Nokea
A patient states he has fallen twice since using crutches for a foot injury. Which of the following questions might you want to ask him?
- A. Have you had any physical therapy for balancing exercises?
- B. Are you sure your crutch tips are not too slick?
- C. Would you show me how you hold your foot when you walk with the crutches?
- D. Haven't you ever used crutches before?
Correct Answer: A,B,C
Rationale: Asking about balance therapy, crutch tip condition, and walking technique helps identify fall causes. Option D is judgmental and unhelpful.
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A patient has skeletal traction applied to his left lower leg. Why is pin site care critical for this patient?
- A. To prevent infection at the pin insertion sites.
- B. To promote faster bone healing.
- C. To reduce pain during traction.
- D. To maintain traction alignment.
Correct Answer: A
Rationale: Pin site care is critical to prevent infection, as pins penetrate skin and bone, creating an infection risk. Other options are not directly related to pin site care.
A typical ambulation order by a health-care provider or physical therapist might be
- A. Walk patient in hall.
- B. Ambulate in hall several times.
- C. Ambulate 24 steps each day.
- D. Ambulate three times per day, 20 feet (6 meters) each time.
Correct Answer: D
Rationale: A typical ambulation order specifies frequency, distance, and time, as in option D. Options A and B are vague, and option C lacks frequency details.
Explain the purpose of an abduction pillow.
- A. To maintain hip alignment post-surgery.
- B. To elevate the legssome text missing legs.
- C. To reduce pain during movement.
- D. To support the back during recovery.
Correct Answer: A
Rationale: An abduction pillow maintains hip alignment post-surgery (e.g., hip replacement) to prevent dislocation. It does not primarily elevate legs, reduce pain, or support the back.
You are working with a patient whose left leg is weak. You are instructing her on walker use. Which instruction is most appropriate?
- A. Move your right leg forward with the walker, and then move your left leg.
- B. Move the walker forward, and then move your left leg forward, followed by your right leg.
- C. Move the walker forward, and then move your right leg forward, followed by your left leg.
- D. Move the walker and your left leg forward at the same time, and then move your right leg forward.
Correct Answer: C
Rationale: The correct instruction is to move the walker forward, then the unaffected (right) leg, followed by the weak (left) leg for stability.
What are the articular surfaces in a total knee replacement?
- A. A metal tibial component that articulates with the plastic surface of the femoral component
- B. A metal femoral component that articulates with the plastic fibula component
- C. The patella is replaced with plastic or similar substance or has plastic affixed to the back to provide a smooth articular surface
- D. The patella, tibia, and femur are replaced with plastic or polyethylene components
Correct Answer: A,C
Rationale: In total knee replacement, the tibial component (metal) articulates with the femoral component (plastic), and the patella may have a plastic surface for smooth movement.