NBCOT BURNS, MUSCU Flashcards
An OTR® is working with clients who have delayed healing of wounds. Which client would be MOST likely to take the longest amount of time to heal?
A 77-year-old client with a foot ulcer, diabetes, and shingles
Age, diabetes, and a compromised immune system (indicated by shingles) are all factors that delay the wound healing process.
An OTR® decides to use desensitization techniques in structured practice within the context of daily activities for a client with hypersensitivity secondary to peripheral nerve injury. Which desensitization technique would be the MOST therapeutic initially?
Use (TENS) unit during desensitization activities
During a seated lower-extremity screening, a client can flex the hips and knees bilaterally and demonstrates good plantar and dorsiflexion at the ankles. What could the OTR® safely do with this client NEXT?
Ask the client to stand up so that the OTR can assess the client’s balance and ability to ambulate.
What nonoperative treatment is MOST appropriate for deQuervain’s?
Forearm-based thumb spica splint
What type of client education is MOST IMPORTANT for the OTR® to include as part of the initial intervention of a pt with fibromyalgia ?
Strategies for integrating relaxation and work simplification into daily routines
For which condition is a custom wheelchair seating system MOST appropriate?
MS
because of long-term wheelchair user
Which type of chair is MOST appropriate for a client with hip replacement?
A firm-based chair with armrests
An OTR® is working with a client who is concerned about resuming sexual activity after an amputation. What education strategy would be appropriate for the OTR to use with this client?
Encourage the client’s exploration of his or her “new” body.
A recent hip replacement client has been referred to an OTR® for a wheelchair evaluation. What type of wheelchair is the MOST appropriate to maintain hip precautions and preserve mobility?
Reclining Manual Wheelchair
An OTR® is working with a client who has sustained a low ulnar nerve injury to the hand. Over the weekend, the client experiences burns to the injured hand. What area of the hand would have been burned?
Ulnar side of the hand
The client with BLE Amputation refuses to participate in ADLs because of pain. The client rates the level of pain as 4 of 10 when resting in bed and 7 of 10 when standing. What is the BEST action for the OTR® to take?
Apply an elastic bandage wrap for vascular support before getting the client out of bed.
To decrease blood pooling with standing activities
Besides ROM, what other assessment is MOST IMPORTANT for the OTR® to perform before developing an intervention plan for a client with subnormal and full thickness burn?
Gross Sensory Assessment
Especially important for electrical burns due to involvement of peripheral sensory nerves.
An OTR® is treating a client who had a split-thickness skin graft 2 days ago on the left posterior axillary area. What postoperative occupational therapy intervention would be the BEST choice?
Axilla splint in 120 degrees ABD and External Rotation
to allow skin graft adherence
A client sustained partial-thickness and deep-thickness burns over a total body surface area of 60%, including the bilateral arms and legs. In the acute phase postburn, on what should the OTR® focus?
Deformity prevention
Reddened areas that last more than 20 minutes are indicative of ________ that will eventually cause skin breakdown.
pressure in the prosthetic device
So contact prosthesis immediately when this occurs
A 75-year-old client presents to an OTR® after a distal radius fracture 2 weeks earlier. The surgeon used a primary healing technique. What should the OTR focus on FIRST?
Begin with passive and active range of motion (PROM and AROM), because the client’s bone is fixed with a plate/screws (primary technique) and more stable healing
Which cognitive areas of functioning are disturbed sleep patterns MOST likely to interfere with patients with fibromyalgia?
Attention and STM
A client with rheumatoid arthritis (RA) is beginning to experience ulnar drift. The client enjoys cooking but is finding it increasingly difficult to use a knife to chop food. Which is the BEST intervention for this problem?
Knife with bent handle
-for joint protection and address ulnar drift by placing hand and wrist in neutral
