Question 1

What would be the most important intervention for a patient with venous insufficiency?

Accepted Answer

A) Compression therapy 
B) Improved nutrition 
C) Decreasing pressure 
D) Limiting movement 
A) Compression therapy 
B) Improved nutrition 
C) Decreasing pressure 
D) Limiting movement A

Question 2

What might be a clinical sign that an infection is developing in a wound in the inflammatory phase?

Accepted Answer

A) A significant decrease in swelling around the wound 
B) Closure of the wound through contraction of the edges 
C) An increase in the amount of drainage from the wound 
D) Evidence of the beginning of re-epithelialization 
A) A significant decrease in swelling around the wound 
B) Closure of the wound through contraction of the edges 
C) An increase in the amount of drainage from the wound 
D) Evidence of the beginning of re-epithelialization C

Question 3

Which of the following is a characteristic of veins?

Accepted Answer

A) Valves control the blood flow. 
B) They have contractile abilities. 
C) The walls are thick and elastic. 
D) Heart function controls flow. 
A) Valves control the blood flow. 
B) They have contractile abilities. 
C) The walls are thick and elastic. 
D) Heart function controls flow. A

Question 4

A patient presents with pitting edema present in the lower extremity and reports feelings of tightness and discomfort in the leg.The edema is not improved with elevation,and the patient has a history of radiation therapy to the groin.What is the most likely cause of these symptoms?

Accepted Answer

A) Peripheral neuropathy 
B) Lymphatic disease 
C) Venous insufficiency 
D) Arterial insufficiency 
A) Peripheral neuropathy 
B) Lymphatic disease 
C) Venous insufficiency 
D) Arterial insufficiency

Question 5

What would be an appropriate intervention to increase wound perfusion in any individual?

Accepted Answer

A) Keep the temperature of the wound cool. 
B) Limit the fluid intake of the individual. 
C) Decrease the patient's caloric intake. 
D) Control for pain and anxiety levels. 
A) Keep the temperature of the wound cool. 
B) Limit the fluid intake of the individual. 
C) Decrease the patient's caloric intake. 
D) Control for pain and anxiety levels.

Question 6

Your patient presents with significant edema and necrotic tissue in the wound.How might this effect healing?

Accepted Answer

A) It will inhibit adequate oxygenation. 
B) It will improve removal of infection. 
C) It will maintain appropriate moisture. 
D) It will prevent venous return of blood. 
A) It will inhibit adequate oxygenation. 
B) It will improve removal of infection. 
C) It will maintain appropriate moisture. 
D) It will prevent venous return of blood.

Question 7

Which of the following wounds would tend to close more slowly by secondary intention?

Accepted Answer

A) A full-thickness surgical incision 
B) A superficial wound on the heel 
C) A partial-thickness wound on the face 
D) A full-thickness pressure ulcer 
A) A full-thickness surgical incision 
B) A superficial wound on the heel 
C) A partial-thickness wound on the face 
D) A full-thickness pressure ulcer

Question 8

At which of the following sites would a patient be most likely to develop a pressure ulcer?

Accepted Answer

A) The posterior aspect of the head 
B) The medial aspect of the elbow 
C) The anterior superior iliac spine 
D) The lateral malleolus of the ankle 
A) The posterior aspect of the head 
B) The medial aspect of the elbow 
C) The anterior superior iliac spine 
D) The lateral malleolus of the ankle

Question 9

Which of the following patients would be at the highest risk for developing a pressure ulcer?

Accepted Answer

A) A 35-year-old patient with a spinal cord injury 
B) An 88-year-old patient who is living at home 
C) A 67-year-old patient who is independently mobile 
D) A 33-year-old patient who has been hospitalized 
A) A 35-year-old patient with a spinal cord injury 
B) An 88-year-old patient who is living at home 
C) A 67-year-old patient who is independently mobile 
D) A 33-year-old patient who has been hospitalized

Question 10

Which of the following is a characteristic of arteries?

Accepted Answer

A) Valves control the blood flow. 
B) They have contractile abilities. 
C) The walls are thin and elastic. 
D) Blood pressure is very low. 
A) Valves control the blood flow. 
B) They have contractile abilities. 
C) The walls are thin and elastic. 
D) Blood pressure is very low.

Question 11

What would be an example of a cause of secondary lymphedema?

Accepted Answer

A) Hypoplasia causing fewer than normal vessels 
B) Congential malformation of the lymph vessels 
C) Trauma to the lymph nodes from breast surgery 
D) Increased levels of lymphatic fluid present 
A) Hypoplasia causing fewer than normal vessels 
B) Congential malformation of the lymph vessels 
C) Trauma to the lymph nodes from breast surgery 
D) Increased levels of lymphatic fluid present

Question 12

When using monofilaments to examine sensation,what indicates normal sensation?

