Final Exam: Acute Care and Special Environments

Question 1

What is the patient mobility and PT involvement for a level 1 Mobility Scale for ICU patients

Answer 1

PROM and turning every 2 hours

No PT involvement, just nursing

Question 2

What is the patient mobility and PT involvement for a level 2 Mobility Scale for ICU patients

Answer 2

Level 1 Mobility plus AROM and use of dependent lifts

No PT involvement, just nursing

Question 3

What is the patient mobility and PT involvement for a level 3 Mobility Scale for ICU patients

Answer 3

Level 2 mobility plus bed mobility, activity sitting at edge of bed, standing weight shifts, pivot transfers
Yes, PT is involved

Question 4

What is the patient mobility and PT involvement for a level 4 Mobility Scale for ICU patients

Answer 4

Level 3 ability plus pre gait activities, stepping transfers, and ambulation
Yes, PT is involved

Question 5

What does a NG tube stand for

Answer 5

nasogastric tube

Question 6

How long should NG tubes be stopped before supine activities

Answer 6

30 min for adults

1 hour for pediatrics

Question 7

What position should a patient with a NG tube before beginning supine activities

Answer 7

upright position

Question 8

If a patient has a indwelling/foley catheter and collection bag, the collection bag should be kept (above/below) the bladder level

Answer 8

below

Question 9

If a patient has a indwelling/foley catheter and collection bag, the clinician should (add/avoid) tension on tubing

Answer 9

avoid

Question 10

f a patient has a indwelling/foley catheter and collection bag, a clinician should drain urine from tubing (before/after) activity.

Answer 10

before

Question 11

Is the IV or PICC used for administering drugs and fluids

Answer 11

both but the PICC is for long term use

Question 12

Is the IV or PICC typically put in a vein on the forearm or back of hand; also neck, leg, or foot

Answer 12

IV

Question 13

Is the IV or PICC bag maintained above insertion site

Answer 13

IV

Question 14

Should the IV or PICC line avoid using a BP cuff on the limb with the line

Answer 14

both

Question 15

Is the IV or PICC peripherally inserted central venous line

Answer 15

PICC

Question 16

Is the IV or PICC inserted in vein of upper extremity, terminating in superior vena cava

Answer 16

PICC

Question 17

Is the use of axillary crutches a contraindication of the IV or PICC

Answer 17

PICC

Question 18

Is the endotracheal tube or tracheostomy tube inserted through mouth into the trachea

Answer 18

Endotracheal

Question 19

Is the endotracheal tube or tracheostomy tube attached to a ventilator

Answer 19

both

Question 20

Should you avoid excess head and neck movement with a endotracheal tube or tracheostomy tube

Answer 20

endotracheal

Question 21

Is the endotracheal tube or tracheostomy tube also called a “trach”

Answer 21

tracheostomy

Question 22

Is the endotracheal tube or tracheostomy tube inserted through neck into trachea

Answer 22

tracheostomy

Question 23

Is the endotracheal tube or tracheostomy tube smaller in diameter than the other

Answer 23

tracheostomy

Question 24

Does the endotracheal tube or tracheostomy tube provide some functional mobility if the trach is in place

Answer 24

tracheostomy

Question 25

An _______ ______ _____ is a small catheter that connects sensor in epidural space or dural tube to transducer and measures the pressure within the brain

Answer 25

intracranial pressure monitor

Question 26

A _______ ____ is a tube that is surgically placed into the ventricle of the brain to shunt excess cerebrospinal fluid from the brain to the jugular vein or abdominal cavity

Answer 26

ventricular shunt

Question 27

After a ventricular shunt, a patient should be on best rest for ___ hours

Answer 27

24

Question 28

After a ventricular shunt, what are signs to look for and should be reported to nursing if seen

Answer 28

severe headache or nausea upon sitting or standing

Question 29

A pleurovac is another name for a ____ ___

Answer 29

chest tube

Question 30

A chest tube bedside container should be kept upright and (above/below) the insertion site

Answer 30

below

Question 31

True or False accidental removal of chest tube is a life threatening emergency

Answer 31

true

Question 32

In the management of acute care environment, which supplies should be ready for the patient

Answer 32

``` pillows/blankets AD gowns/non stick socks wheelchair someone to push equipment ```