Shiftings midterms

Question 1

Why are the axillary or inguinal fold sites the least desirable for measuring body temperature?

Answer 1

They may reduce the accuracy of the measurement

Question 2

Emily is assigned to assist in lifting a patient with another colleague. What is the appropriate action for ensuring a safe lift?
a. Instruct everyone involved on how and when to assist in the lift

b. Lift the patient quickly to minimize the time spent in the lift

c. Avoid communication with the colleague to maintain focus

d. Lift the patient without informing the colleague to avoid confusion

Answer 2

Instruct everyone involved on how and when to assist in the lift

Question 3

How can caregivers effectively reduce friction during patient repositioning and transfer activities?

Answer 3

By applying cornstarch on the patient’s skin

Question 4

At what temperature is a person considered to have a fever?

Answer 4

Any temperature above 98.6°F

Question 5

How is balanced suspension traction achieved?

Answer 5

Splints under the femur and lower leg

Question 6

What is the typical pulse rate difference between males and females?

Answer 6

Males have a slightly lower pulse rate than females

Question 7

What is the recommended technique for lifting an object below the level of your hips?

Answer 7

Stoop or squat

Question 8

Why is it important for lumbar lordosis to direct compression forces on the intervertebral disk anteriorly?

Answer 8

To maximize lumbar spine stability.

Question 9

What is the new classification for people with blood pressure in the range of 120-139 mm Hg systolic or 80-89 mm Hg diastolic?

Answer 9

Prehypertension

Question 10

In body mechanics, what action is crucial to utilize proper lifting techniques?
Select one:
a. Extending your arms fully
b. Keeping a narrow base of support (BOS)
c. Lowering your BOS significantly
d. Aligning your COG above the object’s COG

Answer 10

Aligning your COG above the object’s COG

Question 11

Which area is considered a bony prominence that may cause pressure injuries in a supine position?
a. Lateral acromion process
b. Inferior angle of scapula
c. Vertebral spinous processes
d. Medial epicondyle of humerus

Answer 11

Vertebral spinous processes

Question 12

Which of the following best characterizes volume-cycled ventilators?
Select one:

a. Offers maximal pressure of gas during inspiration, beneficial for patients with neuromuscular distress

b. Provides variable pressure during respiration, typically for short-term ventilation

c. Relies on negative pressure to facilitate inhalation, primarily used for polio patients

d. Delivers a set volume of gas during inspiration, commonly used for patients with COPD

Answer 12

Delivers a set volume of gas during inspiration, commonly used for patients with COPD

Question 13

In what situations might it be appropriate to use a restraint on a patient without their voluntary consent?

Answer 13

When the patient is unable to mentally maintain a safe position

Question 14

Keith needs to remove her groceries from the car trunk. Apply the guidelines to explain the recommended technique for this task.

Answer 14

Bend at the hips and knees, and move the groceries close to her before lifting.

Question 15

In what way can excessive, prolonged pressure on soft tissue, circulatory, and neurological structures affect a patient?

Answer 15

It may impair blood circulation and nerve function.

Question 16

A patient with a recent extensive skin graft is prescribed to use a specialized bed. Which piece of equipment would be most suitable for this patient?

Answer 16

Air-fluidized bed (Clinitron)

Question 17

Define “necrosis.”

Answer 17

Morphological changes indicative of cell death.

Question 18

Which intracranial pressure monitoring device permits both accurate ICP measurement and withdrawal of CSF?

Answer 18

Ventricular catheter

Question 19

A patient is scheduled for a physical therapy session that involves treating the lower back. How should the patient be draped to ensure both treatment effectiveness and the patient’s comfort?

Answer 19

Use clean linen to expose only the lower back and cover the rest of the body for modesty and warmth.

Question 20

What is the purpose of a Swan-Ganz catheter?

Answer 20

To measure pulmonary artery pressure (PAP)

Question 21

In which situation would a turning frame be most beneficial for patient care?

Answer 21

Patient requiring continuous maintenance of skeletal cervical traction

Question 22

What does it mean when a heartbeat is described as “thready”?

Answer 22

The beats are even and have a good force,
The beats are even but have a poor force,
Both strong and weak beats occur irregularly,
The heartbeat is rapid

Question 22

An older patient with reduced subcutaneous tissue is prone to skin irritation during prolonged positioning. What aids might be useful to alleviate soft-tissue stress and pressure?
Select one:

a. Elbow protectors and footboards

b. Seat cushions and lap boards

c. All of the above

d. Bolsters and splints

Answer 22

Correct answer is: All of the above

Question 23

What differentiates the oronasal mask from the nasal cannula for oxygen delivery?

Answer 23

Coverage of nose and mouth

Question 24

What does an NG tube restrict the patient from doing while in place?

Answer 24

Eating food or drinking fluids through the mouth

Question 25

You need to lift a moderately heavy box from the floor in a confined space. Suggest the most suitable lifting technique and describe how to perform it correctly considering the limited space.

Answer 25

Power lift

Question 26

A patient has restricted mobility due to a recent surgery. Which positions should be avoided to prevent excessive stress on various structures?
Select one:

a. Elbow, wrist, or finger flexion

b. Bilateral scapular abduction and forward head position

c. All of the above

d. Hip adduction and internal/external rotation

Answer 26

Correct answer is: All of the above

Question 27

Analyze the advantages and disadvantages of the “One-Leg Stance Lift” technique compared to the “Half-Kneeling Lift” in terms of stability, ease of execution, and the type of objects they are suitable for.

Answer 27

The Half-Kneeling Lift offers better stability and is suitable for heavy objects, while the One-Leg Stance Lift is easier to execute but suitable only for light objects.

Question 28

Given a situation where an object has a high center of gravity (COG), suggest practical adjustments to enhance its stability.

Answer 28

Increase the size of the object’s base to lower the COG.

Question 29

How does frequent, sustained, vigorous aerobic exercise impact pulse rate?

Answer 29

It tends to lower pulse rate

Question 30

According to the American Heart Association, which phase is the best indicator of diastolic pressure in adults?

Answer 30

Phase IV

Question 31

In a facility that caters to pediatric intensive care, what would PICU typically stand for?

Answer 31

Pediatric Intensive Care Unit

Question 32

What is considered hypotension?

Answer 32

Systolic pressure consistently below 100 mm Hg

Question 32

What should be done with linen used to protect sensitive areas like the axilla or perineum?

Answer 32

Discard immediately after use.

Question 33

You have to lift a small, light box from the floor. Suggest an appropriate lifting technique and describe how to execute it for the given scenario.

Answer 33

One-leg stance lift

Question 34

When are crackles commonly heard?

Answer 34

On inspiration

Question 34

Normal Values of Body Temperature

Question 35

How frequently should a dependent patient’s position be changed to prevent contractures and pressure ulcers?

Answer 35

At least every 2 hours

Question 36

How does a Foley catheter stay in the bladder?

Answer 36

Through a small balloon inflated with air, water, or sterile saline solution

Question 36

What is the accepted normal range for the resting pulse in newborns?

Answer 36

100 to 130 beats/min

Question 37

Normal Values of Oxygen Saturation

Question 38

Normal Values of HR and RR

Question 38

Normal Values of Blood Pressure

Question 38

Normal Values of