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HCP 462B – Midterm Questions With Complete Solutions
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HCP 462B – Midterm Questions With Complete Solutions
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HCP 462B – Midterm Questions With Complete SolutionsCardiac Enzymes Correct Answer -measured after H/A
-enzymes released after cells are damaged due to ischemia
-CK-MB, Troponin
-no PT until cardiac enzymes stabilize
Clinical reasoning strategies Correct Answer ̈ Diagnostic
reasoning-physical disability/fxn limitation and impairments, w/
consideration of pain mechanisms, tissue pathology, and
potential contributing factors
̈ Narrative reasoning -pt story, experience, context, beliefs
̈ Procedural reasoning- determination/performance of treatment
procedures
̈ Interactive reasoning-therapist-patient relationship
̈ Collaborative reasoning-consensual approach
̈ Reasoning about teaching -individualized and context sensitive
teaching
̈ Predictive reasoning-envisioning future scenarios w/ pt
choice/implications
̈ Ethical reasoning-apprehension and resolution of ethical and
pragmatic dilemmas
HIV Rapid test Correct Answer -get to the ED stat
-nurse needs to get HIV consent from source pt; if less than 24
hrs post anesthesia, need physician to document they can
consent
-call lab to draw (except if pt is in the ED)
-results in less than 45 mins from draw
,How are goals determined in clinical reasoning? Correct
Answer Wise action
-what is good/best for pt
-best judgement in particular moment for or w/ particular pt
within a particular framework of values and belief
How are PT services accessed? Correct Answer -physician's
order
-PT department screening
-referral from other healthcare providers
-critical pathways and standing order for total joint replacement
procedures (TLR, THR, TSR)
How close can droplet transmission reach someone? What is an
example? Correct Answer 3 feet; flu (sneezing/coughing)
How do you donn a gown? Correct Answer -select correct
type/size
-opening is in the back
-secure at neck and waist
-if too small, use 2 gowns, 1st one ties in front, 2nd one ties in
the back
How is a pulse taken? Correct Answer -use pads of index and
middle fingers over site
-do not use too much pressure
-take for 60 seconds (most valid)
-the shorter time, the less accurate
How is blood pressure taken? Correct Answer -stethoscope and
sphygmomanometer
, -listen to arterial blood flow at brachial artery
-korotkoff sounds
-cuff placed midway b/w shoulder and elbow
-air valve closed and cuff inflated to 180mmHg; artery occluded,
no sound
-open air valve slowly; tapping during systole and muffling
during diastole
-open cuff fully; wait 30-60 seconds before taking again, no
more than 3 times
How is PT treatment different in the home health setting?
Correct Answer Limited to home health environment, but the
PT can bring equipment
How is respiratory rate measured? Correct Answer 1.Visual:
watch
2.Auditory: listen
3.Tactile: Feel (hand on thorax to check rise/fall, hand close to
mouth/nose to feel air exchange)
4.Count respirations/min
-cycle is inspiration and expiration
-normal is 12-18/minute
How to remove a particulate respirator? Correct Answer Lift
the bottom elastic over your head first
Then lift off the top elastic
Discard
How to remove gloves? Correct Answer • Grasp outside edge
near wrist
• Peel away from hand, turning glove inside-out
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