Exam 55: Cardiopulmonary Rehabilitation

Specific patient objectives for a pulmonary rehabilitation program could include which of the following? 1) Proper use of medications, O₂, and breathing equipment 2) Reconditioning of both skeletal and respiratory muscles 3) Adherence to proper hygiene and good nutrition 4) Improvement in the results of pulmonary function tests

Knowledge from the social sciences is used in pulmonary rehabilitation programming for mainly what purpose? 1) To determine the impact of the disability on the patient or family 2) To quantify the extent of physiological impairment due to disease 3) To establish ways to improve the patient's quality-of-life

A cardiopulmonary exercise evaluation is conducted on a patient before participation in pulmonary rehabilitation for what purposes? 1) To quantify the patient's baseline exercise capacity 2) To develop an exercise prescription (including target heart rate) 3) To determine how much desaturation occurs with exercise

Which of the following exercises are useful for reconditioning the lower extremities of patients undergoing pulmonary rehabilitation? 1) Walking on a flat surface for a specified period of time 2) Walking on a treadmill for a specified distance or time 3) Pedaling a stationary bicycle for a specified distance

Which of the following are differences between cardiac and pulmonary rehabilitation? 1) Cardiac patients are typically younger. 2) Most cardiac patients are not able to walk for 1 hr. 3) Reimbursement is easier to obtain with cardiac rehabilitation. 4) Breathing exercises are not essential to cardiac patients.

A patient in your pulmonary rehabilitation program has an orthopedic disability that precludes her from walking or using a stationary bicycle. Which of the following activities would you recommend to help recondition the lower extremities?

During exercise, the point at which increased levels of lactic acid production result in an increased VCO₂ and V_E is referred to as what?

Which of the following clinicians are commonly involved in the cardiac rehabilitation programs? 1) Nurse specialist 2) Cardiologist 3) Dietitian

A small-group discussion format for pulmonary rehabilitation educational sessions is recommended in order to foster which of the following? 1) Group interaction 2) Peer support 3) Group identity

To physically recondition a patient and increase exercise tolerance, which of the following must be accomplished? 1) The body's overall O₂ utilization must be improved. 2) The patient's essential muscle groups must be strengthened. 3) The cardiovascular response to exercise must be enhanced.

Which of the following are factors affecting the cost of a pulmonary rehabilitation program? 1) Space and utility expenses 2) Equipment and supplies 3) Patient health insurance 4) Program promotion costs

Appropriate topical areas to be covered in a rehabilitation education session on nutrition include which of the following? 1) Elements of a good diet 2) Proper eating habits 3) Foods to avoid 4) Daily menu planning

Which of the following pulmonary function tests are most useful in determining whether a patient with restrictive lung disease should be considered for pulmonary rehabilitation? 1) DLCO 2) Total lung capacity (TLC) 3) FEV₁/FVC

Which of the following topics should be covered in a rehabilitation education session on respiratory homecare? 1) Self-administration of therapy 2) Care of home equipment (e.g., cleaning) 3) Safe use of home care equipment

By following the reimbursement guidelines for a comprehensive outpatient rehabilitative facility (CORF), Medicare will reimburse up to what percentage of the allowable charge for a rehabilitation program?

Absolute contraindications for conducting a cardiopulmonary exercise evaluation include which of the following? 1) Diastolic blood pressure greater than 110 mm Hg 2) Serious cardiac arrhythmias 3) Unstable angina 4) Recent myocardial infarction

Which of the following patients would benefit least from pulmonary rehabilitation?

Which of the following health professionals would be best for conducting a pulmonary rehabilitation session on methods of relaxation and stress management?

Common cardiovascular hazards of physical reconditioning for patients with chronic lung disease include which of the following? 1) Cardiac arrhythmias 2) Systemic hypotension 3) Muscle contractures

Which of the following patients are good candidates for pulmonary rehabilitation? 1. Those with malignant neoplasms involving the lungs 2. Those with severe arthritis or neuromuscular abnormalities 3. Those with exercise limitations due to severe dyspnea 4. Those with moderate to severe obstructive lung disease