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Exam (elaborations)

FPCC Exam 3 Study Guide Solutions

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FPCC Exam 3 Study Guide Solutions Abductor pillow - ANSWER-edge shaped pillow between the patient's legs, *used to prevent internal hip rotation and hip abduction* Used after femoral fracture, hip fracture, or surgery. Two point crutch gait - ANSWER-*partial weight bearing*, use both feet. This is faster, but offers less support than the four point. The foot opposite of the crutch goes forward, so advance left foot along with right crutch, then right foot along with left crutch simultaneously. Three point crutch gait - ANSWER-*non-weight bearing*. Faster than a four-point gait. Can use with walker. Injured leg must be kept off the ground. Advance crutches, then advance good leg. ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/105 Four point crutch gait - ANSWER-*Partial weight bearing*, use both feet. Patient must shift weight constantly. *Offers the most support, but is also the slowest.* Patient will advance the right crutch, then advance the left foot. Then advance the left crutch, then advance the right foot. This is not done simultaneously. Logrolling - ANSWER-special turning technique used when the pt's spine must be kept in straight alignment You will need at least two nurses for this procedure, more if the patient is large. Logrolling moves the patient's body as a unit. One nurse is positioned at the level of the patient's head. The other staff members are distributed along the length of the patient. Everyone must move the patient in unison. Trapeze bar - ANSWER-Triangular- shaped device that is attached to an overhead bed frame. The patient can use the base of the triangle as a grip bar to move up in bed, turn, and pull up in preparation for getting out of bed or getting on & off the bed pan. ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/105 Trochanter rolls - ANSWER-made from tightly rolled towels, bath blankets, or foam pads. They are placed snuggly adjacent to the hips & thighs *to prevent external rotation of the hips* Transfer board - ANSWER-a wood or plastic device designed to assist with moving patients. 1. Place the board under the patient on the side in which he/she will be moved. 2. It is best to use a draw sheet to slide the patient across the board. *Also used by patients with long-standing mobility problems to increase their independence* Mechanical lift - ANSWER-hydraulic device used to transfer patients. Place a fabric sling under the patient & attach chains or straps from the sling to the lifting device. -Especially useful when providing care for *obese & immobile patients.* -Often seen in home care. -Most position patients in a *seated position, ideal for sitting them in a chair.* ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/105 -Some have the patient *supine, maybe to transfer patient from bed to stretcher, or have them lifted up while we make their bed.* Transfer belt - ANSWER-a heavy belt several inches wide that is used to *facilitate transfer or provide a secure mechanism to hold the patient when ambulating* -Apply belt *around patient's abdomen*, close to their center of gravity. -The belt may have external grip holds, or you may grip the entire belt wit

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©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




FPCC Exam 3 Study Guide Solutions


Abductor pillow - ANSWER✔✔-edge shaped pillow between the patient's legs, *used to prevent internal

hip rotation and hip abduction*




Used after femoral fracture, hip fracture, or surgery.


Two point crutch gait - ANSWER✔✔-*partial weight bearing*, use both feet. This is faster, but offers less

support than the four point.




The foot opposite of the crutch goes forward, so advance left foot along with right crutch, then right foot

along with left crutch simultaneously.


Three point crutch gait - ANSWER✔✔-*non-weight bearing*. Faster than a four-point gait. Can use with

walker.




Injured leg must be kept off the ground. Advance crutches, then advance good leg.



Page 1/105

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Four point crutch gait - ANSWER✔✔-*Partial weight bearing*, use both feet. Patient must shift weight

constantly.


*Offers the most support, but is also the slowest.*




Patient will advance the right crutch, then advance the left foot. Then advance the left crutch, then

advance the right foot. This is not done simultaneously.


Logrolling - ANSWER✔✔-special turning technique used when the pt's spine must be kept in straight

alignment




You will need at least two nurses for this procedure, more if the patient is large. Logrolling moves the

patient's body as a unit. One nurse is positioned at the level of the patient's head. The other staff

members are distributed along the length of the patient. Everyone must move the patient in unison.


Trapeze bar - ANSWER✔✔-Triangular- shaped device that is attached to an overhead bed frame. The

patient can use the base of the triangle as a grip bar to move up in bed, turn, and pull up in preparation

for getting out of bed or getting on & off the bed pan.




Page 2/105

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Trochanter rolls - ANSWER✔✔-made from tightly rolled towels, bath blankets, or foam pads. They are

placed snuggly adjacent to the hips & thighs *to prevent external rotation of the hips*


Transfer board - ANSWER✔✔-a wood or plastic device designed to assist with moving patients.




1. Place the board under the patient on the side in which he/she will be moved.


2. It is best to use a draw sheet to slide the patient across the board.


*Also used by patients with long-standing mobility problems to increase their independence*


Mechanical lift - ANSWER✔✔-hydraulic device used to transfer patients.




Place a fabric sling under the patient & attach chains or straps from the sling to the lifting device.




-Especially useful when providing care for *obese & immobile patients.*


-Often seen in home care.


-Most position patients in a *seated position, ideal for sitting them in a chair.*




Page 3/105

, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




-Some have the patient *supine, maybe to transfer patient from bed to stretcher, or have them lifted up

while we make their bed.*


Transfer belt - ANSWER✔✔-a heavy belt several inches wide that is used to *facilitate transfer or provide

a secure mechanism to hold the patient when ambulating*




-Apply belt *around patient's abdomen*, close to their center of gravity.


-The belt may have external grip holds, or you may grip the entire belt with your hand.


Active range of motion (AROM) - ANSWER✔✔-actively moving own extremity through ROM like

extension, flexion.




Want to encourage & teach clients to keep moving.


Passive range of motion (PROM) - ANSWER✔✔-movements of the joints through their range of motion

*by another person*




-support above & below the joint


-take joint to point where pt starts to feel resistance

Page 4/105

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