5.0
OCCTH 585 - MIDTERM 2 QUESTIONS
LATEST 2024-2025 AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
OT Role in Neuro Acute Care
ANS:
✓ impairment > activity > participation
You are seeing your client Fanny. She has trouble speaking but is trying to say
that she is having vision problems, weakness, headaches and is dizzy. You know
its time to act FAST because Fanny is likely experiencing...
ANS:
✓ a stroke
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Fanny continues describing her experience as you wait for the stroke ambulance
to arrive from the UofA hospital. Fanny would likely describe her symptoms as
ANS:
✓ progressive, spread across hours or days, starting with mild arm
numbness or morning paralysis, with onset during sleeping at night time
You know Fanny is at a higher risk for experiencing a stroke based on her having
ALL these risk factors for a stroke including...
ANS:
✓ age, cardiac disease (AF, MI), hypertension, blood lipids, diabetes
mellitus, obesity, cigarette smoker, excessive alcohol consumption
transient ischemic event vs. sustained ischemic event
ANS:
✓ transient = progressive symptoms of numbness or tingling to bring
awareness to something not being right; occurs before the actual
infarction
✓ complete/sustained = results in neurologic deficits that lasts for
days/weeks/permanent
When you get Fanny to the hospital the doctors refer to her condition of a stroke
as ___, as the medical term
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ANS:
✓ cerebrovascular accident (CVA)
The first the doctors do for acute medical management of Fanny is
ANS:
✓ determine the nature of the stroke and size
The doctors are referring to Fanny's condition as a right CVA, which you know
will result in _____ impacting her _____
ANS:
✓ left hemiplegia; left side
with Fanny's right CVA, what will be important for you as an OT to assess, based
on what you may be expecting to potentially see as a result of the region of this
stroke (functional implications in what areas)
ANS:
✓ hemi-neglect to the left side (may only dress or groom one side of the
body, only eat food on one side of the plate, may be unaware of
people or cars approaching from the left side); lack of insight into own
deficits; impulsivity with mobility; communication difficulties
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why is it important for you to assess Fanny's functional ability to complete tasks
after a right hemisphere stroke
ANS:
✓ safety - with hemi-neglect (visually), impulsivity with mobility and lack
of insight into deficits
the doctors tell you they will be doing thrombolytic management with Fanny
which you know means they will
ANS:
✓ be helping to breakdown the blood clot and disrupt the occlusion
with intra-arterial administration of tPA (tissue plasminogen activator)
the doctors tell you about tPA which stands for _____, and ask when the onset of
Fanny's stroke was because for best results tPA should be administered within
_____ but explains current practice is ____
ANS:
✓ tissue plasminogen activator; within 1 hour for best results; current
practice is 4.5 hours up to 6 hours
Doctors determine that tPA is not a viable option to treat Fanny potentially
because...
Examstudy - Stuvia US | Wednesday, 18 December 2024