Therapeutic Techniques for Acute Cardiopulmonary Dysfunction
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Questions and Answers

What is the primary goal of early mobilization in the post-surgical setting?

  • To promote patient independence in activities of daily living
  • To improve muscle strength and joint range of motion
  • To reduce the risk of respiratory complications (correct)
  • To prevent the development of pressure ulcers

    • Which of the following conditions would NOT be considered an acute neurological condition that would benefit from controlled mobilization?

  • Stroke
  • Parkinson's disease (correct)
  • Head injury
  • Quadriplegia

    • Which of the following objective measures is LEAST important to monitor during the progression of mobilization?

  • Heart rate
  • Skin temperature (correct)
  • Blood pressure
  • Respiratory rate

    • What is the primary purpose of the Borg RPE scale in the context of controlled mobilization?

    <p>To quantify the patient's perceived level of exertion</p> Signup and view all the answers

    Which of the following is the CORRECT sequence of progression in controlled mobilization?

    <p>Lying to sitting, sitting to standing, standing to walking, with or without assistive devices</p> Signup and view all the answers

    Which of the following subjective measures is LEAST useful in monitoring the progression of controlled mobilization?

    <p>Skin temperature</p> Signup and view all the answers

    What effect does the lateral position have on left ventricular end diastolic pressure?

    <p>Increases due to a reduction in left ventricular compliance</p> Signup and view all the answers

    What is the primary reason pillows are placed under bony prominences in the side-lying position?

    <p>To reduce the risk of skin breakdown</p> Signup and view all the answers

    In which position is ventilation distributed uniformly in the vertical direction?

    <p>Prone abdomen free position</p> Signup and view all the answers

    What is a hazardous effect of the lateral side-lying position mentioned in the text?

    <p>Pressure points stress on head and face</p> Signup and view all the answers

    How does the lateral position affect sympathetic activity?

    <p>Increases sympathetic activity</p> Signup and view all the answers

    What is a beneficial effect of the side-lying position for unilateral lung pathologies?

    <p>Improves tidal volume</p> Signup and view all the answers

    What happens to the V/Q ratio from apex to base in the lungs?

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

    In which zone of the lungs does the V/Q ratio approach 0.8?

    <p>Zone II</p> Signup and view all the answers

    What is the primary advantage of supine positioning on pulmonary mechanics?

    <p>Reduced FRC</p> Signup and view all the answers

    What happens to the AP diameter of the abdomen and rib cage in supine positioning?

    <p>Decrease and increase</p> Signup and view all the answers

    Why is there an increase in airway resistance in the supine position?

    <p>Reduced FRC</p> Signup and view all the answers

    What is the main reason for tidal volume being predominantly generated by diaphragmatic abdominal displacement in supine positioning?

    <p>Cephalad shift of diaphragm</p> Signup and view all the answers

    What is the rationale for positioning the atelectatic lung uppermost following thoracotomy or chest drain placement?

    <p>To encourage expansion of the lung</p> Signup and view all the answers

    Why is it not recommended to have a patient lie on the operated side after a recent pneumonectomy?

    <p>To avoid fibrin and fluid deposition in the empty thorax</p> Signup and view all the answers

    In a patient with a large pleural effusion, what complication can arise if positioning is not managed appropriately?

    <p>Fibrin and fluid deposition in the thorax</p> Signup and view all the answers

    Why should a patient with a bronchopleural fistula not be positioned with the affected side uppermost?

    <p>To avoid unwanted substances draining into the unaffected lung</p> Signup and view all the answers

    What complication can arise in a patient with a large main stem bronchus tumor if positioned with the operated side uppermost?

    <p>Main stem bronchus obstruction</p> Signup and view all the answers

    What is the primary goal of mobilization in the management of cardiopulmonary dysfunction?

    <p>To take advantage of the beneficial effects on the cardiopulmonary system</p> Signup and view all the answers

    Which of the following statements about mobilization is true?

    <p>It is a method of low-intensity mobilization in a slow and restricted manner</p> Signup and view all the answers

    What is the primary benefit of simple walking in mobilization?

    <p>It increases lung volume and facilitates airway clearance</p> Signup and view all the answers

    Which of the following is a goal of mobilization?

    <p>To explore the beneficial effects of mobilization on the musculoskeletal system</p> Signup and view all the answers

    What is the effect of the upright posture achieved during progressive mobilizations?

    <p>It reduces pressure on the diaphragm and encourages basal distribution of air</p> Signup and view all the answers

    Which of the following statements about physical activity is true?

    <p>It is a form of behavior modification program given along with lifestyle modification</p> Signup and view all the answers

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