Nokea
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.
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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 10-year-old has a fractured left leg with no trauma occurring to cause it. The health-care provider diagnoses a pathological fracture, possibly from a bone tumor. What type of diagnostic test would be ordered in this situation?
- A. CT scan
- B. MRI
- C. Bone scan
- D. Electromyelogram
Correct Answer: B
Rationale: An MRI is best for evaluating soft tissue and potential bone tumors causing a pathological fracture. CT scans focus on bone structure, bone scans detect bone activity, and electromyelograms assess nerve function.
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.
Which would you consider to be significant findings when caring for a patient with skeletal traction?
- A. Redness and swelling at the pin insertion sites
- B. A small amount of serosanguineous drainage at the pin insertion sites
- C. Purulent drainage at the pin insertion sites
- D. Mild discomfort when the patient moves the limb in traction
Correct Answer: A,C
Rationale: Redness, swelling, and purulent drainage at pin sites indicate potential infection, which is significant. Mild discomfort and serosanguineous drainage are expected.
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.