41. A physical therapist takes a PTA into a PT Evaluation. S…
Questions
41. A physicаl therаpist tаkes a PTA intо a PT Evaluatiоn. She wants tо review their screening criteria to give the PTA a better example on how to create interventions. These are the highlights: (1) Patient complaints of hip stiffness, especially worse in the morning, but resolves by the time they walk to the bathroom. (2) Hip IR 30, and painful. (3) Hip Flexion is 90. Based on Altman's Criteria make True if the patient is positive or false you believe if they are negative
Cаse Study Questiоn 3 оf 6 A 23-yeаr-оld mаle with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses' Notes 4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant. States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night. He complains that he has gained weight (10 lbs / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications Medication Dosage/Frequency/ Route Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Laboratory Report Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L BLANK 1 Select a condition for Blank 1 and a cause for Blank 2 of the following sentence. The nurse should recognize that the client is most likely experiencing (Blank 1) _______________ caused by (Blank 2)_____________________. Choose from following. Use exact format as below when filling in the blank. Conditions (Blank 1 Options) Causes (Blank 2 Options) Akathisia Antipsychotic medications Dystonia Rapid weight gain Pseudo-Parkinsonism Sleep deprivation Tardive dyskinesia Worsening bipolar disorder _______ Case Study Question 3 of 6 A 23-year-old male with bipolar disorder has a health maintenance appointment with the telehealth nurse. Nurses' Notes 4/1 Telemedicine visit. Client appeared onscreen in a positive mood, was well groomed; shaved; clothes neat, and non- wrinkled. His speech had a normal cadence, was organized, and logical. No slurring or stuttering. Occasional tongue thrusting noted while speaking that was reported to have started 1 day ago. Fine hand tremor noted when client smoothed hair back during conversation. Client reports that he is still attending school and is doing well. He is working a part time job on weekends for local restaurant. States that he has been taking his meds as directed, he has no thoughts of self- harm, but he has had difficulty sleeping more than a few hours per night. He complains that he has gained weight (10 lbs / 4.53 kg) recently and has not had the energy to work out. Self-obtained home vital signs of 128/72, HR 82, RR 20. Medications Medication Dosage/Frequency/ Route Time Lithium Carbonate 900 mg twice per day by mouth 0800 1800 Risperidone 2 mg once daily at bedtime by mouth 2100 Laboratory Report Lab Results Reference range Cholesterol (Total) 220 240 mg/dL high BUN 15 10-20 mg/dL Creatine (Serum) 1.2 0.9 to 1.4 mg/dL Glucose (fasting) 125 Normal 126mg/dL Preterm infants 40mg/dL-60mg/dL HgbA1C 5.7% Normal 6.5% Hematocrit 44 Males: 42-52%;Females: 35-47% Hemoglobin 15 Males: 13-18 g/dL; Females:12-16 g/dL WBC 6 4.5 – 10.5 x 103 cells/mm3 Platelets 180,000 140,000 to 450,000/ mm3 Potassium(serum) 4.2 3.5 to 5 mEq/L Sodium (serum) 140 135 to 145 mEq/L Lithium level 0.8 0.8-1.2 mEq/L BLANK 2 Select a condition for Blank 1 and a cause for Blank 2 of the following sentence. The nurse should recognize that the client is most likely experiencing (Blank 1) _______________ caused by (Blank 2)_____________________. Choose from following. Use exact format as below when filling in the blank. Causes (Blank 2 Options) Antipsychotic medications Rapid weight gain Sleep deprivation Worsening bipolar disorder _______