question

Vagal nerve stimulators may be an alternative treatment to medication for patients with:

answer

chronic seizure disorders.

question

Spina bifida is MOST accurately defined as:

answer

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

question

Airway management can be challenging in patients with Down syndrome because their:

answer

teeth are misaligned and they have a large tongue

question

In contrast to an automated implanted cardioverter/defibrillator, an internal cardiac pacemaker:

answer

regulates the patient's heart rate if it falls below a preset value.

question

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:

answer

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

question

When assessing or providing care to a patient with a developmental disability, you should:

answer

be observant for signs of fear or reluctance from the patient.

question

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

answer

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

question

The tip of a central venous catheter rests in the:

answer

vena cava.

question

A significant number of patients with cerebral palsy also have:

answer

a seizure disorder.

question

An important aspect in the assessment of a patient who experienced a previous brain injury involves:

answer

speaking with the patient and family to establish what is considered normal for the patient

question

Autism is MOST accurately defined as a:

answer

pervasive developmental disorder characterized by impairment of social interaction.

question

A service dog is easily identified by its:

answer

harness

question

The purpose of a ventricular peritoneum shunt is to:

answer

Prevent excess cerebrospinal fluid from accumulating in the brain.

question

Common complications associated with central venous catheters include all of the following, EXCEPT:

answer

rupture of a central vein

question

Patients with autism:

answer

have extreme difficulty with complex tasks that require many steps.

question

When interacting with a developmentally disabled patient, the best approach is to:

answer

ask your team members to wait until you can establish a rapport with the patient.

question

You receive a call to a residence for an apneic 2-month-old male. When you arrive at the scene, the infant's mother tells you that her son was born prematurely and that his apnea monitor has alarmed 4 times in the past 30 minutes. Your assessment of the infant reveals that he is conscious and active. His skin is pink and dry, and he is breathing at an adequate rate and with adequate tidal depth. His oxygen saturation reads 98% on room air. You should:

answer

transport the infant to the hospital and bring the apnea monitor with you.

question

Which of the following statements regarding gastrostomy (gastric) tubes is correct?

answer

Patients with a gastrostomy tube may still be at risk for aspiration.

question

When caring for a morbidly obese patient, you should:

answer

establish his or her chief complaint and then communicate your plan to help

question

In contrast to conductive hearing loss, sensorineural hearing loss is caused by:

answer

nerve damage

question

When caring for a patient who is visually impaired, it is important to:

answer

tell him or her what is happening, identify noises, and describe the situation and surroundings.

question

Which of the following does NOT usually contribute to or cause obesity?

answer

rapid metabolism

question

Because a tracheostomy tube bypasses the nose and mouth:

answer

secretions can build up in and around the tube.

question

Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?

answer

using a piece of paper and writing utensil to ask questions

question

Which of the following statements regarding interaction with the caregiver of a child or adult with special health care needs is correct?

answer

Communication with the patient's caregiver or family members is important because they are the most familiar with the patient's condition.

question

By placing one hand on top of your head and the other hand over your abdomen, you are asking a hearing-impaired patient if he or she:

answer

is sick.

question

General care for a patient with a tracheostomy tube includes all of the following, EXCEPT:

answer

removing the tube if the area around it appears to be infected.

question

Disentanglement involves:

answer

.removing a patient from a dangerous position.

question

A tube from the brain to the abdomen that drains excessive cerebrospinal fluid is called a:

answer

shunt.

question

Two thirds of children born with Down syndrome have:

answer

congenital heart disease.

question

According to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube?

answer

Check the mechanical ventilator for malfunction.

question

Common associated conditions in patients with spina bifida include all of the following, EXCEPT:

answer

spastic limb movement.

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