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100 Cards in this Set
- Front
- Back
Which statement would be the responsiblility of the medical technician during a routine patient admission to a nursing unit?
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Obtain patient's vital signs, height, and weight.
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What considerations determine the steps in the routine admission process?
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Patient's condition and the facility policy.
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While admitting a patient, you notice that the patient seems dizzy and unstable. What should you do?
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Look at the patient's medications, it could be a side effect.
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Who authorizes transfer of patient care for an interservice transfer?
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Both service chiefs.
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During the transfer of a psychiatric patient requiring sedation, how are the patient's valuables safeguarded?
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Designated custodian signs for the property, and forwards the items by registered mail.
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Which statement allows a patient to depart from the medical facility for a short period of time, usually between 24 and 48 hours?
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Pass.
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Verbal orders must be countersigned by the physician within:
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24 hours.
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The most common forms that a medical technician will be responsibile for completing are the:
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Intake and Output flow sheet and the Vital Signs Record.
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What is the proper method of annotating shift change totals on the DD form 792, Intake and Output Worksheet?
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Circle the last accumulated total.
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If an inpatient chart with doctor's orders for vital signs every 4 hours was blank for the day, you would assume the:
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vital signs were not completed.
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Which nursing activity is the main aspect of resolving nursing diagnoses?
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Planning.
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Relative to the nursing process, what is a client goal?
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A realistic and measureable statement of the expected change in patient behavior.
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Which action is performed to help the patient reach his or her goals most effectively?
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Nursing interventions.
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What is a way to help relieve most of the patient's concerns prior to surgery?
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Preoperative teaching.
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What has a significant impact on the patient's perceived quality of care and treatment?
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Professionalism and caring attitude.
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The surgery patient is given a preoperative medication to:
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dry mucous membranes.
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Which surgical case would likely be performed in a Same Day Surgery clinic?
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Odonectomy.
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Without provider approva, what are the maximum minutes antiembolism stockings may be removed?
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30.
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What precaution is taken for a postoperative patient who received a radioisotope implant?
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Isolation is necessary.
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When performing a neurological check on a patient, which examination would indicate an appropriate response to light being flashed on the patient's eyes?
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Pupils Equal, round, reactive to lights and accommodation (PERRLA).
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With regard to blood transfusions, one of your responsibilites is to document a patient's transfusion on:
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Standard Form 518.
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What component of blood is involved in the clotting process?
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Platelets.
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How is whole blood normally supplied?
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450 cc units.
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What is the guideline for the maximum minutes of time from pick up to transfusion start of blood products?
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30.
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If a patient you are monitoring is receiving a blood transfusion and you notice distended neck veins and dyspnea. What should you do first?
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Stop the transfusion.
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A post-operative patient who is agitated, thrashing violently or crying incessantly is most likely experiencing:
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emergence delirium.
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Ideally, in what position is a patient placed before performing oropharyngeal suctioning?
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Semisitting.
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A fracture that results from disease, such as metastatic cancer of the bone, is called:
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pathologic.
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Orthopaedic deformities such as clubfood or wryneck are categorized as:
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congenital.
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Military personnel are commonly treated or hospitalized for what orthopedic problems?
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Traumatic injuries.
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The semi-recumbent position should be avoided over long periods of time in patients with orthopedic disorders because it:
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causes drop foot.
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What orthopedic problem would you suspect if your patient complains of soreness or aching?
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Muscular pain.
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Which is not a determining factor for the healing time of a bone fracture?
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Gender.
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The cramping, burning, or crushing pain complained about by amputees in their missing limb is referred to as:
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phantom limb pain.
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What equipment is essential to have at the postoperative beside after surgical amputation of a limb?
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Tourniquet.
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Rehabilitation for a patient with a spinal cord injury is normally:
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a Life-Long process.
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Turning a patient on a Stryker frame quickly after a spinal cord injury can cause:
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Cardiac arrest.
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During the acute stage of the stroke the primary goal is to:
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sustain life.
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During which child developmental stage is separation anxiety the most stressful?
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Preschool.
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Which statement provides a hospitalized child with a sense of control?
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Established daily rituals and routines
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The normal adaptive mechanism used by children when they loose their sense of control is:
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regression.
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When caring for a child with nausea and vomiting, a primary concern would be:
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Dehydration.
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Which reason is not appropriate for restraining a child?
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You have other tasks to do, and no time to sit with the child.
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The amount of sleep required at night by elderly patients is generally:
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less because of frequent daytime naps.
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How would you help stimulate the appetite of an elderly patient?
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Cater to the patients customs.
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The frist stage of dying is:
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Denial.
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What serious side effect is the result of leakage of chemotherapy from the vein into the surrounding tissues?
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Extravasation.
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All that a person is, feels, and does is generally termed:
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Personality.
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What affects an individuals feeling about themselves?
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Self perception.
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Which psychiatric term defines an irresistible urge to perform apparently meaningless actions?
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Compulsion.
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Which psychiatric term defines a functional disorder where there is not gross disorganization of personality or a loss of contact with reality?
