Nokea
When using a walker, where should the patient stand? What is the reason for this?
- A. Inside the walker frame to ensure stability.
- B. Behind the walker to push it forward.
- C. Beside the walker to maintain balance.
- D. In front of the walker to guide it.
Correct Answer: A
Rationale: The patient stands inside the walker frame to ensure stability and support, reducing the risk of falling by keeping the body centered within the walker's base.
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A patient is in skin traction. You notice that when the bed is lowered to its lowest position, the weights are on the floor. Why is this a problem?
- A. It reduces the effectiveness of the traction.
- B. It causes excessive pain to the patient.
- C. It damages the traction equipment.
- D. It increases the risk of skin breakdown.
Correct Answer: A
Rationale: Weights on the floor eliminate the pulling force needed for traction, reducing its effectiveness in aligning the bone or relieving muscle spasms.
Which of the following would you include when you teach a patient about using a cane?
- A. Hold the cane on your affected side.
- B. Move the unaffected leg and the cane together, and then move the affected leg.
- C. Lean to the side the cane is on for best support.
- D. Hold the cane on the unaffected side, move it with the unaffected leg, then move the affected leg.
Correct Answer: D
Rationale: The cane is held on the unaffected side, moved with the unaffected leg, then followed by the affected leg for proper support and balance.
Which bone components are replaced in a total hip replacement surgery?
- A. The head and neck of the femur and the acetabular cup
- B. The greater trochanter of the femur and the acetabular cup
- C. The ilium and the head of the femur
- D. The distal end of the femur and the head of the tibia
Correct Answer: A
Rationale: In total hip replacement, the femoral head and neck are replaced, and the acetabulum is fitted with a cup-shaped component.
The components of the hip joint that form the ball and socket are the
- A. Pelvis and greater trochanter.
- B. Femur and patella.
- C. Acetabulum and lesser trochanter.
- D. Head of the femur and the acetabulum.
Correct Answer: D
Rationale: The hip joint's ball and socket are formed by the femoral head (ball) and the acetabulum (socket). Other options include incorrect bone pairings.
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.