Accepted Answer

A) A patient report of sensation with the 6.25 monofilament 
B) A patient report of sensation with the 5.07 monofilament 
C) A patient report of sensation with the 4.17 monofilament 
D) A patient report of sensation with the 2.23 monofilament 
A) A patient report of sensation with the 6.25 monofilament 
B) A patient report of sensation with the 5.07 monofilament 
C) A patient report of sensation with the 4.17 monofilament 
D) A patient report of sensation with the 2.23 monofilament

Question 13

A patient presents with a wound that is draining exudate,has significant granulation tissue present,with little reported pain.What is the most likely cause of this wound?

Accepted Answer

A) Peripheral neuropathy 
B) Lymphatic disease 
C) Venous insufficiency 
D) Arterial insufficiency 
A) Peripheral neuropathy 
B) Lymphatic disease 
C) Venous insufficiency 
D) Arterial insufficiency

Question 14

Which of the following effects lymphangion contraction to move lymph fluid through the system?

Accepted Answer

A) REM portion of the sleep cycle 
B) Weightbearing in the extremities 
C) Muscle contraction near a vessel 
D) Head position during standing 
A) REM portion of the sleep cycle 
B) Weightbearing in the extremities 
C) Muscle contraction near a vessel 
D) Head position during standing

Question 15

A patient has a wound closed by the physician using sutures.What type of wound closure is this considered?

Accepted Answer

A) Closure by primary intention 
B) Closure by secondary intention 
C) Closure by wound contraction 
D) Closure by contact inhibition 
A) Closure by primary intention 
B) Closure by secondary intention 
C) Closure by wound contraction 
D) Closure by contact inhibition

Question 16

What process is facilitated by the use of a dressing that maintains moisture in the wound?

Accepted Answer

A) Supratypic débridement 
B) Autolytic débridement 
C) Confined débridement 
D) Moisture débridement 
A) Supratypic débridement 
B) Autolytic débridement 
C) Confined débridement 
D) Moisture débridement

Question 17

What would be considered a contraindication for the use of sharp débridement?

Accepted Answer

A) Large amounts of necrotic tissue 
B) Adequate arterial flow in the area 
C) Wounds without eschar formation 
D) A patient who is on anticoagulants 
A) Large amounts of necrotic tissue 
B) Adequate arterial flow in the area 
C) Wounds without eschar formation 
D) A patient who is on anticoagulants

Question 18

How is electrical stimulation thought to facilitate wound healing?

Accepted Answer

A) It increases the amount of inflammation present in the initial phase. 
B) It decreases the bacterial load and promotes granulation of the wound. 
C) It facilitates movement of the involved extremity and prevents pressure. 
D) It changes the flow of electrolytes between the cells in the second phase. 
A) It increases the amount of inflammation present in the initial phase. 
B) It decreases the bacterial load and promotes granulation of the wound. 
C) It facilitates movement of the involved extremity and prevents pressure. 
D) It changes the flow of electrolytes between the cells in the second phase.

Question 19

Why is it important for a patient to have a diet rich in vitamin C and zinc in her diet during wound healing?

Accepted Answer

A) They stimulate collagen cross-linking. 
B) They help bring oxygen to the site. 
C) They are essential for tissue repair. 
D) They enhance immune function. 
A) They stimulate collagen cross-linking. 
B) They help bring oxygen to the site. 
C) They are essential for tissue repair. 
D) They enhance immune function.

Question 20

What interventions should be included for a patient with lymphedema?

Accepted Answer

A) Compression glove and range of motion 
B) Strengthening and elevation of the limb 
C) Stretching and lymphedema bandaging 
D) Manual lymph drainage and elevation 
A) Compression glove and range of motion 
B) Strengthening and elevation of the limb 
C) Stretching and lymphedema bandaging 
D) Manual lymph drainage and elevation

Exam 17: Vascular,lymphatic,and Integumentary Disorders

What would be the most important intervention for a patient with venous insufficiency?

What might be a clinical sign that an infection is developing in a wound in the inflammatory phase?

Which of the following is a characteristic of veins?

A patient presents with pitting edema present in the lower extremity and reports feelings of tightness and discomfort in the leg.The edema is not improved with elevation,and the patient has a history of radiation therapy to the groin.What is the most likely cause of these symptoms?

What would be an appropriate intervention to increase wound perfusion in any individual?

Your patient presents with significant edema and necrotic tissue in the wound.How might this effect healing?

Which of the following wounds would tend to close more slowly by secondary intention?

At which of the following sites would a patient be most likely to develop a pressure ulcer?

Which of the following patients would be at the highest risk for developing a pressure ulcer?

Which of the following is a characteristic of arteries?

What would be an example of a cause of secondary lymphedema?

When using monofilaments to examine sensation,what indicates normal sensation?

A patient presents with a wound that is draining exudate,has significant granulation tissue present,with little reported pain.What is the most likely cause of this wound?

Which of the following effects lymphangion contraction to move lymph fluid through the system?

A patient has a wound closed by the physician using sutures.What type of wound closure is this considered?

What process is facilitated by the use of a dressing that maintains moisture in the wound?

What would be considered a contraindication for the use of sharp débridement?

How is electrical stimulation thought to facilitate wound healing?

Why is it important for a patient to have a diet rich in vitamin C and zinc in her diet during wound healing?

What interventions should be included for a patient with lymphedema?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Brain Injury

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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