WK7+8 Flashcards

1
Q

(T/F) Despite the critical status of patient’s conditions, mobility tasks are often called for in intensive care. In fact depending on the patient’s medical condition, patient mobility techniques may be essential to the patient’s optimal recovery.

A

True

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2
Q

(T/F) Tension should NOT be placed on any line during mobility tasks. If during a complex task or an emergency intervention, a line becomes detached or disconnected, the patient’s safety can depend on the swift and appropriate response of the clinician.

A

True

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3
Q

(T/F) As a PT, you should always familiarize yourself with every line, following it visually or tactilely from the monitoring equipment to the point of insertion or attachment to the patient. Also, check to see that the lines are unimpeded and are not being pulled taut.

A

True

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4
Q

(T/F) To facilitate mobility activities, some lines, leads, and tubes can be paused temporarily or even disconnected. These modifications can be made by the physical therapists whenever deemed necessary for mobility.

A

False, While it is true that some lines, leads, and tubes can be paused temporarily or even disconnected, these modifications are almost always the responsibility of the nursing staff and should NOT be performed by the therapist. As a therapist, you can ask the nurse if anything can be disconnected (i.e. the feeding tube, IV, etc.) to facilitate your planned mobility

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5
Q

Disruption of a/an ________ is generally more critical than that of a/an ___________ line because of the _________ pumping action, which can cause large amounts of blood loss in a very short time.

A

arterial line, venous line, arterial system’s

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6
Q

Standardized infection control practices known as _________ are required when working with _____ clients and patients in __________.

A

standard precautions, all, all settings

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7
Q

__________ refers to infections acquired in any healthcare setting.

Infections acquired in a hospital are called _________

These infections are a serious problem, but they are __________

A

health care associated infections (HAI’s)
nosocomial infections
avoidable

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8
Q

(T/F) Everyone in the healthcare setting - healthcare personnel, patient’s, family members, and visitors - is a potential source of pathogens.

A

True

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9
Q

(T/F) Along with people, inanimate objects such as a gait belt used on multiple patients can be a pathogen reservoir. This is why it is important to either have a gait belt assigned to one patient OR use a vinyl belt that can be disinfected after each use.

A

True

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10
Q

The best means of reducing the transmission of contaminants is through ____

A

good hand hygiene

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11
Q

Evidence suggests that hand sanitizers lose their effectiveness after ____ consecutive uses.

A

10

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12
Q

Most patient contact occurs via the hands. As such, gloves are the most commonly used piece of personal protective equipment (PPE).Overall, it’s generally a good idea to always wear gloves during patient interactions in the acute care setting. The authors of your textbook suggest that gloves should be used when :

A

you may come into contact with a patient’s body fluids, you will be in direct contact with someone who has an infection, you are handling equipment or touching surfaces that may be contaminated, you have a cut of some sort

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13
Q

(T/F)
The disposal of used PPE, soiled linens, and nonreusable items (bandages, disposable suture removal kits, paper towels, and so on) is vital to infection control.

As such only items with visible contamination (blood etc.) are considered soiled

A

False, ALL items that have been used by or with patients are considered soiled even if no contamination is visible.

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14
Q

(T/F) Following working with a patient, if you’re in a hurry, you can remove the gloves after you have left the patient’s room.

A

False, At the completion of your session with the patient, gloves should be removed before leaving the patient’s room and washing your hands. If the treatment is over (meaning you’re not working with the patient out of their room such as gait training in the hallway) never leave the patient’s room while still wearing gloves.

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15
Q

(T/F) Gloves should be removed without touching bare skin with a soiled glove. Meaning you should always remove your gloves by using one gloved hand to pull the opposite glove away from and off the hand without touching bare skin.

A

True

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16
Q

While physical therapists can’t prescribe medications, as healthcare professionals, they can certainly help reduce or prevent the spread of drug-resistant strains of bacteria by:

A

hand washing, implementing universal precautions, patient education

17
Q

When is it advisable for the clinician to use hand washing rather than the application of a hand sanitizer?

A

when organic material such as blood is visible

18
Q

Which of the following criteria is used to determine the extent of protection against infection used during patient interactions?

A

The level of physical interaction between the patient and clinician

19
Q

Normal range for pulse rate in adults is Between _______ beats per minute . Normal range for respiration rate in adults is _____ . A normal oxygen saturation is______ and less than _______ is considered indicative of severe hypoxic.

A

60-100, 12-20, 97-100%, 85%

20
Q

Pain will ________ respiration rate.________ blood pressure and heart rate. Decreased consciousness usually will ________respiration rate, ________ heart rate and may _______ blood pressure.

A

increase x 3, decrease x3

21
Q

Apnea

A

absence of breath

22
Q

dyspnea

A

difficulty breathing

23
Q

Korotkoff sounds

A

sounds heard when taking BP

24
Q

Auscultation

A

listening to heart and lung sounds with a stethoscope

25
Q

closest to true core temperature:
lowest temperature:
quickest and infrared:
most affected by environment:

A

rectal, axillary, tympanic, oral

26
Q

Pulse oximetry measures the percentage of _________ and is accurate the majority of the time. Take caution using pulse oximetry to monitor respiratory status when there is excess _________ and ___________ .

A

oxygen attached to hemoglobin
carbon dioxide
hemoglobin