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NSG 521 patient management exam 1 Questions With Complete Solutions
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NSG 521 patient management exam 1 Questions With Complete Solutions
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NSG 521 patient management exam 1 Questions WithComplete Solutions
10 question red flag identification Correct Answer Have you
recently experienced...
1. Abnormal sensations (numbness, pins and needles, etc.)
2. Headaches
3. Night pain
4. Sustained morning stiffness
5. Light-headed Ess.
6. Trauma
7. Night sweats
8. Constipation
9. Easy bruising
10. Changes in vision
1st MTP extension ROM compensations Correct Answer
Movement of foot medial/lateral
Ankle PF or DF
1st MTP extension ROM goniometer alignment Correct Answer
Stationary arm: medial midline of 1st metatarsal
Axis: medial aspect of 1st MTP joint
Moving arm: medial midline of proximal phalanx of great toe
1st MTP extension ROM measurement procedure Correct
Answer Baseline resting great toe position will be noted
Patient will actively extend their great toe as far as they can
comfortably and hold this position while a measurement is taken
Therapist will passively add overpressure to great toe to see if
more extension can be achieved and then measure again
,Endfeel will also be noted
1st MTP extension ROM patient position Correct Answer
Supine with knee extended and ipsilateral foot off the edge of
the table to prevent the calcaneus from being touched
2 point gait pattern Correct Answer Uninvolved side assistive
device and involved limb move forward
Involved side assistive device and uninvolved limb move next
Stable pattern
Low energy expenditure
Stimulates normal gait
Faster than 4-point
3 point gait pattern Correct Answer Advances crutches then
uninvolved limb moves forward
"Crutch and jump through"
Less stable
Faster pace
High energy expenditure
UE strength required
4 point gait pattern Correct Answer Steps:
1. Involved side assistive device moves first
2. Uninvolved limb moves next
3. Uninvolved side assistive device moves next
4. Involved limb moves last
Very stable
Low expenditure
,Stimulates normal gait
ABCDE of skin cancer Correct Answer Asymmetry (one-half
is different than the other half)
Border irregularity
Color (uneve, shades of brown, tan, black)
Diameter (greater than 6mm)
Evolution (changes over time)
Adjusting a crutch Correct Answer Place end at feet
Wrist crease at handle
Bar right under axila
15-20 degrees elbow flexion when standing and holding on
Advantages of AROM Correct Answer Allows examiner to
determine how much the patient is willing to move the joint that
is being measured
Observation of a functional task provides the examiner with
information on multiple joints
Advantages of PROM Correct Answer Allows examiner to
determine the total ROMt that the patient possesses
Provides the examiner with information to determine any
limitations to full ROM, known as end-feel
Airborne isolation precautions when entering the room Correct
Answer Wash hands
Wear an N-95 respirator
Airborne isolation precautions with patient Correct Answer
Wears a mask if they must leave the room
, Typically they really don't leave the room
Airborne isolation precautions with room Correct Answer
Negative air flow
Door must remain closed
Ankle composite DF ROM compensations Correct Answer
Movement of the foot medial/lateral
Ankle composite DF ROM goniometer alignment Correct
Answer Stationary arm: along lateral midline of the lower leg
toward the fibular head
Axis: distal to, but in line with, the lateral malleolus
Moving arm: parallel to the base of the calcaneus
Ankle composite DF ROM measurement procedure Correct
Answer Baseline resting ankle position will be noted
Patient will actively dorsiflex their ankle as far as they can
comfortably and hold this position while a measurement is taken
The therapist will passively add overpressure to the ankle to see
if more dorsiflexion can be achieved and then measure again
Endfeel of the motion will also be noted
Ankle composite DF ROM patient position Correct Answer
Supine with knee slightly flexed and the ipsilateral foot off the
edge of the table to prevent the calcaneus from being touched
Ankle composite PF ROM compensations Correct Answer
Movement of foot medial/lateral
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