Cardiac & Acute Care Quiz Flashcards
You have been asked to evaluate a patient in the ICU who is post op day 2 from CABGX2. The patient had a complicated medical course, which was notable for respiratory distress following the surgery with the patient requiring continued intubation. At the time for your evaluation, the patient is minimally aroused on a ventilator. Which would be the most appropriate follow up tx for this patient.
a. strengthening exercises and activities to promote arousal
b. Gentle PROM and sensory stimulation
c. Sensory stimulation and activities to help with verbal communication
d. This is not appropriate for intervention
B - Gentle PROM & Sensory Stimulation
What is the most appropriate example of energy conservation for meal preparation activities such as chopping and cutting
a. Use plastic knives and adapted cutting boards
b. Increase supplementary oxygen temporarily for the duration of the activity
c. Sitting down while cutting and chopping
d. Instruct the patient to stick to preparation of meals that do not require cutting and chopping
C
A 65 y/o male sustained an MI secondary to CAD three days ago. He is ready to begin cardiac rehab. Which of the following would be most appropriate in early stages of cardiac rehabilitation?
a. Self-care, reinforcement of cardiac precautions, stairs training
b. Energy conservation, breathing exercises, resistive exercise program
c. Relax and lie in bed until full recovery
d. Positioning, ROM, energy conservation
D
Mary is a 75 y/o female who is 1-week S/P CABGX3. She has sternal precautions and is experiencing pain at the incision site. As a result, she has limitations in shoulder flexion, abduction, and external rotation, which is making is difficult to comb her hair. What would be an appropriate intervention
a. Educate her in use of a long-handled comb
b. Utilize a universal cuff and deltoid aide
c. Work on stretching and ROM to improve shoulder flexion, abduction, and external rotation
d. Recommend the patient get a short haircut that is easier to manage
A
You are working in an inpatient cardiac rehabilitation facility with a patient who has hx of COPD. Your session is focusing on energy conservation during meal preparation tasks. After your patient finishes a chopping activity, you notice that she has become somewhat short of breath. As you are monitoring her, she becomes increasingly short of breath and starts to become pale and blue. You take her oxygen level and find that it is dropped to 82%. What should you do?
a. Immediately terminate the session and have the patient return to his/her room
b. Tell the nurse and immediately call a medical code
c. Perform pursed lip breathing while the patient rests
d. Continue the activity, but shorten the duration of the activity
B
A 65 y/o male sustained an MI secondary to CAD three weeks ago. He is ready to begin Phase II of outpatient cardiac rehab. Which of the following would be most appropriate in phase II of cardiac rehabilitation?
a. Energy conservation, breathing exercises, and positioning/pressure management
b. Relax and lie in bed until full recovery
c. Energy conservation, breathing exercises, and positioning/pressure management
d. Self-care with energy conservation, risk modification education, aerobic exercise
D
Mrs. Andruzzi is a 68 y/o female who is S/P CABGX4 and has been admitted to cardiac rehabilitation. On the MD orders, it states that rehabilitation exercises and activities should be at 2-3 MET Level. Which of the following activities would not be indicated given these parameters?
a. Washing hands and face while seated
b. Completing upper body and lower body dressing
c. Taking a hot standing shower
d. Washing dishes
C
Joseph is a 62 y/o male who sustained a recent MI and has been admitted to inpatient rehabilitation. Joseph works as an attorney and his typical work week is 60+ work hours. He leads a high stress job and rarely has time for eating healthy meal. He also smokes and has a hx of HTN and high cholesterol. For Joseph, one focus on intervention that would be most appropriate, and an integral part of cardiac rehabilitation program would be:
a. Medication adjustment
b. Risk factor modification
c. Environmental modification
d. Intense aerobic exercise program
B
Betty is an 84 y/o female who was admitted which pneumonia and subsequently went into respiratory distress, requiring intubation and admission to the ICU. She has been recently weaned from the ventilator and is on high flow oxygen. Betty is very fatigued and deconditioned, but is able to follow most 1-2 step instructions, and is able to sit edge of bed for 1-2 minutes. Which of the following would be an appropriate invention for Betty?
a. Education in strategies to decrease fatigue during meal preparation
b. Treadmill training and resistive exercises
c. Self-care seated edge of bed while monitoring vital signs
d. All of the above
C
Eloise is an 85 y/o female with a hx of COPD who has been referred for bedside occupational therapy in the acute care setting. Patient is currently on 3L 02 via NC. The therapist is instructing the patient how to utilize adaptive equipment to don socks when the patient begins to report feeling slightly SOB. The therapist notes that the patient‘s 02 level is 90%. How should the therapist proceed?
a. Call 911/medical code
b. Instruct the patient to rest while performing pursed lip breathing while monitoring vital signs
c. Increase oxygen level to 5L vis nasal cannula
d. Continue activity while monitoring vital signs
B
