PCM 1 Midterm Questions and answers, 100% Accurate, graded A+

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PCM 1 Midterm Questions and answers, 100% Accurate, graded A+ What percentage of work is being done by the patient if the therapist is conducting a MINA transfer? - ✔✔75% Explain was a CGA... transfer looks like. - ✔✔Contact Guard Assistance -standing laterally to patient with hands on gait belt -providing possible protection for patient If a client is able to do 50% of the work needed for a transfer what level of assistance would you provide? - ✔✔MODA moderate assistance What information will inform the therapist about what type of transfer to do with a patient? - ✔✔evaluation available written information information from client and family goals What does HIPAA stand for? - ✔✔Health Insurance Portability and Accountability Act What does the Privacy Rule allow in reference to HIPPA? - ✔✔Protects health information -allows access and control over information What are the 4 elements of the Infection Cycle? - ✔✔1. Resevoir 2. Exit 3. Transmission 4. Infection What are PPE items? - ✔✔gloves gown face mask goggles Your patients BP is 135/86 during initial session what should you do? - ✔✔Monitor during session -On verge of hypertension What should you wear if a patients room states it is Droplet Protection? (please choose how every many neccessary) -gloves -gown -facemask -googles -N95 Face Mask - ✔✔gloves How long should you wash your hands for? - ✔✔20 seconds Happy Birthday How long should you rub your hands together for? - ✔✔20 seconds or until dry T/F A bar of soap is contaminated - ✔✔True How often should a patient reposition? - ✔✔at least every 2 hours What are the two main things to keep in mind when draping a patient? - ✔✔modesty warmth You go to reposition a client and notice that their skin over their olecranon is red. What does this lead you to think? -too much pressure -severely dangerous pressure -excessive pressure - ✔✔too much pressure You begin a transfer with a patient from their wheelchair to their bed and notice that the skin covering their ischial tuberosity is blanched. What does this lead you to think? -too much pressure -sever dangerous pressure -excessive pressure - ✔✔severely dangerous pressure You begin to move a patient to the bottom of the bed when they explain that they are feeling tingles and numbness in their shoulder region. What does this lead you to think? -too much pressure -sever dangerous pressure -excessive pressure - ✔✔excessive pressure Wheelchair users should reposition how often? - ✔✔every 10-15 minutes for 10-15 seconds If a client that uses a wheelchair is not repositioning themselves enough throughout the day what are they at a high risk of receiving? - ✔✔ischemia, bed sores, and so forth Ischemia - ✔✔an inadequate blood supply to an organ or part of the body, especially the heart muscles. If a patient refuses transfer what are some rationales you could offer them? - ✔✔-prevent soft tissue injury, pressure, contractures -comfort -trunk support and stability Flaccid limbs - ✔✔serious irreversible neuro impairment If a person has a flaccid arm what position should you keep them in? -hands above the elbow -hands level with the elbow -hands below the elbow - ✔✔higher than elbow -avoid edema What could happen if a patient is left int he supine position with their knee flexed due to a pillow being placed underneath it? - ✔✔Contractures due to hip flexion When moving a patient down in bed when should you, the therapist, place your hands? - ✔✔iliac crest Which of the following is a pressure point for a person who is in a wheelchair? -calcaneus -acromion process -popliteal -ridge of tibia - ✔✔popliteal What position would you want the spine to be in while a person is in prone? - ✔✔lordosis What is an example of an airborne isolation case? - ✔✔tuberculosis T/F MSRA can be killed with hand rub. - ✔✔false -one of the only organisms that cannot die form hand rub What is the 4th leading cause of death in the US? - ✔✔infection What are standard precautions? - ✔✔They are used during every patient interaction. Includes: hand hygiene, use of PPE, respiratory hygiene, safe injection practices, and disinfection of soiled surfaces and equipment, proper disposal If a patient has C. Diff. Colitis it is okay to wash your hands. - ✔✔TRUE!!! hand washing