NBCOT Cardiopulmonary Exam Questions with Verified Solutions Current Version () Already Passed

NBCOT Cardiopulmonary Exam Questions with Verified Solutions Current Version () Already Passed Sternal Precautions - Answers -Lateral arm movements -Overhead exercises -Do not push/pull -Do not lift or carry over 5 lb. Phase 1: Edema management - Answers -Short stretch compression bandages worn 24/7 -Massage and PROM -Emphasis on decongesting proximal segments -Energy conservation -Family and caregiver education on compression garments - Contraindications for therapy - Answers -Acute MI within 2 days -Unstable angina -Uncontrolled cardiac arrhythmia -Tachy or bradycardia -Severe arterial hypertension Respiratory conditions - OT evaluations - Answers -Review medical record -Presenting symptoms -Edema -Past medical history -Diagnostic tests -Social history -Discharge environment and anticipated activity level -ADL assessment noting: -ROM -Muscle strength -Sensation -Cognition -Psychosocial status -Monitor HR, BP, and O2 -Daily activity interview Respiratory conditions - OT interventions - Answers 1. ADL training. -Administration of O2 if saturation goes below 90% -Bathing and dressing one extremity at a time -Frequent rest breaks 2. Education of pursed lip and diaphragmatic breathing during activity and to lean forward on thighs and practice breathing to decrease anxiety, panic, and SOB 3. UE strengthening 4. Adapt community activities to foster increased participation 5. Stress management training Angina pectoris - Answers Mild to moderate substernal chest pain/discomfort. Most commonly felt as pressure or a dull ache in the chest/left arm Stable Angina - Answers -Occurs during exercise or activity -Relieved with rest and/or sublingual nitroglycerin Unstable angina - Answers -Coronary insufficiency at rest without exertion -Chest pain increases in severity, frequency, duration Heart rate - Answers -Adult: 60-100 -Infant: 120 Tachycardia - Answers -Greater than 100 bpm -Can cause sudden cardiac death -Defer therapy until client is medically stable Bradycardia - Answers -Less than 60 bpm BP - Answers -Adult: 120/80 -Infant: 80/45 -6 years: 105-125/60-80 Respiration - Answers -Adult: 12-20 BPM -Infant: 40 BPM Diaphoresis - Answers Excessive sweating associated with decreased cardiac output Cyanosis - Answers Blue Grading scale for peripheral pulses - Answers -0: Absent pulse - Not palpable -1+: Pulse diminished, barely perceptible -2+: Easily palpable, normal 3+: Full pulse, increased strength Rubor - Answers Dependent redness with PVD Edema grading scale - Answers -1+: Mild -2+: Moderate, returns to normal within 15 seconds -3+: Severe, depression takes 15-30 seconds to rebound -4+: Very severe, depression takes 30 seconds to rebound Minimize dyspena - Answers Slouch forward, while avoiding maximum forward trunk bending Most likely to develop an infection post transplant - Answers Lung transplants postprandial orthostatic hypotension - Answers Postprandial orthostatic hypotension occurs when a person goes from supine to standing shortly after eating a meal When can a person get out of bed after provided anticoagulants for a deep vein thrombosis - Answers 2-3 days Phases of Cardiac Rehab - Answers Phase I Phase II