Quiz #1 prep

Question 1

What is the objective of PT in acute care?

Answer 1

Get the pt to the next level of care asap.

Question 2

What are the 4 contracts that guide the PT in discharge recommendations?

Answer 2

1. pt functioning and disability
2. pt wants and needs
3. pt ability to participate in care
4. pt life context

Question 3

A pt is .% more like to be readmitted when PT d/c recommendation not implemented & when services were lacking.

Answer 3

2.9%

Question 4

What are the responsibilities of acute care PT’s?

Answer 4

pt safety
facility policy/procedures
education
fall prevention
prevent effects of prolonged bedrest

Question 5

What are Hematologic effects of prolonged bed rest?

Answer 5

Decr. total blood volume/RBC mass/plasma volume
Incr. hematocrit
Hypercoagulability, blood vessel damage, incr risk of venous thromboembolism

Question 6

What are Respiratory effects of prolonged bed rest?

Answer 6

Incr RR
decr. lung volume and capacity
decr. mucus clearance
incr. risk of pneumonia
ventilation-profusion mismatch

Question 7

What are GI effects of prolonged bed rest?

Answer 7

decr. appetit, fluid intake, bowl movement
gastroesophageal reflux
difficulty swallowing

Question 8

What are Genitourinary effects of prolonged bed rest?

Answer 8

Incr. mineral excretion, kidney stones, urin retention, and overflow incontinence

decr. glomerular filtration rate
incr. risk of urinary tract infection

Question 9

What are Endocrine effects of prolonged bed rest?

Answer 9

altered temp. and sweating responses, circadian rhythm, regulation of hormones, incr. cortisol secretion, and glucose intolerance
decr. overall metabolism

Question 10

What are Musculoskeletal effects of prolonged bed rest?

Answer 10

Muscle…
Bone - disuse osteoporosis
Joint - degeneration of cartilage, synovial atrophy, and ankylosis

Question 11

What are Neurologic effects of prolonged bed rest?

Answer 11

sensory and sleep deprivation
decr. dopamine, noradrenaline, and serotonin levels
depression, restlessness, insomnia
decr. balance, coordination, and visual acuity
incr. risk of compression neuropathy
reduced pain threshold

Question 12

What are Integumentary effects of prolonged bed rest?

Answer 12

incr risk of pressure ulcer formation and skin infection

Question 13

What are Body composition effects of prolonged bed rest?

Answer 13

incr. sodium, calcium, potassium, phosphorus, sulfer, and nitrogen loss
incr. body fat and decor. lean body mass
fluid shift from the legs to the abdomen/thorax/head, diuresis, natriuresis, dehydration

Question 14

What are Cardiac effects of prolonged bed rest?

Answer 14

incr. HR at rest and sub maximal exercise
decr. stroke volume and left ventricle EDV at rest
decr. cardiac output, VO2max with submit and max effort
orthostatic hypotension

Question 15

What is the goal of fracture healing?

Answer 15

early restoration of function minimizes cardiopulmonary compromise, muscle atrophy, loss of functional ROM, and minimizes impairments associated with limited weight bearing.

Question 16

PT considerations post surgical after anesthesia.

Answer 16

montior vital signs bc of potential alteration physiology after general anesthesia.
examine motor and sensory control of LE after local or regional anesthesia to prevent falls.
Timing of PT treatments if pt has symptoms of nausea and vomiting.
diabetic pt might have incr blood sugar levels

Question 17

PT considerations for pain management.

Answer 17

be aware of medication schedule & aware of duration of effectiveness of medications
educate pt to request pain meds or push PCA button when needed.
ask the pt what specific pain there medication is intended for.
educate pt on expected exercise induced pain or mobilization, which can be perceived by pt as a decr. quality of life and result in fear about participation.