You are working with a patient who has a pulmonary artery (Swan-Ganz) catheter. While ambulating in the hall, you note a change in the waveform of the pulmonary artery blood pressure measurement. Which of the following steps is MOST appropriate to take?
A
Ask the nurse to check the waveform and line for proper position before continuing PT. Change in waveform may indicate that the line has migrated (either been retracted or advanced). The best step to take would be to contact the nurse to confirm there are
You receive a referral to evaluate a patient who is intubated and on mechanical ventilation. Which of the following parameters would give you concern that the patient may not be appropriate for a PT evaluation?
A) FFiO2 0.50, PEEP 8 cm H2O
B) FiO2 0.80, P
FiO2 0.80, PEEP 15 cm H2O A clinical guide that is often used in the literature points to FiO2 > 0.60 and PEEP > 10 cm H2O potentially indicating that a patient is not appropriate for PT.
FiO2 0.50, PEEP 8 cm H2O A clinical guide that is often used in the
You are treating a patient who has end-stage renal disease. The patient reports fatigue and back pain, and they appear to have difficulty concentrating at times. Which of the following lab values are you MOST likely to find?
Creatinine 0.5 mg/dL, Blood Ur
Creatinine 1.8 mg/dL, Blood Urea Nitrogen 29 mg/dL These numbers are both elevated. This is likely to be seen in patients with ESRD, and elevations in both can cause the above symptoms.
Creatinine 0.5 mg/dL, Blood Urea Nitrogen 8 mg/dL These numbers are n
You are seeing a patient who was admitted with a hypertensive emergency. They are currently on an intravenous anti-hypertensive agent, nicardipine (Cardene). Which of the following statements describes an appropriate approach to this treatment?
This medic
The patient should be monitored closely for orthostatic hypotension, and BP should be kept within target range specified by MD. This medication class commonly causes orthostasis. The PT should know what the goal BP range is, and ensure that the patient st
You receive a referral to evaluate a patient who has COPD. Your chart review reveals that the patient is receiving hospice services. Which of the following statements BEST describes an appropriate approach to this evaluation?
You should not perform the ev
Patient/family goals that involve quality of life should be your priority. Any goals that emphasize QOL should be the focus when working with patients who are on hospice.
You should not perform the evaluation, as PT is not appropriate for patients who are
You are working with a patient who has aphasia following a CVA. Which of the following strategies are MOST appropriate for you to use to improve participation in your PT session?
Patients who have aphasia cannot read social cues, so your tone or gestures
Giving commands in multiple different ways (i.e., speaking and gesturing) can help improve patient understanding. This can help improve understanding in the patient with aphasia.
Patients who have aphasia cannot read social cues, so your tone or gestures
Which of the following factors is known to be associated with an increased risk of post-intensive care syndrome (PICS)?
Prolonged mechanical ventilation
Early PT intervention
Richmond Agitation Sedation Scale (RASS) score of 0
Early weaning from sedative
Prolonged mechanical ventilation
Early PT intervention Early PT and mobility may reduce the incidence of PICS, but does not lead to an increased incidence of PICS.
Richmond Agitation Sedation Scale (RASS) score of 0 This indicates a patient is alert and c
Which of the following statements BEST describes the roles that adipose tissue play in the human body?
Adipose tissue is considered part of the endocrine system, and substances released by adipocytes are anti-inflammatory.
Adipose tissue contributes to va
Adipose tissue is considered part of the endocrine system, and substances released by adipocytes lead to chronic inflammation.
Adipose tissue is considered part of the endocrine system, and substances released by adipocytes are anti-inflammatory. This is
Which of the following pieces of advice is consistent with the current USDA/HHS dietary guidelines?
Full-fat dairy products should be consumed instead of low-fat dairy products
Saturated fats should be limited to < 10% of daily calories..
Two glasses of w
Saturated fats should be limited to < 10% of daily calories. This is part of the guidelines, in addition to avoiding trans fats.
Full-fat dairy products should be consumed instead of low-fat dairy products. The guidelines recommend low-fat or fat-free dai
Which of the following signs or symptoms might indicate malnutrition?
Increased skin turgor
Serum prealbumin 40 mg/dL
Peripheral edema
Excessive salivation
Peripheral edema This is a sign of malnutrition and is often related to low protein levels.
Increased skin turgor Decreased, not increased, skin turgor is a sign of malnutrition.
Serum prealbumin 40 mg/dL This lab value is high. Low, not high, serum preal