Nokea
Care of the pin insertion sites includes
- A. Cleaning the area with hydrogen peroxide or normal saline solution as ordered.
- B. Applying antibiotic ointment to the site.
- C. Inspecting the site for signs and symptoms of infection.
- D. Shaving the hair around the site.
Correct Answer: A,C
Rationale: Pin site care involves cleaning with ordered solutions (e.g., saline) and inspecting for infection. Antibiotic ointment is not routine, and shaving may increase infection risk.
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A patient came to the ER complaining of pain in her elbow after a fall. The x-ray shows fractured ulna at the olecranon process. There is also a suspected fracture of the radius. Which diagnostic test would be most helpful in determining a complete diagnosis?
- A. CT scan
- B. MRI
- C. Bone scan
- D. Electromyelogram
Correct Answer: A
Rationale: A CT scan provides detailed imaging of bones, making it ideal for confirming suspected fractures like the radius fracture. MRI is better for soft tissue, bone scans for bone activity, and electromyelograms assess nerve function.
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.
You are working in a home health setting. Which of the following assessments would cause you to consider asking your supervisor to arrange for a physical therapy referral for your patient?
- A. The patient is ambulating in the home with a walker.
- B. The patient had surgery recently and is holding on to furniture to ambulate.
- C. The patient uses a wheelchair in the home, which has been remodeled to accommodate it.
- D. The patient is able to transfer with the assistance of one person and has a 24-hour caregiver in the home.
Correct Answer: B
Rationale: Holding onto furniture to ambulate post-surgery indicates unsafe mobility, warranting a physical therapy referral to improve strength and safety. Other options suggest stable mobility or adequate support.
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.
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.