Physical Therapy: Acute Care Patient Exercise Session
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Questions and Answers

What is one of the components of APGAR scores?

  • Skin color (correct)
  • Blood pressure
  • Body temperature
  • Body mass index
  • What is the primary reason for using an interpreter in a healthcare setting?

  • To provide translation services for the medical staff
  • To ensure the patient understands therapeutic interventions (correct)
  • To provide emotional support to the patient
  • To interpret non-verbal cues from the patient
  • What vital sign change would indicate termination of the exercise session for a patient two weeks post cardiac surgery?

  • Diastolic blood pressure decreases by 15 mm Hg from the resting level (correct)
  • Oxygen saturation drops to 95% from a resting level of 98%
  • Heart rate increases to 20 beats per minute above the resting heart rate
  • Systolic blood pressure increases to 20 mm Hg above the resting level
  • What is the age range during which APGAR scores are usually recorded?

    <p>At 1, 5, and 10 minutes of life</p> Signup and view all the answers

    What pulse characteristic refers to the magnitude of the current delivered in neuromuscular electrical stimulation?

    <p>Intensity</p> Signup and view all the answers

    Why should a healthcare provider avoid relying on a patient's family member to interpret?

    <p>The family member's age may be a factor in their ability to accurately interpret</p> Signup and view all the answers

    What is the chief concern when communicating with a patient who speaks a different language?

    <p>Ensuring the patient understands therapeutic interventions and informed consent</p> Signup and view all the answers

    What is the most likely cause of a patient's gait deviation, characterized by foot flat initial contact on the right and hiking the right hip during midswing, in a patient rehabilitating from a stroke with left hemisphere involvement?

    <p>Spastic dorsiflexors/everters and weak quadriceps</p> Signup and view all the answers

    What is the primary role of a hospital medical interpreter?

    <p>To facilitate communication between the healthcare provider and patient</p> Signup and view all the answers

    What is the primary goal of the PT treating the patient two weeks post cardiac surgery using a treadmill?

    <p>Increase aerobic endurance</p> Signup and view all the answers

    What should the PT continually monitor during the exercise session with the patient two weeks post cardiac surgery?

    <p>Heart rate, blood pressure, and oxygen saturation</p> Signup and view all the answers

    What is the term for the magnitude of the current delivered in neuromuscular electrical stimulation?

    <p>Amplitude</p> Signup and view all the answers

    What gait phase is characterized by the patient hiking the right hip to avoid stubbing the toes during midswing?

    <p>Right swing phase</p> Signup and view all the answers

    What is the significance of monitoring oxygen saturation during exercise in a patient two weeks post cardiac surgery?

    <p>To detect any respiratory complications</p> Signup and view all the answers

    What is the typical combination of muscle imbalance that occurs in a patient with a left hemisphere stroke?

    <p>Spastic plantar flexors and weak dorsiflexors/everters</p> Signup and view all the answers

    What is the consequence of an increase in tone of the plantar flexors and weakness of the dorsiflexors in a patient with a left hemisphere stroke?

    <p>A 'foot flat' effect during initial stance and difficulty in clearing the limb during swing phase</p> Signup and view all the answers

    Which of the following is NOT a contraindication to percussion in a patient with cystic fibrosis?

    <p>Chest tube inserted into the right lateral lower lobe</p> Signup and view all the answers

    What is the minimum platelet count required for percussion to be contraindicated in a patient with cystic fibrosis?

    <p>20,000/mm^3</p> Signup and view all the answers

    What do APGAR scores measure in a newborn infant?

    <p>HR, respiratory effort, muscle tone, reflex irritability, and color</p> Signup and view all the answers

    What is the significance of APGAR scores in a newborn infant?

    <p>They assess the overall physical health of the infant</p> Signup and view all the answers

    At what gestational age was the infant born, according to the case scenario?

    <p>28 weeks</p> Signup and view all the answers

    What was the APGAR score of the infant at 10 minutes, according to the case scenario?

    <p>3</p> Signup and view all the answers

    Study Notes

    Termination of Exercise Session

    • Diastolic blood pressure decreasing by 15 mm Hg from the resting level is an indication to terminate the exercise session in a patient who has undergone cardiac surgery.

    Neuromuscular Electrical Stimulation

    • Amplitude refers to the magnitude of the current delivered, synonymous with current intensity or voltage.
    • To increase amplitude, the intensity control on the stimulator should be manipulated.

    Gait Analysis

    • Initial contact phase with foot flat and hiking the hip to avoid stubbing toes during mid-swing are gait deviations that may be caused by spastic plantar flexors and weak dorsiflexors/everters.
    • These gait deviations are commonly seen in patients rehabilitating from a stroke with left hemisphere involvement.

    Contraindications to Chest PT

    • Untreated pneumothorax, hemoptysis occurring less than 24 hours ago, and a platelet count of less than 20,000/mm³ are contraindications to percussion.
    • A chest tube is not a contraindication to percussion, but the therapist should be aware of it and avoid tender areas near the tube's insertion.

    APGAR Scores

    • APGAR scores measure an infant's heart rate, respiratory effort, muscle tone, reflex irritability, and color.
    • Scores ranging from 0-10 are usually recorded at 1, 5, and 10 minutes of life.

    Communication in Healthcare

    • In a healthcare setting, if a patient is unable to speak the dominant language, the facility is responsible for providing an interpreter to ensure the patient understands the therapeutic interventions and informed consent elements regarding care.

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    Description

    A physical therapist is treating a patient two weeks after cardiac surgery. The patient is on a treadmill to increase aerobic endurance. What should the therapist do if certain vital signs change?

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