Mod 4-7

Question 1

Wheelchair Measurement: Seat width

Answer 1

measure posterior width (widest buttocks/thigh) & add 1.5 in

Question 2

Wheelchair Measurement: seat depth

Answer 2

measure buttocks to popliteal space & subtract 2”

Question 3

Wheelchair Measurement: seat height/leg length

Answer 3

measure heel to popliteal fold & add 2”

Question 4

Wheelchair Measurement: back height

Answer 4

measure chair seat to bottom axilla (w/ shoulder 90 deg) & subtract 4”

Question 5

Wheelchair Measurement: armrest height

Answer 5

measure seat chair to olecranon process (w/ shoulder 90 deg) & add 1”

Question 6

modified independent

Answer 6

uses assistive device to be independent

Question 7

Supervision assist (SVA)/ standby assist (SBA)

Answer 7

need verbal/tactile cues or assistance with device set-up

Question 8

contact guarding (CGA)

Answer 8

w/ contact- hand on gait belt or body

Question 9

minimal assistance (min A)

Answer 9

pt. complete >75% of task independently

Question 10

moderate assistance (mod A)

Answer 10

pt. complete 50-74% of task

Question 11

maximum assistance (max A)

Answer 11

pt. complete 25-49% of task

Question 12

dependent

Answer 12

needs complete physical assistance

Question 13

Describe bed mobility transfers:
supine to side-lying (& reverse)
sidelying to seated (& reverse)

Answer 13

log roll or segmental roll
use upper extremity to push up
- lay down by using elbow, and kicking legs up to bed

Question 14

Describe standing transfers:
sit to stand (& reverse)
stand pivot
squat pivot

Answer 14

scoot them forward
brace their knees w/ yours
pt. push from armrest
point feet in direction of finish

Question 15

Describe slide board transfer

Answer 15

guard/protect pt
angle board
scoot/pivot them on & they use fist to brace
move high to low surface

Question 16

total hip precautions: anterior lateral approach

Answer 16

no hip extension past neutral
limited ext. rotation

Question 17

total hip precautions: posterior lateral approach

Answer 17

no hip adduction, int. rotation, or hip flexion > 90deg

Question 18

pulmonary artery catheter (PAC)

Answer 18

catheter into pulmonary artery for diagnostic use
-detect heart failure, sepsis etc

Question 19

intracranial pressure (ICP)

Answer 19

measures pressure within skull
-keep head of bed raised & no isometrics

Question 20

central venous pressure

Answer 20

measures BP in R atrium/superior vena cava
-assess filling of R ventricle

Question 21

electrocardiogram

Answer 21

records heart’s electrical activity w/ HR, BP, RR

Question 22

arterial line

Answer 22

continually monitor BP (usually radial artery)

Question 23

intravenous line (IV)

Answer 23

in superficial vein of upper extremity for nutrients, meds, and blood collection

Question 24

Hickman catheter

Answer 24

central venous catheter through superior vena cava & jugular vein
administers chemo, removes blood

Question 25

nasogastric tube

Answer 25

from nostril to stomach to feed or remove food

Question 26

gastric tube

Answer 26

directly into stomach for longer term

Question 27

Foley catheter

Answer 27

uses bag to drain urine with gravity -tube through urethra into bladder

Question 28

suprapubic catheter

Answer 28

directly into bladder (long-term)

Question 29

external catheter

Answer 29

condom-style catheter

Question 30

nasal cannula

Answer 30

tube w/ 2 nostril openings used if low-mod O2 needs

Question 31

ostomy device

Answer 31

ex: enterostomy stoma in small intestine/abdominal wall to eliminate feces into bag

Question 32

traction device

Answer 32

pulling force to reduce/realign & promote healing of bone fracture

Question 33

External Fixation Device: Contraindications

Answer 33

avoid weight-bearing on affected side

Question 34

Internal fixation Device: contraindications & recommendations

Answer 34

use isometrics ex. (not concentric/eccentric) - use joint mobilization

Question 35

arterial blood gas lab values:

