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