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Flashcards in Chapter 36 Quiz Deck (10)
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1
Q

A surgical procedure that creates an opening between the intestine and the surface of the body that allows for elimination of waste products is called a(n):

A. colostomy.
B. intestinal shunt.
C. gastrostomy.
D. gastric stoma.

A

A. colostomy.

Chapter 36, page 1337, Patients with Medical Technology Assistance

2
Q

You are assessing a 440-lb man who complains of shortness of breath and lower back pain. The patient is conscious and alert, his blood pressure is 148/98 mm Hg, and his heart rate is 120 beats/min. Your MOST immediate action should be to:

A. notify the receiving facility and advise them of the patient’s weight and status.
B. ask a member of your team to locate the best route to move him to the ambulance.
C. perform a secondary assessment, focusing on his respiratory system and back.
D. avoid placing him in a supine position if possible and administer oxygen.

A

D. avoid placing him in a supine position if possible and administer oxygen.

Chapter 36, page 1332, Bariatric Patients

3
Q

Cerebral palsy is characterized by poorly controlled ________ movement.

A. body
B. extremity
C. eye
D. neck

A

A. body

Chapter 36, page 1330, Physical Disabilities

4
Q

Spina bifida is defined as:

A. a birth defect caused by incomplete closure of the spinal column.
B. a birth defect in which the child is born without spinal vertebrae.
C. chronic pressure on the brain caused by excess cerebrospinal fluid.
D. congenital inflammation of the spinal cord, usually in the neck.

A

A. a birth defect caused by incomplete closure of the spinal column.

Chapter 36, page 1330, Physical Disabilities

5
Q

A 70-year-old male complains of shortness of breath. During your assessment, you note that he has bilateral hearing aids. When you ask him questions related to his chief complaint, he does not answer you. You can hear a whistling sound coming from his hearing aids. You should:

A. try repositioning the hearing aid or remove it and turn down the volume.
B. remove his hearing aids, turn up the volume, and replace them in his ears.
C. remove both of his hearing aids and use pencil and paper to communicate.
D. recognize that the batteries in his hearing aids are probably depleted.

A

A. try repositioning the hearing aid or remove it and turn down the volume.

Chapter 36, page 1328, Sensory Disabilities

6
Q

Under what circumstances is a left ventricular assist device used?

A. As a bridge to heart transplantation while a donor heart is being located
B. To permanently replace the function of one or both of the ventricles
C. To ensure that the ventricles contract at an adequate and consistent rate
D. To reduce ventricular pumping force in patients with aortic aneurysms

A

A. As a bridge to heart transplantation while a donor heart is being located

Chapter 36, page 1335, Patients with Medical Technology Assistance

7
Q

Which of the following statements regarding autism is correct?

A. Impairment of motor activity is a classic sign of autism.
B. Autism affects females four times greater than males.
C. Most cases of autism are diagnosed by 3 years of age.
D. The majority of patients with autism do not speak at all.

A

C. Most cases of autism are diagnosed by 3 years of age.

Chapter 36, page 1324, Intellectual Disability

8
Q

Down syndrome is a genetic defect that occurs as the result of:

A. an extra pair of chromosomes.
B. a separation of chromosome 21.
C. a sperm that contains 24 chromosomes.
D. a triplication of chromosome 21.

A

D. a triplication of chromosome 21.

Chapter 36, pages 1324–1325, Intellectual Disability

9
Q

Which of the following statements regarding patients with intellectual disabilities is correct?

A. Speaking with the patient’s family is the least effective way to determine how much the patient understands.
B. Most patients with intellectual disabilities have normal cognitive function, but abnormal physical features.
C. An intellectual disability differs from mental retardation in that it is the result of a congenital abnormality.
D. Patients with intellectual disabilities are susceptible to the same disease processes as other patients.

A

D. Patients with intellectual disabilities are susceptible to the same disease processes as other patients.

Chapter 36, page 1324, Intellectual Disability

10
Q

The purpose of a ventricular peritoneum shunt is to:

A. monitor pressure within the skull in patients with a head injury.
B. divert excess cerebrospinal fluid to the ventricles of the brain.
C. prevent excess cerebrospinal fluid from accumulating in the brain.
D. remove fluid from the abdomen of patients with right-sided heart failure.

A

C. prevent excess cerebrospinal fluid from accumulating in the brain.

Chapter 36, page 1337, Patients with Medical Technology Assistance