is the bomb. -hand rub wont kill it plus you might have poop on your stuff According to OSHA, your company is responsible for providing you: - ✔✔education prevention disposal HBV vaccine Follow up What are the 5 vital signs? - ✔✔Heart rate, blood pressure, respiratory rate, temperature, oxygen saturation Hot environmental temperatures will _________ temperature. -increase -decrease - ✔✔increase Normal temperature range: - ✔✔96.8 to 99.3 When is a person's temperature the lowest? - ✔✔mornings If you take an oral temperature reading vs. a rectum temperature reading one can expect that the temperature will be_____________. -higher -lower - ✔✔lower Will mensuration have an effect on body temperature? - ✔✔YES MOTHA TRUCKER You are taking the pulse of a 6-year-old child. What is a expected pulse? -72 -111 -66 -125 - ✔✔111 -80-120 What is the pulse range for an newborn? - ✔✔100-130 Will medications have an affect on pulse? - ✔✔YES beta-blockers are an example You take a persons blood pressure and feel you need to notify the doctor. What was the results? - ✔✔180/90 You take a persons blood pressure and the results indicate that the person needs immediate medical attention. What is the blood pressure? - ✔✔180/100 What is a case in which it is a good idea for a individual to have a higher blood pressure? - ✔✔A elderly person that has orthostatic hypotension How can therapist affect blood pressure? - ✔✔arm positioning cuff size What are some precautions that a therapist should look out for when taking a individuals blood pressure? - ✔✔IV lines Stroke Orthopedic injury How often should you conduct a skin inspection? -once a day -twice a day -once every 2 hours - ✔✔twice a day` Stage 1 skin ulcer: explain what this might look like - ✔✔ If a patient is showing blanched skin what stage of ulcer production are they in? -stage 1 -stage 2 -stage 3 -stage 4 - ✔✔stage 2 A patient's skin has ruptured the skin membrane due to pressure. Stage ________. -1 -2 -3 -4 - ✔✔3 When dealing with a patient who had a transtibial amputation, what is the one thing you do not want to happen. Explain why - ✔✔Knee Flexure Contracture -they will not be table to get prosthetic leg due to inability to straighten leg Mrs. Backthatassup had a THR, which positions would you want to avoid putting her hip into? - ✔✔-adduction -internal rotation -flexion greater than 90 T/F Chris P. Bacon had a TKA and the nurse has put him into the best possible position; knee flexion. - ✔✔FALSE: home boy should be in extension How could you position a TKR to ensure that their knee is extended? - ✔✔prone supine (neutral hip) T/F You do not want to keep a patient's shoulders adducted for more than 30 minutes? - ✔✔FALSE you can leave them adducted, this is good posture. Do not want to keep them ABducted for more than 30 minutes T/F In a transferal amputation you should elevate the RL on a pillow while they are in supine - ✔✔FALSE -if left there for more than 40 min this promotes the development of contractors in the patients hip flexor muscles When a patient with a TFA stands or is recumbent, the RL should be maintained in ____________. -flexion -extension -hyperextension -bent - ✔✔extension TTA What does this stand for? - ✔✔transtibial amputation Prolong hip and knee _________ should be avoid when positioning a patient with a transtibial amputation. -flexion -extension -hyperextension -bent - ✔✔flexion What could happen if you allow a patient to sit in a chair for more than 40 minutes if they had a transtibial amputation? - ✔✔contracture of the hip flexors hemiplegia - ✔✔paralysis of one side of the body Give 3 examples of positions to avoid putting a patient's UE in when they have a diagnosis of hemiplegia. - ✔✔-shoulder adduction and internal rotation -elbow flexion -forearm supination/pronation -wrist, finger, thumb flexion -thumb adduction What are some ideal positions for LE for a hemiplegia patient? - ✔✔-hip and knee extension -hip ABduciton and internal rotation - ankle dorsiflexion and inversion Which of the following vital sign readings is NOT within normal limits (WNL)? -respiration of 23 BPM -temperature of 98 degrees -heart rate of 90 bpm -blood pressure 115/75 - ✔✔respiration of 23 BPM Which of these patients needs immediate medical attention? -BP 160/90 -heart rate 98 [Show More]

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