Exercise and Activity Parameters/Bed Mobility/Hospital Parameters

Question 1

Fixed ROM Limitation

Answer 1

Can’t fix, only accommodate
Won’t respond to stretching/position alone
Surgical release if contracture causes functional limitations

Question 2

Flexible ROM Limitation

Answer 2

May respond to stretching/splinting, BUT sustain gains only through functional use

Question 3

Support

Answer 3

Assistance provided distally to alleviate/control load through movement

Question 4

Support can

Answer 4

Relieve stress
Control weight of a body part
Compensate for weakness
Promote movement

Question 5

Stabilization

Answer 5

Proximal control provided to limit extraneous movement or to keep patient from using substitution

Question 6

Roll Board

Answer 6

No lift lateral transfer

Reduces friction by having board slide across bedding

Question 7

Slide Sheet

Answer 7

Reduces shear against bedding

Question 8

AirPal

Answer 8

Airslide for lateral transfer
Unweights patient to reduce lifting
2 person transfer

Question 9

Predictors of Hospital Mortality

Answer 9

Age
Immunosuppression
Mechanical ventilation >90 days
Use of vasopressors >3 days
Acute renal failure needing dialysis

Question 10

ICU Intervention Indication

Answer 10

Prolonged immobilization
Comatose with increased tone or musculoskeletal involvement
Comprised skin integrity
Complicated, skilled mobility or exercise needs

Question 11

ICU Intervention Contraindications

Answer 11

Acute, untreated injuries
Unstable medical condition
Low tolerance
No activity until spine is cleared
Orthostatic hypotension
Resting HR >100 or 15 drop, exceed max HR)
Resting SBP >200 or 100
O2 Sat

Question 12

Hyperglycemia (High blood glucose) Symptoms

Answer 12

Frequent hunger
Increased thirst
Dry mouth
Frequent urination
Confusion

Question 13

Hypoglycemia (Low blood glucose) Symptoms

Answer 13

Tremor
Irritability
Sweating
Tachy
HTN
Mental dullness
Seizure
LOC

Question 14

Hypernatremia (High sodium)

Answer 14

>145
Increased temp
Flush skin
Lethargy
Thirst
Weakness
Hyperflexia
Ataxia

Question 15

Hyponatremia (Low sodium)

Answer 15

Apathy
Nausea
Cramps
Twitching
Confusion

Question 16

Hyperkalemia (High potassium)

Answer 16

>5
Nausea
Initial tachy, followed by brady
Dysrhythmia
Irritability

Question 17

Hypokalemia (Low potassium)

Question 18

DVT Recognition

Answer 18

Edema
Warmth
Pain

Question 19

DVT and Activity (Initial)

Answer 19

Initial signs of PE or DVT might benefit from brief immobilization

Question 20

DVT and Activity (Compression)

Answer 20

Combined with walking is better alternative than bed rest with proximal DVT

Question 21

DVT and Activity (Risk)

Answer 21

Not higher risk for bed rest vs up and ambulatory

Question 22

PE

Answer 22

Emergency situation

SOB, anxiety, chest pain, cough, tachy