Quiz 4

Question 1

disease process of COPM

Answer 1

airways become thick and inflamed
airways and air sacs lose their elastic quality
lung tissue is destroyed
mucus blocks airways
body has difficulty getting rid of carbon dioxide → shortness of breath, fatigue, cough
risk of heart attacks, strokes, lung cancer

Question 2

impairment level (mild, moderate, severe) and accompanying prognosis based on forced expiration volume

Answer 2

FEV >1.5L mild impairment 10-20 yrs
FEV 1-1.25L moderate impairment 6-10 years
FEV <0.75 severe impairment 2-6 years

Question 3

risk factors associated with COPD

Answer 3

exposure to bronchial irritants: smoking, job sites, allergens, asthma

Question 4

appropriate patient education to a client with COPD

Answer 4

eat a low salt diet, limit carbohydrates, active without over exertion, vitamin D, quick smoking, take meds, use supplemental O2
energy conservation: rest, budgeting/prioritizing tasks, banking/reducing energy demands

Question 5

Work conditioning

Answer 5

rehab to restore functional work tasks (2-4 days/wkly)

Question 6

Work hardening

Answer 6

multidisciplinary approach to progress client to return to work activities (5 days/wkly)

Question 7

Functional capacity exam

Answer 7

assesses the client with standardized and validated tools to determine job needs and/or accommodations

Question 8

clinical test to assist in determining if a client is a malingerer

Answer 8

hand on top of head
turning body holding thighs
leg log rolling
Hoover’s test
Burn’s test

Question 9

appropriate client populations to use the BTE machine with

Answer 9

across the lifespan
pre employment screening/counseling
rehab services, vocational rehab
uses: work conditioning and ergonomic analysis of body mechanics/tool effectiveness
work = force x distance, power = work/time
resistance repetitions, time

Question 10

role of OT in acute care cardiology unit

Answer 10

evaluate ROM, strength, coordination, balance, activity tolerance
prevent debility
assist with safe and appropriate discharge planning

Question 11

Identify OT interventions in an acute care cardiology unit

Answer 11

evaluation, intervention (energy conservation and task modification), monitor vitals!
sternal precautions

Question 12

sternal precautions to an acute stage cardiac client following surgery

Answer 12

no pushing, pulling, or lifting with arms for 12 weeks
AROM not restrictive for ADL participation
approved AROM exercises: shoulder flexion, circles, retraction
use pillow when coughing
“keep your move in the tube”

Question 13

Kaltenborn Traction Grading System

Answer 13

Grade I: loosen
neutralizes pressure in joint without actual surface separation, pain relief by reducing compressive forces
Grade II: tighten or take up slack
separates articulating surfaces, taking up slack or eliminating joint play
determines joint sensitivity
Grade III: stretch
stretch soft tissue, increase mobility

Question 14

requirements of a orthosis when fabricating an orthosis for a burn client

Answer 14

sedated patient unable to participate
significant edema resulting in digital clawing
unable to actively achieve intrinsic plus position
circumferential hand burn
intrinsic plus, resting pan, static, mobilization orthoses

Question 15

Describe burn depth - degrees

Answer 15

1st - epidermis
2nd - dermis
3rd - subcutaneous tissue
4th - muscle or bone

Question 16

types of burn wounds

Answer 16

Thermal
flame
contact/cutaneous
scald
Electrical
Chemical

Question 17

manual techniques

Answer 17

Skilled hand movements intended to produce any or all of the following effects: improve tissues extensibility; increase ROM of the joint complex; mobilize or manipulate soft tissue and joints; induce relaxation; change muscle function; modulate pain; and reduce soft tissue swelling, inflammation or movement.
Used by OT’s as a preparatory activity

Question 18

measures of spirometry

Answer 18

Measures forces expiratory volume, forced expiratory flow and forced inspiration flow. The measure helps with prognosis.