Intro and Exam of Acute Care (pt 2)- Class 4

Question 1

what are chosen tests and measures determined by

Answer 1

info gathered during the history and systems review

Question 2

common tests and measures (1)

Answer 2

aerobic capacity and endurance

anthropometric characteristics

arousal. attention and cognition

assistive and adaptive devices

circulation

CN and peripheral nerve integrity

environmental, home and work barriers

Question 3

common tests and measure (2)

Answer 3

gait, locomotion and balance

integ integrity

motor fxn

muscle performance

orthotic, protective and supportive devices and prosthetic requirements

pain

Question 4

aerobic capacity and endurance may be examined through

Answer 4

assessment of vital sign responses in

bed mobility

trasnfers

ambulation

toileting

bathing

Question 5

structured tests of aerobic capacity and endurance

Answer 5

6 minute walk test

Question 6

6 minute walk test

Answer 6

we keep tack of distance (in steps)

good for prediction of pt outcomes

Question 7

what is it difficult to do for the 6 minute walk test

Answer 7

find space for it

count steps

Question 8

when should we record vital signs

Answer 8

prior to therapy

determine the physiologic responses as the therapy session proceeds

Question 9

anthropometric characteristics

Answer 9

measurements of body dimensions

Question 10

albumin is a

Answer 10

blood plasma protein

Question 11

what does anthropometric characteristics include

Answer 11

results of lab testing

including serum albumin

prealbumin

Question 12

serum album and prealbumin are measurements of

Answer 12

nutritional status

Question 13

what are prealbumin and serum albumin decreased w/

Answer 13

acute/chronic infections and inflammation

cirrhosis/liver dz

nephrotic syndrome

Chrohns

burns

malnutrition

thyroid dz

Question 14

liver dz –> dz/dyfxn may result in changes in

Answer 14

mental status

behavior

MS pain

Question 15

those w/ liver dz are at an increased risk of

Answer 15

infection

Question 16

what occurs w/ liver dz

Answer 16

fluid shifts and changes in vascular status

change in blood ammonia and urea levels

Question 17

fluid shifts and changes in vascular status

Answer 17

heart will try and compensate –> must monitor vital signs

Question 18

change in blood ammonia and urea levels

Answer 18

impair peripheral nerve fxn –> causing numbness and tingling

Question 19

edema can be d/t –> anthropometric characteristics

Answer 19

CHF

nutritional deficits

liver +/or renal dysfxn

fluid overload

inactivity

Question 20

what is edema most likely going to be from

Answer 20

inactivity

Question 21

how should edema be assesed

Answer 21

girth or volumetric measurements

Question 22

obesity is associated w/ –>anthropometric characteristics

Answer 22

DM

coronary heart dz

hypothyroidism

other metabolic dz processes

Question 23

on its own, obesity can

Answer 23

limit pts mobility

leading to abnormalities in the integ and CV systems

Question 24

Cachexia can occur with

Answer 24

long standing dz

impaired nutrition status

associated w/ poor outcomes

Question 25

nutritional dysfxn can lead to

Answer 25

muscle wasting reduced respiratory and peripheral muscle strength and endurance increased rate of infection increased mortality reduced pulmonary fxn

Question 26

arousal, attention and cognition information

Answer 26

can impact interventions chosen

Question 27

if pt is unable to safely perform ADLS or iADLs -->arousal, attention and cognition

Answer 27

d/c plan may be influenced

Question 28

cognition

Answer 28

act of process of knowing

Question 29

what does cognition include

Answer 29

awareness memory judgement

Question 30

how is cognition assessed

Answer 30

mental status exam

Question 31

arousal

Answer 31

a state of responsiveness to stimulation or action of physiologic readiness for activity

Question 32

how can we assess orientation

Answer 32

asking the pt their name, current location, month/day/year and reason for admission

Question 33

how can we challenge short term memory

Answer 33

asking pt to repeat our name

Question 34

mental status fxn may

Answer 34

fluctuate throughout hospitalization

Question 35

why might mental status fluctuate

Answer 35

meds sleep deprivation depression etc.

Question 36

we must asses --> assistive adaptive devices

Answer 36

pt's safety

Question 37

we must determine --> assistive adaptive devices

Answer 37

if the use of the device "enables" or "disables" task completion

Question 38

circulation

Answer 38

HR, BP palpation description of edema and pulses

Question 39

CN and peripheral nerve integrity

Answer 39

abnormalities identified in the systems review will lead to specific testing

Question 40

environmental, home and work barriers

Answer 40

refers to the physical impediments that keep pts from fxning optimally in their surroundings

Question 41

when is environmental, home and work barriers gathered

Answer 41

history

Question 42

once environmental, home and work barriers are determined, the PT will provide

Answer 42

pt/family education on modification to the d/c environment that will enhance pt safety and mobility

Question 43

gait assessment includes

Answer 43

observational gait analysis as well as specific tests

Question 44

gait tests

Answer 44

timed get up and go 6 min walk test

Question 45

timed get up and go = TGUG --> normal

Answer 45

less than 10 s

Question 46

timed get up and go = TGUG --> moderate risk

Answer 46

in b/w 10-30 s at risk of falling may need to use other tests

Question 47

timed get up and go = TGUG --> high risk of falling

Answer 47

over 30 s

Question 48

balance tests

Answer 48

ber balance rhomberg fxnal reach

Question 49

fxnal reach

Answer 49

6 inches of more is normal/safe

Question 50

berg balance

Answer 50

<45 is a risk for falling

Question 51

tinetti test

Answer 51

2 parts balance and gait test

Question 52

tinetti --> low risk of falls

Answer 52

score of 25-28

Question 53

tinetti --> medium risk of falls

Answer 53

score of 19-24

Question 54

tinetti --> high risk for falls

Answer 54

score of less than 19

Question 55

gait and balance test results will give the PT

Answer 55

objective info regarding fall risk and for prescription of assistive devices critical for d/c plan

Question 56

integ integrity

Answer 56

exam of sensation incisions bony prominences pressure points indwelling lines

Question 57

motor fxn includes

Answer 57

tests of dexterity and coordination rapid alternating movements accuracy of movements

Question 58

fxnal tests may include

Answer 58

buttoning a shirt tying shoes

Question 59

muscle performance

Answer 59

MMT

Question 60

what should muscle performance include

Answer 60

fxnal tests seated transfers, stair climbing, self-care activities, physical performance tests, time activity tests

Question 61

orthotic, protective and supportive devices and prosthetic requirements

Answer 61

equipment used to support or protect weak or ineffective joints or muscles and serve to enhance performance

Question 62

orthotic devices include

Answer 62

braces casts shoe inserts splints

Question 63

protective devices

Answer 63

braces cushions helmets

Question 64

supportive devices

Answer 64

compression garments abdominal binders neck collars serial casts slings

Question 65

prosthetic requirements

Answer 65

biomechanical elements necessitated by the loss of a body part

Question 66

prosthesis

Answer 66

artificial device used to replace a missing part of the body

Question 67

when is a prosthesis usually prescribed

Answer 67

in the future after hospital stay

Question 68

what might we need to evaluate

Answer 68

previously prescribed prosthetic