ANP 650 Final Review Questions And Correct Answers
Qualifying factors for acute rehab - ANSWER - ability to tolerate 3 hours of therapy per
day
-do not need to be able to shower themselves
Which patient population do best in acute rehab? - ANSWER - stroke
- total joint
- hip fractures
- head injuries
Tertiary prevention: - ANSWER treating the complications of a disease
HMO: - ANSWER A group plan offering prepaid medical care to its members. Negotiated
fees, paid by diagnosis
LTAC Medicare reimbursement criteria: - ANSWER Patients who have been in the ICU at
least 3 days and will be on the vent at the LTAC for 96 hours
Hospice medicare reimbursement - ANSWER Most people only qualify for home hospice,
but medicare will only cover intermittent care, comfort related medications
Respite care - ANSWER a form of care given to the caregivers of ill, disabled, or elderly
patients who remain at home bound. 1 wk per benefit period.
Red flag for spinal injury - ANSWER - Incontinence
- Altered sensation to extremities
compartment syndrome - ANSWER 4 P's
- pain
, - pallor
- pulselessness
- paresthesia
Example of pathological fracture - ANSWER CA - tumor causing bone to break
Frailty fracture - ANSWER osteoporosis
What chronic comorbidity is very common and often associated with bone
demineralization and frailty fractures? - ANSWER CKD
- hyperparathyroidism causes bone demineralization and frailty fracture
- Hypercalcemia = calcification of vascular system (coronaries, valves)
Should geriatric patients with fractured hip wait to see ortho? - ANSWER NO, hip
fractures are urgent. Early stabilizations improves outcomes
Treatment of Fibromyalgia-ANSWER antidepressants, NSAIDs, physical therapy, trigger
point injections (Opiates contraindicated)
Presentations of Spinal Stenosis-ANSWER Neurogenic claudication (legs hurt on
ambulation/ worsening pain when standing = compression)
Medication symptom management for Osteoarthritis- ANSWER -Acetaminophen: safest
in the elderly adult with HTN, GI bleed, or CKD
NSAIDs: works better but higher risks
Consideration of joint replacement in osteoarthritis at- ANSWER After failed
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