Unit 4 Pt Care Quiz

Question 1

Which of the following statements regarding adjustment of assistive gait devices is true?

Answer 1

the hand grip of the device should come to the level of the ulnar styloid process

Question 2

Your patient is a 72-year-old woman who fell at home and had surgery to repair a fractured left femur. The orthopedic surgeon has ordered a 25-lb. weight-bearing restriction on the left leg during gait. Which of the following methods will be most effective in ensuring compliance with this order?

Answer 2

use a limb-load monitor during gait training

Question 3

You have just completed an evaluation of a patient in your outpatient clinic. This patient needs gait training after sustaining a stroke. Which of the following tasks would be considered “gait training” instead of “ambulating” with the patient?

Answer 3

facilitating advancement of the pt’s hemiparetic leg during treadmill training

Question 4

Your patient is a 57-year-old man who has just had undergone surgical revision of total right hip arthroplasty and is able to comply with his right lower-extremity 30-lb. weight-bearing restriction. Which of the following is the best instruction for a sit-to-stand transfer with his walker?

Answer 4

extend the right knee and keep the foot in front of the body while rising to a standing position

Question 5

Your patient is a 79-year-old male who has just had left total knee arthroplasty because of degenerative joint changes. You are going to walk with her while he is using a walker. What is the best position for guarding this patient?

Answer 5

standing behind the pt and slightly to the left (weakside)

Question 6

the process of assisting a pt who is walking but not necessarily providing direct education and interventions to overcome gait deviations

Answer 6

ambulating

Question 7

denotes a therapeutic intervention designed to improve some aspect of the pt’s gait

Answer 7

gait training

Question 8

non-weight bearing

Answer 8

0% foot and toes do not touch the ground

Question 9

toe-touch weight bearing or touch-down weight bearing

Answer 9

foot may rest on the floor, but the extremity is not bearing weight. the pt may touch the foot to the ground for balance assistance only

Question 10

partial weihgt-bearing

Answer 10

prescribed amount as a percentage of the pt’s body weight, usually 50%, although interpretations can vary greatly

Question 11

weight-bearing as tolerated

Answer 11

limited only by the pt’s tolerance. usually 50% to 100%

Question 12

full weight-bearing

Answer 12

100% no limitation

Question 13

Due to the fact that the patient’s weight can be monitored dynamically, consistently, and very effective. Which of the following is the most ideal weight-bearing monitoring device:

Answer 13

limb-load monitor

Question 14

Please place each assistive device in order from most supportive to least supportive. For example, dropdown #1 you want to select the most supportive device, and dropdown #7 you want to select the least supportive device

Answer 14

parallel bars
walker
bilateral axillary crutches
bilateral forearm crutches
hemi-walker
quad cane
single point cane

Question 15

Safety and support is ultimately the biggest consideration when selecting an assistive device. Another important consideration for use of assistive devices may be to consider the relative energy cost of using the device. Please place the device in order from lower energy cost to higher energy cost. You should place the device with the lowest energy cost in choice #1, and the device with the highest energy cost.

Answer 15

cane
crutches
wheeled walker
standard walker

Question 16

The procedures for properly fitting an assistive device are as follows (select all that apply)

Answer 16

can estimate with the pt in a seated position
always confirm fit in a functional walking (or standing) position
guard appropriately during fitting
device handle is typically at the level of the greater trochanter or ulnar styloid process

Question 17

When guarding during gait the therapist is typically behind, and slightly to the weaker side. With control points at the pelvic girdle and shoulder girdle. For gait requiring hands-on guarding, one hand is typically grasping the gait belt and the other hand hovers at the contralateral shoulder.

Answer 17

true

Question 18

Which of the following is the correct grip to use when holding onto a gait belt?

Answer 18

underhand (supinated) grip

Question 19

When instructing a patient to perform sit-to-stand in the parallel bars you should encourage the patient to push up from the arms of their wheelchair instead of pulling up on the bars.

Answer 19

true