General Info
You are assigned to work with a patien post surgical shoulder replacement. The goal is to increase PROM. Based on the Biomechanical FOR what should you do?
Pendulum exercises, gravity eliminated
A visual field loss affecting the same side of the visual field in both eyes. Clients often miss objects, people, or food located in the affected visual field. What is it and what is the first pt. education strategy to implement?
Homonymous hemianopsia and systematic visual scanning strategies
You are completing morning ADLS with a pt. who is recieving Plavix (antiplatelet medication) and Haparin (anticoagulants). What is the most significant side effect?
Excessive bleeding (meal prep, shaving)
You are treating a patient with burns on their hands and forearms. They have been treated with a Homograft. Name a safety consideration and a treatment to prevent scaring.
Infection/healing in the in the donor site
Compression
Scar massage
You are treating a patient with a C 6 complete traumatic spinal cord injury. What adaptive equipment would be most beneficial for self feeding?
Tenodesis splint with a universal cuff
You are assigned to work with a pt with a CVA. You instruct them on the use of hemidressing techniques, using a sock aide and elastic laces. What FOR is applied?
What is Rehabilatative
An 82-year-old client diagnosed with moderate dementia who is functioning at Allen Cognitive Level (ACL) 4.4. The client lives with a spouse and wants to continue preparing simple meals. What functional problems should you expect?
forgets to turn off the stove when leaving the kitchen
unable to problem solve if something unexpected happens
When completing a transfer with a pt. who has a foley cather, what is contraindicated when managing the bag and why?
Raising the bag above the height of the bladder, infection
You are treating a patient with De Quervain's. What is the best splint and how often should they wear it?
Thumb Spica, Overnight and when doing stressful activities during the day (typing, writing, driving, grasping)
A 68-year-old client who experienced a right cerebrovascular accident (CVA) resulting in left hemiparesis. During a grooming session at the sink, the client shaves only the right side of the face and states, "I'm finished. What does this indicate?
left-sided neglect
You are assigned to work with an older adult with the early stages of dementia. Based on the Cognitive Disabilities FOR what intervention activities should you use?
Visual schedules, orientation board, visual cues
67-year-old client who is recovering from a myocardial infarction has been cleared to participate in activities requiring up to 3 METs. What treatment activity is most appropriate?
Performing light grooming tasks while standing at the bathroom sink
You are completeing ADL training with a morbidly obsese patient who has a grade 2 panniculus. Which ADLS are most critical to address?
Toileting, Bathing
Panniculus covers the gential region
An OTA is working with a 72-year-old client who is 3 days post–posterior total hip replacement following severe osteoarthritis. Ct. states, "I can put on my socks by bending forward. It's faster than using all those devices." How should you respond.
It is important to maintain your precautions
You are writing an LMN for a wheelchair for a patient with a T 3 SCI. What type of chair would you recomend?
Manual, high back, tilt in space
Name 2 common social issues addresed by adults with a disability?
Social isolation and stigma
What is the normal range for adult blood pressure, HR, pluse ox and respirations? Extra credit: What is the normal range for blood sugar before and after meals?
Normal BP: <120/<80, Hg 60–100 bpm, 95–100% Values below 90% generally require medical attention, 12–20 breaths per minute,
BS Normal Range:70–99 mg/dL
For individuals with diabetes, target pre-meal levels are often: 80–130 mg/dL,
Normal Range1–2 hours after eating:less than 140 mg/dL, with diabetes, the target is often:Less than 180 mg/dL
You have a patient recovering from a masectomy due to breast cancer. How should the upper extermity on the surgical side be positioned?
Comfortably above the heart if possible to prevent swelling
A 48-year-old client who has rheumatoid arthritis affecting both hands and reports increased joint stiffness and pain upon waking and is having difficulty preparing breakfast and getting dressed. What is the best treatment approach?
Energy conservation and joint protection
A 74-year-old ct who experienced a left CVA 2 weeks ago with Rt hemiparesis. During a dressing session, the ct becomes frustrated when unable to verbally communicate a need and begins pushing clothing away. What is this indicative of?
expressive aphasia
You are in a d/c meeting for a ct recoving from a TBI currently in acute care. They have little safety awareness and need assistance with dressing, bathing and toileting. What is d/c location would you recomend?
Inpatient rehab
A 68-year-old client with metastatic lung cancer has recently enrolled in hospice care. During a treatment session, the client states, "I know I don't have much time left, but I really want the energy to sit outside and visit with my grandchildren this weekend." What 2 interventions do you prioritize?
Energy conservation and pain management
How can you complete oral care for a patient that is NPO?
Toothete or wash cloth without toothpaste or water
A 35-year-old clt who underwent a transradial amputation of the dominant upper extremity 4 weeks with tenderness and pain at the residual limb when wearing the shrinker and states, "I avoid touching the end of my arm because it hurts." What should you do?
Begin a graded desensitization program using a variety of textures and gentle tapping techniques.
You have a ct. s/p Right CVA who presents with spasticity in the left upper extermity. What splint would you choose?
Antispaticity splint