Cardiopulmonary Practice W6 - Acute Care Physical Therapy Practice

research has shown that early mobility in the hospital has all the following affects, except:

increased number of falls

3 multiple choice options

the pt you are treating had a basic metabolic panel lab draw this morning. they begin to exhibit heart arrhythmias (as monitored by EKG) during your session. this is likely due to:

hyperkalemia

3 multiple choice options

pertinent chart review information that can be found in the H&P includes all of the following except:

anesthesia records

3 multiple choice options

your acute care PT encounter should begin with:

observation

3 multiple choice options

you should be sure to issue the patient DME before they leave the hospital, only if they are being discharged where?

home

3 multiple choice options

which of the following criteria should be met when a pt is discharging to an inpatient rehab facility?

pt can tolerate 3 hours of intensive therapy per day

3 multiple choice options

what does the I in ISBARR represent?

identify

3 multiple choice options

what does the S in ISBARR represent?

situation

3 multiple choice options

what does the B in ISBARR represent?

background

3 multiple choice options

what do the Rs in ISBARR represent?

recommend, recap

3 multiple choice options

in regards to O2 saturation, a criteria for activating a rapid response is:

SpO2 <90% with supplementation

3 multiple choice options

a patient with moderate to severe mitral. stenosis is referred to your outpatient facility for aerobic conditioning, which intensity of exercise program is most appropriate for this patient?

interval walking program at 50% age predicted max HR

3 multiple choice options

a pt is being seen for PT in an inpatient cardiac rehab 2 days after MI. during the initial session the pt appears anxious, reports chest pain, and wants to go back to bed for rest. what is the therapists best initial course of action?

sit the patient down and monitor vital signs carefully

3 multiple choice options

which of the following aerobic exercise prescriptions would be best for a cardiac patient who is unable to tolerate more than 10 minutes of continuous aerobic exercise at one time?

walk for bouts of tolerated exercise (10 minutes) at 50% to 85% of max HR followed by a rest of 5-10 minutes; increase number of bouts as tolerated

3 multiple choice options

you are treating a patient just discharged from phase 1 to an outpatient CR with intermittent training. what is the best initial spacing of exercise/rest interval to safely stress the aerobic system for this patient?

2:1

3 multiple choice options

a patient is recovering from an open heart surgery (coronary artery bypass). the PT is supervising to pts outpatient exercise program at 3 weeks post surgery. what guidelines should be followed regarding the use of moderate to heavy weights?

this is contraindicated during this time

3 multiple choice options

the protocol for a patient in cardiac rehab states that the pt should not exceed 4 METs with any activity at this stage of recovery. which of the following activities would be inappropriate for this pt?

jogging 5 mph

3 multiple choice options

a patient post MI 6 weeks ago is participating in a cardiac rehab program. the therapist is monitoring responses to activity. which finding would indicate to the PT that exercise should be immediately terminated?

1.5 mm of ST segment depression

3 multiple choice options

a PT attempts to calculate the target HR range for a 40 year old female with no significant past medical history. the pts resting HR is recorded as 80 bpm and the max HR is 160 bpm. what is the target HR?

128-148 bpm

3 multiple choice options

you are examining your patient's pulses. based on your knowledge of the grading scale, a 1+ refers to:

diminished

3 multiple choice options

the following exercising response is expected in healthy young children compared to healthy adults

higher submaximal and maximal HR

3 multiple choice options

T/F: patients were 2.9x more likely to be readmitted within 30 days when PT recommendations were not followed

true

1 multiple choice option

while performing a chart review on a pt that you have a consult for you see that their Hgb level is 6.5. which of the following steps should you take?

defer treatment/no exercise

3 multiple choice options

a pt presents with impaired cognitive function, hypotension, and weakness. which of the following lab values is most likely responsible for these findings?

hyponatremia

3 multiple choice options

which of the following listed below would be pertinent information to obtain when taking a pt history?

all of the above

3 multiple choice options

in the AIDET model, what does the E stand for?

explanation

3 multiple choice options

while you are taking a pts history, they state "I have been feeling unsteady when I try to walk to the bathroom." which portion of the SOAP note should this be documented under?

subjective

3 multiple choice options

which of the following discharge destinations requires a qualifying hospital stay?

skilled nursing facility

3 multiple choice options

you should be sure to issue your pt DME before they leave the hospital, only if the pt is discharging to which of the following locations?

home

3 multiple choice options

you are ambulating w a patient in the hall and they bvegin to cough suddenly with rapid breathing, rapid HR, and sweating, they also report chest pain. which of the following is the pt most likely experiencing?

pulmonary embolism

3 multiple choice options

which of the following is the most appropriate action to take if you suspect your pt is having a pulmonary embolism?

initiate rapid response

3 multiple choice options

with an arterial line, which part of the body should the transducer be level with?

heart

3 multiple choice options

which of the following mean arterial pressure ranges is considered to be within normal limits?

70-100 mmHg

3 multiple choice options

a pulmonary artery catheter can be introduced through all of the following places except:

radial artery

3 multiple choice options

A patient with moderate to severe mitral stenosis is referred to your outpatient facility for aerobic conditioning, Which intensity of exercise program is MOST appropriate for this patient ?

interval walking program at 50% age predicted HR max

3 multiple choice options