MDC 1 Exam 2 Review.docx - MDC Exam 2 Review When teaching...

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MDC Exam 2 Review When teaching patients ROM/flexibility- What are some examples? Perform RROM 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 Add- towards 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 cramping How you would re-educate a patient who is non-compliant with mobility instructions
Therapeutic communication such as mirroring, problem solving, develop and re-enforce self-efficacy, break down to simple instructions, enlist support Ambulation with a cane After ensuring the cane is the proper size instruct the patient to do the following: Hold the cane on the stronger side. Distribute weight evenly between the feet and cane. Advance the cane and weaker leg simultaneously, then bring the stronger leg through. Avoid leaning over or on the cane. Maintain the integrity of the rubber tip for traction.

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