Rehabilitation Registered Nurse Certification Flashcards

As opposed to bilevel positive airway pressure (BPAP), which of the following conditions is typically treated with continuous positive airway pressure (CPAP)?

Answer: homonymous hemianopsia

CPAP (Continuous Positive Airway Pressure) is a respiratory therapy primarily used to treat conditions like sleep apnea by maintaining an open airway. Homonymous hemianopsia, however, is a visual field defect resulting from neurological damage, such as a stroke. These two conditions are medically unrelated, and CPAP is not a typical treatment for visual impairments, suggesting a potential error in the question or provided answer.

What is a patient's best course of nursing action? experiencing physical and/or psychological distress after moving from one setting to another recently?

Answer: encourage pt's verbalization of feelings

Patients who have recently moved settings, especially in rehabilitation, often experience anxiety, fear, and a sense of loss or disorientation. Encouraging them to verbalize their feelings provides an outlet for these emotions and helps the nurse understand their specific concerns. This therapeutic communication fosters trust and allows for targeted interventions to address their distress.

What kind of living situation offers supervised living for people with comparable disabilities and employees who are on call day and night?

Answer: group home

A group home is specifically designed to provide a supportive, supervised living environment for individuals with similar disabilities who require assistance with daily living activities. These homes typically have staff available around the clock to provide care, supervision, and support, fostering independence while ensuring safety and assistance when needed.

The cause of esophageal speech.

Answer: burping to exert pressure and produce vibration

Esophageal speech is a method of voice production used by individuals who have had their larynx removed (laryngectomy). It involves swallowing air into the esophagus and then expelling it, causing the upper esophageal sphincter to vibrate. This vibration produces a sound that can then be articulated into speech.

What is a typical adverse reaction to hyperosmotic tube feedings?

Answer: diarrhea

Hyperosmotic tube feedings contain a high concentration of solutes, which can draw water into the gastrointestinal tract. This influx of fluid increases bowel motility and can lead to osmotic diarrhea. This is a common adverse effect, often managed by adjusting the feeding's concentration or rate.

At the level of the: motor nerve fibers cross over in the brainstem.

Answer: medulla

The decussation of the pyramids, where the majority of motor nerve fibers (corticospinal tracts) cross from one side of the brainstem to the opposite side of the spinal cord, occurs in the medulla oblongata. This crossing explains why one side of the brain controls movement on the opposite side of the body.

A strong gag reaction means that:

Answer: pharyngeal muscles are constricting

A gag reflex is an involuntary contraction of the pharyngeal muscles, specifically the constrictor muscles of the pharynx. This reflex is a protective mechanism designed to prevent foreign objects from entering the trachea and is triggered by stimulation of the back of the throat or soft palate.