Exam 13: Seated Mobility: Sitting but Not Sitting Still--Fitting and Propelling a Wheelchair

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Which of the following best describes an articulating legrest?

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C

Which of the following represents the best safety instruction for a patient who is learning to manage a sideways fall in a wheelchair?

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C

List three potential physical and physiological risks associated with independent wheelchair propulsion. ____________________

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hand discomfort, shoulder pain, postural changes, cardiopulmonary fatigue

Which of the following is the best way for a wheelchair user to negotiate very steep slopes?

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Your patient is a 43-year-old woman with multiple sclerosis who needs a wheelchair for occasional use, especially for locomotion over long distances. Her husband will push her during such trips. He will also put the chair in the car trunk for transportation. Which of the following is likely to be the most appropriate type of legrest for this patient?

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Wheelchair selection is the domain of the durable medical equipment vendors and as such does not fall within the scope of skilled patient care.

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List at least four factors that must be considered in wheelchair selection.

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What is meant by "90-90-90"? ____________________.

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Use of a sling seat in a wheelchair tends to result in all of the following except

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You are instructing a patient about wheelchair propulsion in a nursing home setting. Assuming that the patient has adequate strength and range of motion, what instructions should you give the patient for the most efficient forward propulsion using both hands?

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Why is a wheelchair considered a mobility orthosis?

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The most common method of transporting a patient in a wheelchair up and down steps is to ascend the steps backward.

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When assisting a patient with wheelchair fitting, which of the following is the first goal in achieving postural stability?

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For the optimal push angle, wheelchair seat alignment should allow how much elbow flexion when the hand is at the apex of the wheel?

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You are working in a rehabilitation hospital and are responsible for helping patients obtain appropriate durable medical equipment. In considering wheelchair casters, which of the following choices would be most appropriate if you were concerned primarily about chair stability?

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Your patient is a 63-year-old man who is undergoing chemotherapy and radiotherapy for treatment of colon cancer and is very weak as a result. His mobility level has been decreasing over the past few years, and he has very tight hamstring and hip flexor muscles. You are helping him select a wheelchair that he can use at home, where he lives alone. Which of the following legrests would be most appropriate for this patient?

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Which of the following wheelchair frames is most appropriate when the primary concern is shock absorption when traveling over rough or uneven surfaces?

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Which of the following is true regarding properly positioned wheelchair armrests?

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Which of the following measures for wheelchair fitting is best taken with the patient in supine?

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Your patient is getting ready to leave rehabilitation and needs a wheelchair for use at his office. He plans to spend several hours in the chair each day, although by the end of the day his upper extremities are fatigued from wheelchair propulsion. He weighs 220 lb. and is 6 ft, 2 in. tall. Which of the following armrest options would be best for this patient?

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