Exam 2 | Patient Care Skills | PhysioU
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49 Terms
A 41 year old female recieving chemotherapy has been referred to you for therapy. She currently has a peripherally inserted central catheter (PICC) line inserted at her right basilic vein. She has a history of hypertension and you wish to assess blood pressure prior to therapy. Where should you apply the blood pressure cuff?
Left arm
3 multiple choice options
Which of the following is true regarding chest tubes?
Collection box must remain upright at all times
3 multiple choice options
Your patient is a 21 year old male recovering from a traumatic brain injury (TBI). The patient has a ventriculostomy placed. Which of the following is NOT a sign of increased Intracranial pressure (ICP)?
Red colored cerebral spinal fluid
3 multiple choice options
What should you do if a patient's Foley Catheter falls out?
Notify nursing
3 multiple choice options
Rank the oxygenation devices from least to most assistive.
Nasal Cannula, Oxygen Mask, Tracheostomy, Ventilator
3 multiple choice options
Which of the following choices would help ease bed mobility for a patient?
Provide patient with cues to use bed rails to perform bed mobility
3 multiple choice options
Which is the most effective approach to physically assist this patient with bed mobility?
Apply force more centrally upon the trunk
3 multiple choice options
Which of the following options described proper body mechanics to help the patient perform bed mobility?
Shift weight from the front leg to the back leg when assiting patient
3 multiple choice options
The patient has a non-weight bearing status of the right lower extremity, what technique will help you assist with scooting up the bed?
Ask patient to bend the left lower extremity to bridge and assist with arms
3 multiple choice options
Which body region should be moved first when assisting the patient to scoot to the right side after bending both knees?
Assist patient at the upper body
3 multiple choice options
Which option is appropriate with helping the patient roll to the left?
Push through the heels and reach across with the right arm
3 multiple choice options
Which bed mobility activity will be the most difficult for the patient below with hemiparesis after a cerebrovascular accident?
Rolling to the stronger side
1 multiple choice option
Which of the following is the key element of log-rolling?
Maintaining a neutral spine throughout the task
2 multiple choice options
What is the advantage of moving both legs off the edge of bed together when transitioning from supine to sitting through a side-lying position?
The legs provide a counterweight to the upper body
3 multiple choice options
Where should the patient be positioned in the bed to transition from sitting to supine?
One third of the way down from the head of the bed
3 multiple choice options
What is the purpose of proper positioning for patients that are dependent?
Provide pressure relief and prevent soft tissue injuries
3 multiple choice options
Which option is the area of greatest pressure when a patient is supine?
Sacrum
3 multiple choice options
Which option is the area of greatest pressure when a patient is side-lying?
Medial and lateral malleoulus
3 multiple choice options
Which option is the area of greatest pressure for a patient sitting in a wheelchair?
Ischial tuberosities
3 multiple choice options
How often should positional changes be performed in bed ?
Every 2 hours
3 multiple choice options
How often should positional changes be performed in sitting ?
Every 15 minutes
3 multiple choice options
What description matches independent physical assistance level?
Patient does not require any assistance to consistently complete the task safely.
3 multiple choice options
What description matches Modified Independent physical assistance level?
Patient is safe and independent with the assistance of an equipment.
3 multiple choice options
What description matches Supervision (Sup) physical assistance level?
Patient requires clinician to oberve throughout completion of the task.
3 multiple choice options
What description matches Standby Assist (SBA) physical assistance level?
Assisting person is close, but not touching the patient.
3 multiple choice options
What description matches Contact Guard Assist (CGA) physical assistance level?
Patient requires a clinician to maintain contact to complete the task.
3 multiple choice options
What description matches Minimal Assist physical assistance level?
Pateint requires 25% assist to complete the task
3 multiple choice options
What description matches Moderate Assist physical assistance level?
Patient requires 50% assist to complete the task
3 multiple choice options
What description matches Maximal Assist physical assistance level?
Patient requires 75% assist to complete the task
3 multiple choice options
What description matches Dependent physical assistance level?
Patient is unable to participate and the clinician must provide all of the effort to perform the task
3 multiple choice options
In order to prepare a patient for a sit to stand transfer, what is the first step?
Have the patient scoot forward to edge of the bed or chair
3 multiple choice options
Idenitfy the proper cue to provide when preparing a patient for a stand to sit transfer.
Back up until the lower extremities are in contact with the chair/bed
3 multiple choice options
Select the proper wheelchair set up prior to a transfer.
Remove both leg rests and lock brakes on both sides
3 multiple choice options
When is a slide board transfer indicated?
Patient has bilateral lower extremity weakness and/or injury
3 multiple choice options
Select the proper set up for a slide board transfer from bed to wheelchair.
Remove the armrest closest to patient
3 multiple choice options
What is the first step in cueing the patient to use a slide board transfer?
Place a gait belt around the patient to assist with transfer
3 multiple choice options
Select the proper set up for a slide board transfer from wheelchair to bed.
Adjust height of the bed to the same or lower than wheelchair
3 multiple choice options
When is a partial stand pivot transfer indicated?
Patient is unable to come to a full stand
3 multiple choice options
When is a stand pivot transfer indicated?
Patient is able to come to a full stand on one lower extremity
3 multiple choice options
What describes Non-weight bearing (NWB) status?
No weight is to be placed on the affected limb
3 multiple choice options
What describes Toe touch weight bearing (TTWB) status?
Affected limb is to be used only for balance; no weight should be placed on it
3 multiple choice options
What describes Partial weight bearing (PWB) status?
<50% body weight or weight specified by physician is to be placed on the affected limb
3 multiple choice options
What describes Weight bearing as tolerated (WBAT) status?
The amount of weight placed on the affected limb is determined by patient's comfort level
3 multiple choice options
What describes Full weight bearing (FWB) status?
Full body weight is to be placed on the affected limb
3 multiple choice options
What is the level of weight bearing status if the patient is bearing weight on his left leg and only placing the right lower extremity down for balance?
Toe touch weight bearing
3 multiple choice options
What is the level of weight bearing status with a physician's orders of 10 lbs?
Partial weight bearing
2 multiple choice options
How should the clinician position her hand on the gait belt when working on gait traning with a patient?
supinated grip in the back
3 multiple choice options
Three movements that are typically avoided after total hip arthroplasty, done via a posterior approach are listed below, which one is NOT a precaution?
hip external rotation
3 multiple choice options
Three precautions that typically apply after spinal fusion surgery are listed below, which one is NOT a precaution?
no sitting
3 multiple choice options