PCCM1 Exam 1 Questions and answers. 100% Rated A+ 2022 update.

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PCCM1 Exam 1 Questions and answers. 100% Rated A+ 2022 update. According to standard isolation precautions for airborne transmission, what is the recommended architecture for a patient's room? ... - ✔✔Private isolation room with a closed door When is protective eye wear important? - ✔✔during times when blood splashes or sprays of other body fluids are likely What are the most common modes of transmission of pathogenic microorganisms? - ✔✔contact, droplet, airborne What are the five elements in the cycle of infection? - ✔✔reservoir, exit, transmission, infection, and susception What is the most important activity that caregivers should perform before and after contact with a patient to control infection? - ✔✔hand hygiene In applying an alcohol-based hand rub, what is the appropriate step to take after rubbing the product briskly over all surfaces of the hands? - ✔✔continue to rub until hands are dry What is the recommended length of time for hand washing with ordinary soap and water? - ✔✔15-30 seconds Does the size of the blood pressure cuff affect the pulse oximeter reading? - ✔✔no Is the respiration of 23 bpm WNL? - ✔✔No Orthostatic hypotension (OH) is classified as a decrease in systolic blood pressure of greater than what? - ✔✔20 Does a BP of 180/100 warrant immediate medical attention? - ✔✔yes What pain scale might you use with a 5 year old child? - ✔✔faces To determine how much to inflate the BP cuff, find the occlusion point then inflate the cuff how many mm/Hg? - ✔✔20 When fitting the BP cuff, what percentage of the arm should the length of the bladder cover? - ✔✔80% Does a patient with the following stat line need supplemental oxygen? pulse 80 bpm O2 sat 88%? - ✔✔Yes At what level is the approximate center of gravity (COG) of a standing person? - ✔✔The second sacral segment What muscle group is most important for movements and lifts that require extra effort? - ✔✔core stabilizers What is the ideal plum line for the posterior view? - ✔✔midline between calcanei, through gluteal cleft, midline through thorax/spine What is the ideal plum line for the anterior view? - ✔✔between feet, through trunk, midline through face and nose What is the ideal plum line for the lateral view? - ✔✔slightly anterior to lateral malleolus, slightly anterior to midline through the knee, approx. through greater trochanter, through mid acromion, through lobe of the ear How could one increase their base of support (BOS)? - ✔✔Placing the feet farther apart in an AP stance What posture is recommended for performing activities below the waist, such as removing clothes from the front loading dryer? - ✔✔sitting, stooping, or kneeling In an attempt to lift an object, which two measures are recommended for proper body mechanics? - ✔✔increasing your base of support and positioning your COG near the objects COG The difference between a Deep Squat Lift and a Power Lift is: - ✔✔A Deep Squat Lift requires a full squat and a Power Lift requires only a partial squat What area of the spine is host to most injuries cause by lifting? - ✔✔lumbar Following a total hip replacement, what device is often used for proper positioning? - ✔✔An adduction pillow to prevent excessive hip adduction Your patient is a 49-year-old man who sustained a spinal cord injury in a skiing accident. He is unable to move below the level of his umbilicus. You are positioning him in the bed following your treatment. Which of the following describes the most appropriate positioning for this patient? - ✔✔In a three-quarters supine position with pillows behind him and between his legs In general, how frequently should a dependent patient's positioned be changed? - ✔✔At least every 2 hours Which areas are especially prone to pressure sores in a patient who is wheelchair dependent? - ✔✔Ischial tuberosities and olecranon processes Which areas of the side-lying patient are at greatest risk for pressure sores? - ✔✔Lateral ears, lateral ribs, greater trochanters, and humeral epicondyles Your patient is a 64-year-old man who had a stroke and has severe right upper-extremity weakness as a result. His right hand has become very edematous. Which of the following is the best position for the patient's right arm to aid in the management of his edema? - ✔✔With the hand on a pillow, higher than the heart, while he is supine Following a total knee replacement, in what position is it important to keep the affected extremity at rest? - ✔✔Knee extension Your patient is a 55-year-old man who just had a transtibial amputation secondary to a work-related accident. You are working with him on functional mobility just after his surgery. Which of the following represents the best positioning for this patient? - ✔✔Have him spend some time in prone each day to encourage extension of the affected hip and knee What is a potential adverse effect of the placement of a small bolster behind the knees of a supine patient? - ✔✔Iliopsoas and hamstring contractures The most important action when assisting a patient to move around in bed is - ✔✔Let the patient help as much as possible when permitted When performing a dependent transfer with a patient from supine to prone, how should the arm over which the patient will roll be positioned? - ✔✔adducted, externally rotated, elbow straight, and hand tucked under the pelvis, palm up What level of assistance is used if a patient requires only verbal cues to perform an activity safely and within an acceptable time frame? - ✔✔Standby assistance When coordinating a lifting activity with others, how should directions be given? - ✔✔As brief, concise, and action-oriented commands During an upward movement transfer of a supine patient, how should the patient's lower extremities be positioned? - ✔✔With the hips and knees flexed and feet flat on the bed When assisting a patient using only verbal cues to perform an activity safely and within an acceptable time frame, what level of assistance has been provided? - ✔✔Standby assistance In general, how frequently should the patient's position be changed when immobile in bed? - ✔✔at least every 2 hours When a patient is able to do 25% to 49% of a transfer they are considered to require - ✔✔Maximum assistance When rolling a pt. from supine to prone, towards the patient's left side, the left UE should be positioned - ✔✔overhead in full shoulder flexion, if the patient has the range What is included in informed consent? - ✔✔PT introduction Confirm patient Explain procedure benefits of procedure possible side effects alternatives ask patient if they are ok with procedure Cycle of infection: Reservoir - ✔✔microorganisms require a place where they can grow and reproduce Cycle of infection: Exit - ✔✔microorganisms require a means by which they can leave the host Cycle of infection: Transmission - ✔✔microorganisms must pass from one person to another to spread infection. Occurs through air, droplets, or direct contact Cycle of infection: Infection - ✔✔Microorganisms must be able to enter that person (portal of entry) Cycle of infection: Susception - ✔✔the person must be susceptible to the microorganism It is important to perform hand hygiene: - ✔✔-before and after patient contact -before and after contact with wounds and things associated with wounds -When hands are soiled - before and after the restroom -after sneezing, coughing, or nose blowing -after removing gloves -before and after eating What are the benefits of rubbing hands over washing? - ✔✔requires less time more effective more accessible significantly reduces bacteria count on hands causes less damage to hands What are the 5 vital signs? - ✔✔temp, pulse, blood pressure, respiration rate, pain What is the normal range for body temperature? - ✔✔96.8-99.3 What is the most accurate site for taking temperature? - ✔✔rectum What are the factors that can affect body temperature? - ✔✔time of day age environmental temperature infection physical activity emotional status site of measurement menstrual cycle oral cavity temp [Show More]

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