with Rationales
1. Select the member of the healthcare team that is paired with one of the main functions of
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this team member.
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A. Occupational therapist: Gait exercises q q q
B. Physical therapist:The provision of assistive devices to facilitate the activ-
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ities of daily living
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C. Speech and language therapist:The treatment of swallowing disorders
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D. Case manager: Ordering medications and treatments: *Correct Response: C* Speech an
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d language therapists assess and treat patients with a swallowing disor-
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der; they also assess and treat patients with speech and communication problems as often o
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ccurs after a cerebrovascular accident, or stroke. *Occupational therapists assist patients wit
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h their activities of daily living and they also provide patients with assistive devices to facilitat
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e eating and dressing.
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*Physical therapists perform rehabilitation and restorative care including help with ambulatio
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n and balance/gait exercises.
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*Lastly, case managers coordinate care along the continuum of care and they manage insura
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nce reimbursements.
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2. The recommended daily caloric intake for sedentary older men, active adult women and
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children is: q
A. 2400 calories q
B. 1600 calories q
C. 2800 calories q
D. 2000 calories: *Correct Response: D*
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Sedentary older men, active adult women and children should all have 6 ounces of grains, 2½
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cups of vegetables, 2 cups of fruits, and 3 cups of milk to help make
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up their 2000 calorie requirement. Sedentary adolescents require 2400 calories, sedentary w
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omen and children require 1600 calories and active adolescents need 2800 calories daily.
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3. Ill health, malnutrition, and wasting as a result of chronic disease are all associated
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,with:
A. Surgical asepsis q
B. Catabolism
C. Cachexia
D. Venous stasis: *Correct Response: C*
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Ill health, malnutrition, and wasting as a result of chronic disease are all associated with cach
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exia. Cachexia can also result from dehiscence of a surgical incision or rupture of wound clos
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ure.
*Surgical asepsis refers to using a sterile technique to protect against infection before, during
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, and after surgery. The breakdown of tissue, especially after severe trauma or crush injuries is
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known as *catabolism.
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,*Venous stasis is a disorder related to pooling of blood in a vein of the body; venous stasis typic
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ally occurs in the lower extremities and it is one of the many hazards, or complications, of imm
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obilization.
4. Select all the possible opportunistic infections that adversely affect HIV/AIDS i
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nfected patients: q
A. Visual losses q
B. Kaposi's sarcoma q
C. Wilms' sarcoma q
D. Tuberculosis
E. Peripheral neuropathy q
F. Toxoplasma gondii: *Correct Response: B, D, F* q q q q q q
Kaposi's sarcoma, tuberculosis, toxoplasma gondii, mycobacterium avium, herpes simplex,
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histoplasmosis and salmonella infections are HIV/AIDS associated oppor- tunistic infections.
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*Although many affected patients can experience blindness and peripheral neuropa-
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thy, these disorders result from impaired nervous system damage rather than an infection.
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*Lastly, Wilms' tumor (sarcoma) is a pediatric form of kidney cancer and it is neither an infectio
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n nor something that typically affects the patient with HIV/AIDS
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5. What can help reduce a patient's anxiety and postsurgical pain?
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A. Preoperative teaching q
B. Preoperative checklist q
C. Psychological counseling q
D. Preoperative medication: *Correct Response: A* q q q q
Patient teaching before surgery not only helps to reduce a patient's anxiety and postsurgical p
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ain but it also decreases the amount of anesthesia needed and a lack of anxiety additionally s
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peeds up wound healing. Preoperative checklists are a form of nursing documentation that is
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used to guide and document the care of the patient before surgery. Psychological counseling i
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s typically NOT necessary except under highly unusual circumstances and preoperative medic
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ation can decrease the amount of anesthetic needed and respiratory tract secretions but it do
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es not help with postoperative pain.
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6. Which disease decreases the metabolic rate? q q q q q
A. Cancer
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, B. Hypothyroidism
C. Chronic obstructive pulmonary disease
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D. Cardiac failure: Answer: B- hypothyroidism.
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7. When caring for an infant during cardiac arrest, which pulse must be pal-
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pated to determine cardiac function?
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