OT 532 Midterm

true or false: you continue therapy if Hct is less than 21%

false

true or false: you continue therapy if Hgb is less than 7

false

true or false: you continue therapy if sodium levels are less than 120 or greater than 155

false

you are about to work with Mr. B. Prior to entering his room, his nurse notifies you that his H&H levels are trending on the low side today. However he is still able to participate in therapy. During your session you should monitor what

fatigue levels, activity tolerance and heart rate

you are working with a client who underwent a L carpal tunnel release surgery, and her surgeon wrote and order for "OT to fabricate wrist splint". You decide to make a wrist cock-up splint to promote good positioning and decrease pain so the client can eventually engage in her daily activities. This is an example of what type of intervention?

interventions to support occupations

list the Posterior THR precuations

no bending past 90 degrees, no crossing legs, and no twisting on operated hip

list spine precautions

no bending, no lifting, and no twisting

what are C spine precautions

no bending, no lifting, no twisting and no turning neck

you are about to treat a patient who underwent an L3-L4 lumber laminectomy. As part of your session, you plan to go over spine precautions and describe the technique that you would educate the client in order to safely complete bed mobility

no bending, no lifting, no twisting. For bed mobility I would educate the client to safely do a log roll

list the Anterior THR precautions

no extreme hip extension, no extreme hip abduction, and no external rotation

for a patient who had a TKR or a LE amputation what should NEVER be done

no pillows under operated knee/residual limb

list the sternal precautions

no raising both arms overhead at the same time, no lifting over 5 pounds, no pushing or pulling, use of log roll, encourage use of LE for sit to stand transitions, and encourage cough buddy

what does WBAT mean

no restrictions

what does NWB mean

no weight; limb should not be pushing or pulling

what is the name for a heart rate over 100

tachycardia

you are about to assist Suzanne to complete a transfer from her wheelchair to the bed using a squat pivot technique. Which of the following most accurately describes the sequence of steps you would take

educate suzanne on the expectation of the transfer, remove the wheelchair armrest, implement principles of head/hips relationship, assist suzanne to move over to the bed by lifting her from underneath her butt

In working with the client with the carpal tunnel release surgery you decide to also explain the purpose of the splint to the client and demonstrate how to don/doff the splint so she can do it herself. This is an example of what type of intervention

education and training

You are about to assist Linda to complete a sit to stand transition from her bed using a rolling walker. Linda does fairly well with walking, but still needs minimal assistance with standing up due to decreased strength. The best position for you to be in to assist Linda is what

to the side of her so that you can use 1 hand to provide lifting assistance from underneath her butt and your other hand to steady her as needed at her chest/sternum area

true or false: you stop therapy if potassium is less than 3 or more than 6

true

you are about to evaluate Nancy, an 80 year old woman who has a R tib/fib fracture and is NWB in her r LE. Nursing reports that they have been doing stand pivot transfers with her in the room, but that Nancy is unable to keep her NWB status. What transfer technique would you trial during your evaluation, and why

use the squat pivot or transfer board

what does TDWB mean

usually used as a percentage, 15% weight bearing or 50% weight bearing

what is a typical BP for adults

120/80 or under

what is the normal range for sodium

135-145

what is the normal range of potassium

3.5-5.0

what is an adult's typical heart rate

60-100

what is typical O2 for adults

92-100

you are about to evaluate henry, a 45 year old man s/p R CVA. Upon a brief musculoskeletal screening, you note that Henry is currently demonstrating 0/5 strength in both his L UE and Le. You and the therapy tech assist Henry t sit on the side of the bed, and you note that he needs minimal assistance to maintain his sitting balance once in an upright position. You decide to transfer out of bed to the wheelchair. What type of transfer would use?

I would use a transfer board or a squat pivot with the help of a 2nd helper.

what is the name for a heart rate under 60

bradycardia

what are the trouble areas for patients in regards to positioning

butt and heels

You are working with a client s/p CVA with cognitive deficits on a meal prep task (jello), and notice that she is having difficulty getting organized and sequencing the task. She has made multiple trips back and forth to the fridge to get items, and keeps re-reading the directions on the pack of jello. She appears to be getting frustrated. What is the BEST way to grade this activity in order to create the just right challenge?

create a checklist of steps for her to follow and work through each step together

Your facility has asked you to create and deliver a falls prevention/awareness program for your community's local senior center. This is an example of what type of intervention approach AND type

create/promote and education/training

list the approaches to intervention

create/promote, establish/restore, maintain, modify, prevent

you are an inpatient rehabilitation therapist who is working with a client who has recently undergone a L BKA. In working collaboratively with the client, you decide to focus on ADL strategies and functional transfers during your sessions. This is an example of ____ service delivery

direct

what does TTWB mean

don't want to crack the egg; just enough pressure on your limb to pretend you have an egg under and don't want to crack; good to use for balance

you are working with a client who sustained a traumatic hand injury while working at their factory job. The client is now 8 weeks post-op and the surgeon has cleared them for WBAT without any additional restrictions. During your initial evaluation, the client shares that he wants to improve the strength in his hand so he can return to work and complete his daily activities better. In collaboration with the client you decide to focus on activities to increase his grip strength. This is an example of what intervention approach

establish/restore

what are the general recommendations for turning in bed/wheelchair

every 2 hours in bed, every 30 minutes in wheelchair

you are working with Nancy during a therapy session and notice that she seems short of breath after walking back from the bathroom. She denies any other complaints. You take her oxygen level and it read 85%. Your next best course of action would be

have Nancy take a seated rest break, educate her on deep breathing techniques and consult with the respiratory therapist on the potential need for supplemental oxygen

in order to ensure the appropriate height of a walker for a patient, you would want to adjust it so that the handles of the walker...

hit at their wrists when they are standing up

you are an an OT consultant providing an environmental evaluation for a local business, in order to help them better comply with ADA standards and increase accessibility for all potential customers. This is an example of ____ service delivery

indirect

what are the appropriate body mechanics when assisting patients with transfers

knees bent, back straight, tighten abdomen and butt muscles

you are working with a client who underwent an elective R THR and is not on posterior THPs. During your treatment session, you focus on completing lower body dressing user adaptive equipment, including a reacher and sock aide. This is an example of what type of intervention

occupations and activities

list the types of interventions

occupations and activities, interventions to support occupations, education and training, advocacy, group interventions, and virtual interventions

what is the name for when your BP drops when you're changing positions (lying to sitting)

orthostatic hypotension

after your therapy session with Henry you assist him to lay back down in bed for rest. How do you position Henry's L UE in bed

out to the side, supported by a pillow, wrist and fingers extended

you are an OT consultant working with a hotel chain to provide an ergonomics educational program designed to prevent back injuries in housekeeping staff. This is an example of what type of intervention approach

prevent

what position is SO GOOD for LE amputation patients and why

prone because it promotes leg and hip extension

You are working with a client who has a C2 AIS A SCI. During treatment, your client shares that he feels "rushed" by certain staff when they are assisting him to get dressed in the morning and that he would like to be able to share his perspectives on strategies that work best for him. You decide to focus your session on techniques for directing his own self-care and sharing your preferences with caregivers and staff. This is an example of what type of intervention

self-advocacy

name the parts of a SOAP note

subjective, objective, assessment, and plan

a patient who has suffered a stroke- how should they be positioned

weak side is supported in bed and wheelchair; arm should be out to the side and hand should be opened; leg should be extended