NEW STUDY
GUIDE 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
This study source was downloaded by 100000840275362 from CourseHero.com on 04-30-2022 03:10:01 GMT -05:00
https://www.coursehero.com/file/73980958/MDC-1-Exam-2-Reviewdocx/
, How you would re-educate a patient who is non-compliant with mobility instructions
This study source was downloaded by 100000840275362 from CourseHero.com on 04-30-2022 03:10:01 GMT -05:00
https://www.coursehero.com/file/73980958/MDC-1-Exam-2-Reviewdocx/
GUIDE 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
This study source was downloaded by 100000840275362 from CourseHero.com on 04-30-2022 03:10:01 GMT -05:00
https://www.coursehero.com/file/73980958/MDC-1-Exam-2-Reviewdocx/
, How you would re-educate a patient who is non-compliant with mobility instructions
This study source was downloaded by 100000840275362 from CourseHero.com on 04-30-2022 03:10:01 GMT -05:00
https://www.coursehero.com/file/73980958/MDC-1-Exam-2-Reviewdocx/
