Unit 6

Question 1

oxygen

Answer 1

treatment that delivers oxygen gas that into the respiratory system.
The oxygen may be delivered via nasal prong cannula (tubes in the nose) or a mask, or
through a tube in the windpipe

Question 2

urinary catheter

Answer 2

aka foley catheter, Catheters are commonly used in patients with urinary system
dysfunction, those who are critically ill or injured, and after surgery.

Question 3

ostomy device

Answer 3

An ostomy is a surgical opening in the abdomen that permits the elimination of feces from
the large or small intestine into a pouch

Question 4

feeding tube

Answer 4

used to deliver food and medication to patients who are unable to take items by mouth, Feeding tubes may be used for patients who are comatose, who require a mechanical ventilator to breathe, or whose muscles for eating and swallowing are weak due
to brain injury

Question 5

PEG tube

Answer 5

percutaneous endoscopic gastrostomy, abdominal wall
and into the stomach.

Question 6

NG tube

Answer 6

nasogastric tube, thin tube that is inserted into the
nostril, down the esophagus, and into the stomach.

Question 7

surgical drains

Answer 7

a hollow tube placed under the skin to collect blood or other fluids
from a surgical site. The tube is connected to a reservoir that collects the fluid.

Question 8

chest tube

Answer 8

a hollow tube inserted between the ribs into the pleural space (the space surrounding the lungs) or the mediastinum in order to drain air, blood, or fluid. A chest tube
may be used after surgery to the lungs, heart, or esophagus.

Question 9

wound vac or wound vacuum

Answer 9

negative-pressure wound therapy, a dressing is applied to a wound, sealed, and connected to a vacuum pump. The pump controls the application of negative pressure a small amount of suction) to the dressing to assist in wound closure. The vacuum draws
out fluid and infectious materials from the wound, promotes blood flow to the area, and draws the wound edges together

Question 10

general guidelines for managing lines and tubes

Answer 10

1. walk around, check and count how many lines and tubes there are
2. disconnect if appropriate lines and tubes, but ask medical professional if needed
3. don appropriate PPE when handling lines and tubes
4. wasah hands before and after handling l and t
5. ensure that you have enough help to manage
6. monitor px for s and s of respi. cardio distress like dyspnea, tachy, arrhythmia and hyperventilation
7. keep lines and tubes where you can see them
8. connect all l and t at the end of the treatment
9. document and report to the supervising therapist observations about the activity and tolerance

Question 11

cardiac rehab

Answer 11

vitals are checked pre and post exercise to monitor tolerance to treatment— treatment is 15-60 mins done 3-5x/ wk; could be aerobic, strength training and breath control exercise

Question 12

pulmonary rehab

Answer 12

pulmonary exercises program are 20-30 mins, 2-5x/ wk for 4-12 weeks

Question 13

clinical decision-making tool called the AECOPD-Mob

Answer 13

guide the mobilization of hospitalized patients with acute exacerbations of COPD

Question 14

What to Monitor During Mobilization for Patient Safety

Answer 14

1. Ensure that there is supplemental oxygen and tubing available if SpO2 drops below 88%.
2. Watch for dizziness, shortness of breath, fatigue, nausea, and/or pain.
3. Watch for changes in the client’s cognition and balance.
4. Watch for heavy sweating, cyanosis, and any changes to vital signs outside expected readings.
5. Although clients may feel fatigued from exercise, the tiredness should not last for longer than two hours.
6. The client should not experience any sharp pain, and the perceived level of breathlessness should be from 3 to 5 on the BORG Dyspnea Scale.

Question 15

Positioning to Relieve Shortness of
Breath

Answer 15

1. relaxed sitting
2. forward lean sitting
3. relaxed standing

Question 16

IT

Answer 16

intravenous tubing inserted through the skin into a peripheral vein, usually in the hand or arm, and connected to tubing.

Question 17

effects of improved o2 transport

Answer 17

1. Increased cardiac output, chest expansion, blood supply,
2. Prevention of skin breakdown,
3. Stimulation of digestion and bowel and bladder function

Question 18

steps for therapy progression in early mobilization

Answer 18

1. check vs
2. assess GCS and ability to follow commands
3. assess bed mobility
4. asses supine to sit transfers
5. asses sitting on the edge of the bed, trunk control and balance etc.
6. Establish measurable and attainable
   patient goals.
7. Establish the treatment program.
8. EOB activities: Seated activities should include
   reaching out of the base of support
9. transfer training and GAIT training

Question 19

biomechanics of sitting

Answer 19

1. Pelvis is neutral
2. Head and trunk are vertical and in midline
3. Head is held in a “chin in” position
4. Hips and knees are at a 90-degree angle and the feet are in contact with the floor

Question 20

Incentive Spirometry

Answer 20

device that helps
patients take deep breaths that open their airways
and prevent fluid and mucous from building up in
the lungs

Question 21

teach-back technique,

Answer 21

ask the client or family to explain the treatment back
to them.

Question 22

duration or time of spirometry

Answer 22

repeat 10x every hour

Question 23

treatment techniques for Mobilization and Exercise in Cardiopulmonary Rehabilitation

Answer 23

1. stabilization in crook-lying
2. lower trunk rotation
3. movement against gravity
4. bridging
5. rolling

Question 24

Positioning to Improve Lung Volume
and Oxygenation

Answer 24

1. clients should be encouraged to sit up first, then stand up
2. if impossible to put client in an upright position, side ly with the most affected lung uppermost is a reasonable alternative
3. prone pos improves oxygenations, reduces airway closure
4. avoid slumped sitting