Quiz 2

Question 1

for a patient who is immobile, the MAXIMUM time that they can remain in one position is

-1 hour
-2 hours
-30 min
-4 hours

Answer 1

2 hours

Question 2

all of the following are possible negative outcomes if patient position is not changed frequently EXCEPT

-all of the answers are possible negative outcomes
-patient discomfort
-soft tissue contracture
-skin breakdown/decubiti

Answer 2

all of the answers are possible negative outcomes

Question 3

match the areas to check for pressure areas to the position
-supine
-sidelying
-sitting

-occipital tuberosity, spine/inf. angle scapula, olecranon, sacrum, calcaneus
-sacrum/coccyx, ischial tuberosities, popliteal space, plantar surface foot
-ear, acromium, greater trochanter, med/lateral epicondyles femur, malleoli

Answer 3

-SUPINE: occipital tuberosity, spine/inf. angle scapula, olecranon, sacrum, calcaneus
-SIDELYING: ear, acromium, greater trochanter, med/lateral epicondyles femur, malleoli
-SITTING: sacrum/coccyx, ischial tuberosities, popliteal space, plantar surface foot

Question 4

some of the key points for positioning a patient in SUPINE (long term/prolonged) includes but are not limited to:

a) 2 pillows for head
b) shoulder in ER
C) forearm supination
D) large pullow under knees
E) hips in neutrla position
F) towel roll directly under calcaneus

Answer 4

B + E

Question 5

T/F- the key points for positioning a patient with a trans-tibial amputation are maintaining the hip + knee in extension in both supine + prone

Answer 5

true

Question 6

when documenting that a patient requires only verbal cues to perform rolling to their R side, you would use the term

-minimal assist
-contact guard
-supervision
-modified independent

Answer 6

supervision

Question 7

prolonged immobilization of a patient with RA (rheumatoid arthritis) will MOST LIKELY lead to problems with which of the following conditions that can then impede tranfers?

-endurance
-sitting balance
-joint/soft tissue flexibility
-cognitive + mental status

Answer 7

joint/soft tissue flexibility

Question 8

one of the key muscles that initiates flexion of the trunk to come from supine to sitting is

-quadriceps
-abdominal muscles/trunk flexors
-erector spinae/trunk extensors
-anterior deltoid/shoulder flexors

Answer 8

abdominal muscles/trunk flexors

Question 9

when performing the subjective exam, a patient reports dyspnea on exertion (DOE). this would be documented under which “system”?

-musculoskeletal
-neurological
-cardiovascular
-respiratory

Answer 9

respiratory

Question 10

the term that best describes “softening of the tissue around sacrum due to soaking from a urinary accident” is

-necrosis
-blanching
-ischemia
-maceration

Answer 10

maceration