Ch 34 questions Flashcards by Justine Brousseau

Which of the following is NOT considered a potential cause of a developmental disability?

A. Genetic factors
B. Complications at birth
C. Folic acid deficiency
D. Malnutrition

Folic acid deficiency

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Which of the following statements is FALSE regarding patients with autism?

A. They fail to use or understand nonverbal communications
B. They will talk with normal tone and speech patterns
C. They may have extreme difficulty with complex tasks that require many steps
D. They have difficulty making eye-to-eye contact

They will talk with normal tone and speech patterns

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All of the following are associated with Down syndrome EXCEPT:

A. A small face
B. Short, wide hands
C. A protruding tongue
D. Narrow-set eyes

Narrow-set eyes

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Down syndrome patients are at an increased risk for medical complications. Which of the following is NOT one of those potential complications?

A. Respiratory complications
B. Cardiovascular complications
C. Gastrointestinal complications
D. Endocrine complications

Respiratory complications

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Which of the following is true regarding airway management of patients with Down syndrome?

A. Patients often have large tongues
B. Patients have large oral and nasal cavities
C. Mask ventilation is relatively easy to achieve
D. Use the head tilt-chin lift maneuver to open the airway

Patients often have large tongues

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When caring for a patient with a previous head injury, you should:

A. Speak in loud, commanding tone
B. Expect the patient to be able to walk
C. Watch the patient for signs of anxiety
D. Never consider restraining the patient

Watch the patient for signs of anxiety

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Which of the following is NOT a possible cause of visual impairment?

A. Disease
B. Injury
C. Congenital disease
D. Regeneration of the eyeball, optic nerve, or nerve pathway

Regeneration of the eyeball, optic nerve, or nerve pathway

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When caring for a patient with a visual impairment, which of the following is NOT appropriate?

A. Indentify noises
B. Always transport the patient’s service dog
C. Describe the situation and surroundings
D. Tell the patient what is happening

Always transport the patient’s service dog

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Conductive hearing loss can be caused by:

A. Advanced age
B. Damage to the inner ear
C. Nerve damage
D. A perforated eardrum

A perforated eardrum

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Which of the following is NOT considered a clue that your patient might be hearing impaired?

A. Slurred speech
B. Presence of hearing aids
C. Poor pronunciation of words
D. Failure to respond to your questions

Slurred speech

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All of the following are possible causes of cerebral palsy EXCEPT:

A. Maternal preeclampsia
B. Damage to the developing fetal brain in utero
C. Traumatic brain injury at birth
D. Postpartum infection

Maternal preeclampsia

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Cerebral palsy is associated with all of the following conditions EXCEPT:

A. Epilepsy
B. Cardiovascular complications
C. Difficulty communicating
D. Mental retardation

Cardiovascular complications

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Which of the following statements is FALSE regarding the care of a patient with cerebral palsy?

A. Do not assume these patients are mentally disabled
B. Limbs are often underdeveloped and are prone to injury
C. Walkers or wheelchairs should not be taken in the ambulance
D. Be prepared to care for a seizure if one occurs

Walkers or wheelchairs should not be taken in the ambulance

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Patients with spina bifida will have:

A. Partial or full paralysis of the lower extremities
B. Multiple cardiovascular problems
C. Daily episodes of neck pain
D. A tendency to resist sitting

Partial or full paralysis of the lower extremities

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When suctioning a tracheostomy tube, be sure not to suction for longer than:

A. 5 seconds
B. 10 seconds
C. 15 seconds
D. 20 seconds

10 seconds

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If a patient’s mechanical ventilator malfunctions, you should remove the patient from the ventilator and:

A. Place the patient on a nasal cannula
B. Place the patient on a non rebreathing mask
C. Begin ventilations with a bag-mask device
D. Contact medical control

Begin ventilations with a bag-mask device

An apnea monitor is indicated in all of the following situations EXCEPT:

A. Premature birth
B. Severe gastroesophageal reflux
C. Family history of SIDS
D. Asthma

Asthma

Which of the following is NOT a risk factor associated with the implantation of a left ventricular assist device?

A. Excessive bleeding
B. Acute heart failure
C. Renal failure
D. Stroke

Renal failure

Central venous catheters are located in all of the following areas EXCEPT:

A. The upper arm
B. The lower leg
C. The chest
D. The clavicle

The lower leg

Patients with gastric tubes who have difficulty breathing should be transported sitting or lying on the:

A. Left side, with the head elevated 30*
B. Right side, with the head elevated 30*
C. Right side, with the head elevated 45*
D. Left side, with the head elevated 45*

Right side, with the head elevated 30*

A ventricular atrium shunt drains excess fluid from the ventricles of the brain into the:

A. Right atrium of the heart
B. Left atrium of the heart
C. Right ventricle of the heart
D. Left ventricle of the heart

Right atrium of the heart

Services offered by home care agencies include all of the following EXCEPT:

A. Providing personal hygiene
B. Wound care
C. Taking the patient to restaurants
D. Yard maintenance

Taking the patient to restaurants

All of the following are diseases or conditions that are associated with patients receiving hospice EXCEPT:

A. AIDs
B. End-stage alzheimer disease
C. Cancer
D. Pneumonia

Pneumonia

Which of the following is NOT a disease prevention strategy that people living in poverty are lacking?

A. Vaccination
B. Nutrition
C. Excercise
D. Dental care

Vaccinations

The term obese is used when someone is ___________ over his or her ideal body weight. A. 10% to 20% B. 20% to 30% C. 30% to 40% D. 40% to 50%

20% to 30%

________ is a pervasive developmental disorder characterized by impairment of social interaction.

Autism

You may allow a patient with a visual impairment to rest his or her hand on your __________ because this may help with balance and security while moving.

Shoulder

______ ________ can be either external or internal, depending on the type of hearing damage.

Hearing aids

The two most common forms of heating loss are _____________ deafness and ____________ hearing loss.

Sensorineural; conductive

_______ _______ is a term for a group of disorders characterized by poorly controlled body movement.

Cerebral palsy

To reduce the occurrence of spins bifida, pregnant women are advised to take __________ __________.

Vitamin b

A(n) __________ _________ ___________ _________ is a special piece of medical equipment that takes over the function of either one or both heart ventricles.

Left ventricular assist device

________ are tubes that extend from the brain to the abdomen to drain excess cerebrospinal fluid.

Shunts

If you encounter a patient with a colostomy or ileostomy bag, assess for signs of ____________ if the patient has been complaining of diarrhea or vomiting.

Dehydration

Comfort care, or __________ __________ improves the patient's quality of life before the patient dies.

Palliative care