Nokea
A patient who is 3 days post left total hip replacement with the lateral approach is sitting in a chair and drops a magazine. How should he or she retrieve it?
- A. Bend laterally at the waist to pick it up.
- B. Bend over with the knees flexed to pick it up.
- C. Call for someone else to pick it up.
- D. Use an extension gripper to pick it up.
Correct Answer: C,D
Rationale: Post-hip replacement patients with a lateral approach must avoid bending or twisting to prevent dislocation. Calling for help or using a gripper is safe.
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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.
A patient who has had a total knee replacement asks you to take off the CPM machine after 1 hour, although it is ordered to be on for 2 hours. How will you respond?
- A. Explain the importance of completing the full 2 hours to promote recovery.
- B. Remove the CPM machine as requested to respect patient autonomy.
- C. Adjust the CPM settings to reduce discomfort.
- D. Contact the provider to modify the order.
Correct Answer: A
Rationale: Explaining the importance of the full 2-hour CPM duration encourages compliance to improve joint mobility and recovery. Other options may undermine the treatment plan.
The purpose of a trapeze bar is to
- A. Prop the linens off of the patient's legs and feet.
- B. Hold the ropes and weights in traction.
- C. Provide a hand grip for the patient to use when moving in bed.
- D. Provide attachment points for skeletal traction.
Correct Answer: C
Rationale: A trapeze bar allows patients to grip and reposition in bed, promoting independence and mobility.
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.
A patient comes into the clinic where you are working for a follow-up visit after breaking her ankle. She has been using crutches for the past 2 weeks and is complaining of pain and tingling in her forearms and hands. What is the most likely cause of these symptoms?
- A. Poor crutch fit causing nerve compression.
- B. Muscle strain from overuse.
- C. Infection from crutch use.
- D. Poor circulation due to immobility.
Correct Answer: A
Rationale: Pain and tingling in the forearms and hands are likely due to poor crutch fit, causing pressure on nerves (e.g., radial or ulnar nerve compression). Muscle strain, infection, or circulation issues are less likely causes.