Nokea
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.
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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.
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.
Fill in the acronym for the care of a sprain.
- A. Rest, Ice, Compression, Elevation
- B. Reduce, Immobilize, Cool, Elevate
- C. Rest, Inspect, Compress, Exercise
- D. Relax, Ice, Compress, Extend
Correct Answer: A
Rationale: The acronym for sprain care is RICE: Rest, Ice, Compression, Elevation, which reduces swelling and promotes healing. Other options include incorrect components.
Who is responsible for carrying out ambulation orders for patients?
- A. PT only
- B. Nursing assistants only
- C. All nursing staff and PT staff
- D. PT assistants only
Correct Answer: C
Rationale: Ambulation orders are executed by both nursing staff (including assistants) and physical therapy staff, collaborating to promote mobility.
You see the following orders for a patient with a newly applied cast to the right arm after a surgery to the humerus. Which order would you question as to its accuracy?
- A. May petal cast if necessary.
- B. Support right arm on pillows until the cast is dry.
- C. Keep the right arm elevated at all times.
- D. Do neurovascular checks every 4 hrs ?4, then every 8 hrs ?2.
Correct Answer: C
Rationale: Keeping the arm elevated at all times is impractical and could cause discomfort or complications. Other orders are standard for cast care.