Midterm

Question 0

Heart rates normal responses to activity

Answer 0

• increase of rate with activity
• plateaus as activity plateaus
• decreases with less activity
• normalization in 3-5 mins

Question 1

Factors that can affect heart rate

Answer 1

• age
• gender
• body size
• infection
• physical activity/emotional status
• medication
• CV disease

Question 2

Factors affecting respiration

Answer 2

• age
• body size
• body position
• physical activity
• emotional status
• altitude
• disease

Question 3

Heart rate abnormality

Answer 3

• tachycardic, above 100

- bradycardic, below 60

Question 4

Factors affecting BP

Answer 4

• age
• physical activity
• medications
• blood volume
• emotional status
• nutrition/stimulants/salt
• site of measurement

Question 5

CO is influenced by

Answer 5

HR and SV

Question 6

SV is influenced by

Answer 6

• preload: amount of blood in ventricle at end of diastole
• contractility: ability of ventral to contract
• after load: force from LV must generate during systole to overcome aortic pressure and open the aortic valve

Question 7

What is the P wave

Answer 7

= atrial depolarization

-the impulse the spreads throughout the RA into the LA

Question 8

QRS complex

Answer 8

Depolarization of R/L ventricles

Question 9

T wave

Answer 9

= ventricular repolarization

Repolarization is complete at the end of the T wave

Question 10

Bed mobility guidelines

How often should a dependent be repositioned

Answer 10

Every 2 hours

Question 11

Bed mobility guidelines

What are you inspecting with each position change

Answer 11

Skin for redness and breakdown

Question 12

Bed mobility guidelines

Why must a dependent patient be lifted when changing positions

Answer 12

In order to avoid shearing across the bed

Question 13

Bed mobility guidelines

What can be used to maintain particular positions

Answer 13

Pillows and blankets

Question 14

Supine pressure ulcer development

Answer 14

Glutes/hip
Elbows
Shoulders
Back of head

Question 15

Side lying development of pressure ulcers

Answer 15

Ankles
Knees 
Ribs
Shoulder 
Side of face

Question 16

Prone development of pressure ulcers

Answer 16

Knees 
Hips
Chest
Shoulders
Side of face

Question 17

Primary impairments for CVA

Answer 17

• altered sensation
• pain
• visual changes
• motor function
• posture/balance
• speech/language

Question 18

Considerations for hemi-paresis/plegia

Answer 18

• reduce contracture formation
• avoid pattern of spasticity in arm/shoulder (curled in posture)
• avoid distraction forces of shoulder (no pulling)
• avoid pattern of spasticity in hip flexion

Question 19

Precautions for AKA

Answer 19

• avoid prolonged hip flexion
• avoid prolonged hip abduction
• position patient to maintain hip extension
• limit sitting for no more than 30 mins per hour

Question 20

Precautions for BKA

Answer 20

• avoid prolonged hip flexion
• avoid prolonged knee flexion
• position in hip and knee extension
• remember knee extension board for W/C

Question 21

Types of THR

Answer 21

Antero-lateral approach
Postero-lateral approach
Anterior approach

Question 22

Precautions in anterolateral approach

Answer 22

• no hip extension
• no hip adduction
• no hip external rotation
• no combo of the 3

Question 23

Precautions of posterlateral approach

Answer 23

• no hip flexion of 90
• no hip adduction beyond mid-line
• no hip external rotation
• no combo of the 3

Question 24

Precautions in anterior approach

Answer 24

No precautions

Question 25

Positioning of THR patient

Answer 25

Supine - pillow between knees, no bending knees Side - pillow between knees, no ER Sitting up - no hip flexion over 90

Question 26

How should you speak to patients will a tracheotomy

Answer 26

In yes or no questions only

Question 27

(I)

Answer 27

- independent | - patient is able to consistently perform the skill safely with no one present

Question 28

(S)

Answer 28

- supervision - patient requires a therapist who observed throughout the completion of the task - Low probability of patient having a problem requiring assistance

Question 29

(CG)

Answer 29

- contact guarding - patients require the therapist to maintain contact to complete the task - CG is used to assist if there is a loss of balance

Question 30

(Min A)

Answer 30

-minimal assistance | 75% patient involvement and 25% therapist assistance

Question 31

(Mod A)

Answer 31

- moderate assistance - patient able to complete part of the activity without assistance - 50% patient Involvement and 50% therapist involvement

Question 32

(Max A)

Answer 32

- maximum assistance - patient is unable to assist in any part of the activity - 25% patient involvement 75% therapist involvement

Question 33

Dependent

Answer 33

Zero patient Involvement and 100% therapist involvement

Question 34

Chest drainage systems

Answer 34

Collection chamber Water seal chamber Measures negative pressure

Question 35

Collection chamber

Answer 35

Purpose is to remove air, blood, pulrulent matter from the chest / pleural cavity 

Question 36

Water seal chamber

Answer 36

Allows air to exit from the plural space on exhalation and prevent air from entering the plural cavity or mediastinum on inhalation

Question 37

Indications to terminate exercise for physical activity: HR

Answer 37

Sudden drop >15 bpm, change from regular to irregular rhythm, or exceeds max HR

Question 38

Indications to terminate exercise for physical activity: SBP

Answer 38

>200 mmHg, decrease to 10 mmHg from resting or with increased exercise

Question 39

Indications to terminate exercise for physical activity: DBP

Answer 39

> 110 mmHg

Question 40

Indications to terminate exercise for physical activity: oxygen saturation

Answer 40

<90%

Question 41

Indications to terminate exercise for physical activity: other

Answer 41

Cyanosis, diaphoresis, bilateral edema in a patient with CHF, pallor, abnormal change in breath sounds or heart sounds, ataxia

Question 42

Indications to terminate exercise for physical activity: symptoms

Answer 42

SOB, angina, dizziness, sever headache, sudden onset of numbness or weakness

Question 43

Contraindications for exercise or physical activity: resting HR

Answer 43

>100 bpm or <50 bpm

Question 44

Contraindications for exercise or physical activity: resting SBP

Answer 44

>200 mmHg or <90 mmHg

Question 45

Contraindications for exercise or physical activity: resting DBP

Answer 45

>110 mmHg

Question 46

Contraindications for exercise or physical activity: oxygen saturation

Answer 46

<90%

Question 47

Contraindications for exercise or physical activity: other

Answer 47

Cyanosis, diaphoresis, bilateral edema in a patient with CHF, pallor, fever, weight gain > 4-6 lbs/day, abnormal change in breath sounds or heart sounds

Question 48

Contraindications for exercise or physical activity: symptoms

Answer 48

SOB, angina, dizziness, severe headache, sudden onset of numbness or weakness, painful calf suggestive of DVT