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Neuroses.
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A patient who feels unloved, unneeded, inferior and hurt displays a behavior of:
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withdrawal.
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How are behavior disorders and syndromes grouped into categories?
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Shared characteristics or established criteria.
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When does the rehabilitation process begin with a mentally ill patient?
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As soon as the patient is admitted.
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What major problem affects mental Health treatment?
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Attitude of society.
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When observing and reporting on mentally ill patients, the most important factor to consider is:
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behavior.
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If you see a mentally ill patient sneak out of the nursing unit, take all of the following actions except:
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Leave the other patients to follow the escaping patient.
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Who is at fault for the sexual abuse of a child?
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Abuser.
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What action if any, should you take if you notice a child you are taking care of shows signs of abuse such as burns and bruises?
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Report the suspected abuse.
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What occurs in the third phase of spousal abuse?
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Spouse states it will never happen again.
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If a patient is being restrained, what position should he or she be in if the patient is recovirng from alcohol intoxiation and is extremley agitated?
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Prone.
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For patients who suffer from pain, the best way to ensure a successful exercise activity program is to:
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begin the program early in the patient's hospital stay.
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When planning activites for patients with psychological problems, your primary goal should be to:
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Develop a good rapport.
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What should you do to help patients who become angry and hostile?
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Allow them to channel their hostility through verbal expression.
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To aid in preventing decubitus ulcers, patient positioning should be changed every:
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2 hours.
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Why should your feet be parallel. when you are standing?
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Maintain balance and prevenc back, hip and leg strain.
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Your stability increases as your center of gravity moves closer to your:
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Base of support.
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Which technique for moving the patient up in bed is not used for a patient who has back or chest injuries?
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Shoulder-lift.
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When turning a patient, what is the most important precaution to take whether you are pushing or pulling the patient?
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Raise the far side rail.
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When transferring patients, you can reduce the chance of injury to yourself by:
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using good teamwork and proper body mechanics.
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A patient's feet must be placed on the floor or a footsool during "dangling" to prevent:
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pressure on the back of legs.
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Which devices can be used to slide a patient from the bed to a stretcher?
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Drawsheet and patient hoist.
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WHen helping a patient to ambulate, how should you stand and where should you place your hands?
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Beside and a little behind the patient with one hand on the patient's waist and one hand under the patient's near arm.
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Which is a safe, stable gait that can be used by patients who can bear some weight on both legs?
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Two-point.
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Which gait is used by patients who can bear full body weight on one foot and partial or no weight on the other?
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Three-point.
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IIsometric exercises are activites that involve:
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Muscle contraction without body movement.
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Care must be taken to ensure patients do not hold their breath while performing isometric exercises as that may cause:
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Heart attack.
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What diet is usually ordered for patients who have difficulty chewing or swallowing, or need to alter the amount of residue in the digestive tract?
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Liquid.
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The diet that is inadequate in all nutrients and should not be given for more than 3 days is the:
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Clear liquid.
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What should the solution temperature be during gastric gavage?
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Room temperature.
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To prevent rapid decompression of the urinary bladder, the maximum amount of urine to remove during catherization is between:
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750 to 1000 cc.
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During catheterization of a female patient, how many inches (how far) is the catheter inserted for placement in the urinary bladder?
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2 to 3.
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The urinary catheter is pinched prior to removal from the bladder to:
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prevent air from entering into the bladder.
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For what length of time in minutes should the patient retain the solution of a cleansing enema?
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5.
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The patient's colostomy bag should be changed when it is:
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one-third full.
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How many minutes should you irrigate a chemical burn to the eye?
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20.
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There is a high rate of success for tooth replacement if a dentist carries out the procedure within how many minutes of the accident?
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30.
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How are corneal abrasions detected?
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Fluorescein stain.
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Damage to the epidermis with possible damage to the dermis and its appendages is classifed as what type of burn?
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Partial thickness.
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When caring for a patient with electrical burns at a facility, your first priority is:
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management of the patient's airway.
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How would you apply a dressing with the intention of debriding a wound?
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Wet to dry.
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What reflex action would be caused if you leave a heat treatment in place for a prolonged period of time?
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Reflex vasoconstriction.
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When applying a cold treatment, how long should you leave it in place?
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20 to 30 minutes.
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What is the normal arterial oxygen saturation range?
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95 to 98%.
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For patients using a nonrebreathing mask, the inspired oxygen concentration is:
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60 to 90 percent.
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Which mask is suggested for patients with chronic obstructive pulmonary disease (COPD)?
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Venturi.
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Before performing tracheostomy care, you would first:
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assess the stoma for patency.
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This is usually described by the patient as a jumping, pounding or stopping of the heart within the chest:
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palpitation.
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When preparing a patient for insertion of a central venous pressure line, what maneuver is taught to the patient to decrease the chance of an air embolism?
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Valsalva
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For insertion of a central venous pressure line into a neck vein, in what position should the patient be placed?
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Trendelenburg.
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