applied correctly, connected to pump, pump is on. 
  • Atelectasis Prevention (collapsed alveoli)
  • TCDB - Turn, Cough, and Deep Breath every 1-2 hours
  • Incentive spirometry - INHALE 10 deep breaths every hour 
  • Other cardiovascular
  • Progress from bed to chair to ambulation
  • Leg exercises
  • Musculoskeletal
  • Passive ROM, Active ROM, and Continuous Passive Motion
  • Integumentary
  • Reposition every 1 to 2 hours
  • Provide skin care
  • Elimination
  • Provide adequate hydration
  • Serve diet rich in fluids, fruits, vegetables, and fiber 



[a]this is the only stuff I came up with - if you have anything else please add

[b]lecture only mentions retinal detachment as the emergency - so I'm guessing the question would only be on this?

[c]Question...so does this mean hydrostatic pressure is determined by things like stroke volume and  dilation/constriction of the vasculature and maybe also capillary permeability??

[d]Correct, but I think less so capillary permeability and moreso Blood Volume is going to have a big role in hydrostatic pressure. Changes in how much blood volume you have is going to greatly impact how forcefully the fluid is going to press against the vessel wall. If you lose a lot of blood you are going to lose pressure.

[e]That makes sense. And capillary permeability may impact that but not any differently than how it would impact oncotic pressure so that really isn't specific to either one...yes?

[f]Yeah I would agree with that. If the question is asking what influences hydrostatic i would definitely choose things like BV, cardiac output, vascular resistance, and blood viscosity before I would choose capillary permeabiltiy

NURS 5031 Study Guide: Mobility

  • Discuss physiological and pathological influences on body alignment and joint mobility.
  • Skeletal Changes:
  • Disuse Osteoporosis
  • Immobility leads to bone reabsorption - Ca is taken from the bone to blood steam
  • Joint Contracture
  • Fixation of joint, can be temporary or permanent (ex. Foot drop)
  • Note - skin breakdown and assessment of pressure injuries will not be included in this exam, but instead, incorporated in exam 2. 
  • Understand nursing interventions to prevent complications of immobility (DVT, respiratory atelectasis, changes in elimination patterns. 
  • DVT Prevention
  • Swelling, redness, and heat are indications
  • Anti Embolism elastic stockings (TED Hose): The pressure from the stocking will increase blood flow velocity and valve effectiveness
  • Sequential Compression Devices (SCD): Inflates with air to accelerate venous blood return. Can be just for ankle, calf, and/or thigh. Educate: proper size, applied correctly, connected to pump, pump is on. 
  • Atelectasis Prevention (collapsed alveoli)
  • TCDB - Turn, Cough, and Deep Breath every 1-2 hours
  • Incentive spirometry - INHALE 10 deep breaths every hour 
  • Other cardiovascular
  • Progress from bed to chair to ambulation
  • Leg exercises
  • Musculoskeletal
  • Passive ROM, Active ROM, and Continuous Passive Motion
  • Integumentary
  • Reposition every 1 to 2 hours
  • Provide skin care
  • Elimination
  • Provide adequate hydration
  • Serve diet rich in fluids, fruits, vegetables, and fiber 



[a]this is the only stuff I came up with - if you have anything else please add

[b]lecture only mentions retinal detachment as the emergency - so I'm guessing the question would only be on this?

[c]Question...so does this mean hydrostatic pressure is determined by things like stroke volume and  dilation/constriction of the vasculature and maybe also capillary permeability??

[d]Correct, but I think less so capillary permeability and moreso Blood Volume is going to have a big role in hydrostatic pressure. Changes in how much blood volume you have is going to greatly impact how forcefully the fluid is going to press against the vessel wall. If you lose a lot of blood you are going to lose pressure.

[e]That makes sense. And capillary permeability may impact that but not any differently than how it would impact oncotic pressure so that really isn't specific to either one...yes?

[f]Yeah I would agree with that. If the question is asking what influences hydrostatic i would definitely choose things like BV, cardiac output, vascular resistance, and blood viscosity before I would choose capillary permeabiltiy