Deck 49: Amputations and Prosthetics

Question 1

An OT practitioner is evaluating a client who has just received an upper extremity prosthesis.The therapist should instruct the client to begin wearing the prosthesis:

A) Once a day for 30 to 45 minutes, increasing by 60 minutes each day
B) Three times a day for 15 to 30 minutes, increasing by 30 minutes each day
C) Twice a day for 60 to 90 minutes, increasing by 15 minutes each day
D) Four times a day for 10 to 30 minutes, increasing by 45 minutes each day

Answer 1

B
The prosthesis-wearing schedule begins with the client wearing the prosthesis three times a day for 15- to 30-minute periods,with wearing periods increasing by 30 minutes each day if the skin remains in good condition.

Question 2

An OT practitioner is working with a client who had a unilateral below-knee amputation 2 weeks ago and wants to be able to resume living alone as soon as possible.To meet this goal,the therapist should:

A) Alter the client's preexisting performance patterns.
B) Encourage the client to focus on his former sense of self.
C) Discourage the client's independent process skills.
D) Adapt the client's activity demands.

Answer 2

D
Neuromuscular and movement-related functions will be altered by lower extremity amputation.Performance skills such as posture,mobility,strength,effort,and energy may be affected.Option (D)is correct because adapting the client's activity demands to meet his current clinical status should be done to facilitate the client's successful reengagement in occupations.Option (A)is incorrect because a client's preexisting performance patterns (e.g.,useful habits,routines,roles)can be built on to facilitate return to occupational performance.Option (B)is incorrect with regard to the limb loss; the therapy team should help the client adapt to the amputation and create a new sense of self.Option (C)is incorrect because the client's problem-solving ability should be encouraged as approaches to task completion are explored.

Question 3

An OT practitioner is doing functional unilateral myoelectric prosthetic training with a client who wants to be able to cut vegetables for meal preparation.What should the therapist teach the client?

A) To use packaged precut vegetables so that cutting is not necessary
B) To use a cutting board and a one-handed rocker knife
C) To use the terminal device to hold the knife and the sound hand to hold the vegetable
D) To use the sound hand to hold the knife and the terminal device to hold the vegetable

Answer 3

D
Functional training involves the client learning to use the prosthesis as a functional assist for meaningful activities.If adapted or modified unilateral tasks are presented to the client,the need to operate the prosthesis will be minimized.For this activity,having the client hold the knife in the sound hand is preferable because the sound hand will have improved sensation and dexterity,allowing the client to maintain a grip on the knife more effectively.

Question 4

An occupational therapy (OT)practitioner is training a client in how to lock and unlock the elbow of an above-elbow body-powered prosthesis.The therapist should teach the client to do which of the following?

A) Hyperextend the shoulder and adduct the scapula.
B) Flex the shoulder and abduct the scapula.
C) Hyperextend the shoulder, abduct the shoulder, and depress the scapula.
D) Flex the shoulder, abduct the shoulder, and elevate the scapula.

Question 5

An OT practitioner is working with a client who had a unilateral below-knee amputation 4 days ago.With regard to wheelchair and positioning,what should be the therapist's priority?

A) To provide a residual limb support
B) To place the large wheelchair wheels farther back to distribute weight
C) To remove both leg rests
D) To issue an extra-heavy wheelchair for stability