MDC Exam 2 Review
When teaching patients ROM/flexibility- What are some examples?
Reposition every 2 hours
Encourage independent activity/AROM as possible even in bed rest
Provide assistance devices if needed
Observe the patient as you perform ROM. You may need to perform the exercises in several short
segments if the patient tires easily or experiences discomfort.
Support the patient’s limb above and
below the joint that is to be exercised.
Move the joint in a slow, smooth, rhythmic manner. Avoid fast
movements; they may cause muscle spasm.
Never force a joint. Some patients may have limited ROM.
Move each joint to the point of resistance. This should not be painful.
Perform ROM at least twice
daily. Move each joint through ROM three to five times with each session. Consider incorporating ROM
into care activities, for example, while bathing or turning the patient.
Return the joint to a neutral
position when exercise is complete.
Encourage active exercise whenever possible.
ROM for elbow- how would you measure (degrees)
Elbow (Hinge Joint) Flexion—Bend at the elbow to move the forearm from a straightened position up
toward the shoulder. Normal Range: 150°
Extension—Straighten the arm by bringing the lower arm forward and down. Normal Range: 150°
Know limitations in performing ADLs/How to move to perform effectively
Immobility, environmental, cultural
Know difference of abduction/adduction
Ab- away from
Side effects of vasoconstrictive drugs, what you would look for, and what dangers could occur
Drugs with vasoconstrictive action (e.g., dopamine or chemotherapeutic agents [e.g., vinblastine]) are
vesicants (chemicals that damage body tissue on direct contact) can cause extravasation. Extravasation
results in severe TISSUE INTEGRITY impairment as manifested by blistering, tissue sloughing, or necrosis
from infiltration into the surrounding tissues. Monitor the IV insertion site carefully for early
manifestations of infiltration, including swelling, coolness, or redness. If any of these symptoms are
present, discontinue the drug immediately and notify the infusion therapy team, if available.
Dizziness, sleeplessness, weakness, fatigue, headache, hyponatremia, bronchoconstriction, abdominal
How you would re-educate a patient who is non-compliant with mobility instructions