Leann underwent a bilateral mastectomy with axillary lymph node dissection on the left side 10 years ago. You are establishing an aerobic exercise program for her as part of her PT plan of care, & you want to take her baseline vital signs prior to exercise. Which extremity would it be best to take her BP on?

All of the following are off loading guidelines for a patient in a recumbent position except: 

Your patient presents to the outpatient orthopedic clinic following total knee replacement. She is 2 weeks post-op and complains of increasing calf pain with any movement. She has erythema, increased temperature of her calf and edema involving her posterior lower leg.  She is not on any medications other than chronic BP meds and pain medications fromsurgery. Your course of action should be as follows:

A rigid bottom shoe increases peak pressures on the metatarsal heads during the end of the stance phase of gait.  

For two week, you have been treating an 86 year old male with DM with a leg wound caused by hitting a coffee table and resulted in a skin flap tear, where the flap necrosed. You have appropriately prepared the wound bed and the wound is now 100% red granulation tissue.  It measures 4.2 x 3.6 x 0.2 cms.  There is no odor, minimal serous drainage, and no pain.  The patient has no significant comorbidities.  How would you cleanse this wound?

Select the correct statement regarding rest pain:

Which patient is not appropriate for total contact casting? 

You are evaluating a patient for a plantar diabetic foot ulcer, under the first metatarsal head. He has already seen a vascular surgeon who states that the patient has adequate blood flow for wound healing.  You test the patient’s sensation and he is unable to feel the 5.07 filament.  The wound has minimal drainage, no odor, and has 30% slough and 70% pink granular tissue.  His blood sugar this morning was normal.  What must be included in your plan for this patient in order to treat the underlying cause and allow the wound to close?

Negative pressure wound therapy: 

Your patient resides in a transitional care unit (TCU) with a stage 4 pressure injuries to his bilateral ischial tuberosities with a history of 3 admissions to the hospital for wound sepsis in the past 6 months.  The nursing team has been changing his dressing as prescribed.  The patient presents to the outpatient wound clinic with 80% necrotic tissue to his wounds. He has limited financial resources and no available family to participate in his care.  Which of the following is the most appropriate treatment plan given this information?