Answer 35

O2, CO2 & pH in blood

Question 36

dec. RBC count =

Answer 36

anemia & limited therapy

Question 37

dec. WBC count =

Answer 37

dec. immune function

Question 38

(PTT) partial thromboplastin time test

Answer 38

measure how quickly blood clots

Question 39

Warfarin drug

Answer 39

anticoagulant drug used to treat/prevent blood clots

Question 40

normal blood glucose levels

Answer 40

100-130 range for exercise (70-140 norm)

Question 41

Liver function tests levels of: (2)

Answer 41

bilirubin serum albumin

Question 42

Kidney function tests levels of: (3)

Answer 42

serum creatinine blood urea nitrogen & glomular filtration rate

Question 43

medical vs. surgical asepsis

Answer 43

med: practices to keep microorganisms confined surg: practices to eliminate microorganisms

Question 44

autonomic dysreflexia- who, symptoms

Answer 44

if injury to cervical/upper thoracic spine hypertension, sweating, convulsions

Question 45

heat exhaustion vs. heat stroke symptoms

Answer 45

heat exh: (preliminary) sweat, pale, nauseous, dizzy, fast pulse heat stroke: dry skin, high body temp*, altered mental state

Question 46

hypo/hyperglycemia response

Answer 46

ketoacidosis: insufficient insulin to correct blood sugar

Question 47

Orthostatic Hypotension response by caregiver

Answer 47

elevate LE w/ pt in supine; compress LE

Question 48

what is pulmonary embolism

Answer 48

blockage in pulmonary arteries, sending blood from heart to lungs

Question 49

1st stage of wound healing

Answer 49

inflammatory phase: neutrophils & monocytes (WBCs)

Question 50

2nd stage of wound healing

Answer 50

Proliferative Phase: collagen synthesis, epithelialization

Question 51

3rd stage of wound healing

Answer 51

Remodeling phase: scar maturation

Question 52

necrotic tissue: eschar

Answer 52

hard, leathery; adhered to wound

Question 53

necrotic tissue: gangrene

Answer 53

death/decay of tissue b/c interrupted blood flow

Question 54

necrotic tissue: hyperkeratosis

Answer 54

callous-like

Question 55

necrotic tissue: slough

Answer 55

moist, stringy, mucinous, white/yellow; loosely attached

Question 56

Exudate: purulent/pus

Answer 56

indicated infection

Question 57

exudate: serous

Answer 57

watery (during inflammation)

Question 58

exudate: seropurulent

Answer 58

cloudy, opaque, yellow; warning for infection

Question 59

exudate: sanguineous

Answer 59

red, b/c presence of blood

Question 60

exudate: serosanguineous

Answer 60

pink & thin, normal; contains blood

Question 61

wound assessment factors

Answer 61

type, location, size, description of skin & healing

Question 62

wound eval/documentation

Answer 62

signs of inflammation, edema, infection; wound appearance: color, texture, exudate, type odor

Question 63

PT/PTT/INR lab values for what?

Answer 63

anticoagulation

Question 64

wound vac function

Answer 64

uses negative pressure to promote wound healing

Question 65

redness that doesn't blanch, but intact skin. Which wound stage?

Answer 65

Stage 1

Question 66

moist & pink, partial thickness (mainly epidermis). Which wound stage?

Answer 66

stage 2

Question 67

full thickness (epidermis & dermis), subcutaneous. Which wound stage?

Answer 67

Stage 3

Question 68

full thickness & destruction of deep tissue; visible bone/tendon/muscle. Which wound stage?

Answer 68

stage 4

Question 69

describe function of 3 dressing layers: contact layer, intermediate layer, outer layer

Answer 69

contact: non-adherent (closest to skin) intermediate: for absorption, protection, moisture outer: holds dressings in place

Question 70

describe donning PPE order: 6 steps

Answer 70

hand wash, isolation gown, face mask, face shield/goggles, hand wash, gloves

Question 71

describe doffing PPE order: 5 steps

Answer 71

glove in glove to remove, gown off, hand wash, face shield/goggles, mask