Nokea
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.
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When a walker is correctly fitted to a patient, which of the following is true?
- A. The walker will come to the patient's hip.
- B. The top bar of the walker will reach the patient's waist.
- C. The patient's elbows will be bent at a 30-degree angle when his or her hands are on the handles.
- D. The patient's elbows will be bent at a 90-degree angle when the patient is pushing the walker.
Correct Answer: C
Rationale: Correct walker fit includes elbows bent at 15-30 degrees when hands are on handles for comfort and control.
What is the advantage of a multipronged cane over a single-tipped cane?
- A. It is easier to adjust to the patient's height.
- B. It can stand by itself rather than having to be leaned against something.
- C. The handle on a multipronged cane is easier to grasp.
- D. It decreases the chances of the cane slipping as the patient leans on it.
Correct Answer: D
Rationale: A multipronged cane's wider base reduces slipping risk and improves stability.
You know a patient's crutches fit correctly when
- A. There is a three-fingerbreadth gap of space between the axillary pad and the patient's axilla.
- B. There is a slight bend in the patient's elbows when standing with the crutches next to his or her feet.
- C. The crutches fit snugly into the axilla when the patient is standing with the crutch tips next to the heels.
- D. There is a 6-inch or larger gap between the patient's axilla and the top of the crutch.
Correct Answer: A,B
Rationale: Correct crutch fit includes a three-finger gap under the axilla and a slight elbow bend (15-30 degrees) for comfort and safety.
What patient teaching will you do for the patient described in Question 29?
- A. Teach the patient to use a straightened coat hanger padded with gauze to scratch under the cast.
- B. Instruct the patient to use a blow dryer to blow cool air under the cast to relieve itching.
- C. Explain how epidermal cells shed, then build up under the cast, causing itching.
- D. Suggest that the patient blow hot air under the cast with a blow dryer to relieve itching.
Correct Answer: B
Rationale: Using a blow dryer on cool air safely relieves itching under a cast. Scratching with objects risks skin damage, hot air could cause burns, and explaining cell buildup is not actionable teaching.
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.