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Volume 2 patient care skills 2
Terms in this set (100)
Which individual is not authorized to see abs treat patients?
-certified nurse midwives
What considerations determine the steps in the routine admission process?
-patients condition and cost of admission
-facility policy and patients distance from home
-patients condition and facility policy
-facility policy and patients request
Patient's condition and the facility policy
What would be the responsibility of the medical technician during a routine patient admission to a nursing unit?
-obtain patients history
-transcribe doctors orders
-obtain patients vitals, height, and weight
Obtain patients vitals, height, and weight
Which statement allows a patient to depart from the medical facility for a short period of time usually between 24 and 48 hours?
-absent without leave
How many pounds of baggage are allowed for a patient being aeromedically evacuated to another facility?
A patient who is authorized to live outside the hospital while still receiving treatment is considered
-on convalescent leave
-discharged and an outpatient
If an inpatient chart with doctor's orders for vital signs every 4 hours was blank for the day, you would assume the
-patient was likely off unit having tests completed
-patient is doing well and no problems were noted
-doctor probably changed the orders verbally
-vital signs were not completed
vital signs were not completed
What is the proper method of annotating shift change totals on the DD Form 792 intake and output worksheet?
-no documentation is required at shift change
-document all totals in the remarks section
-document in the grand total block
-circle the last accumulated total
circle the last accumulated total
which nursing activity is the main aspect of resolving nursing diagnoses
Relative to the nursing process, what is a client goal?
-an observable change in patients behavior
-a measurable change in the patients condition
- realistic and measurable statement of end results of care planning
-realistic and measurable statement of expected change in patient behavior
a realistic and measurable statement of the expected change in patient behavior
What is a way to help relieve most of the patient's concerns prior to surgery?
What has a significant impact on the patient's perceived quality of care and treatment?
-credentials of the surgeon
-availability of a base chaplain
-professionalism and caring attitude of the staff
-number of nurses and technicians on staff
professionalism and caring attitude of staff
what is the best reason for prepping the skin prior to surgery?
-reduces the chance of infection
-prevents contamination of the operating room
-allows for proper suturing of the incision
-reduces pain when the surgical dressing is removed
reduces the chance of infection
Without provider approval, what is the maximum number of minutes antiembolism stockings may be removed?
what precaution is taken for a postoperative patient who received a radioisotope implant?
-isolation is necessary
-no precautions are necessary
-a lead apron is placed over patient
-lead aprons are placed on other recovery patients
isolation is necessary
which positin is the bed placed in preparation to receive a postoperative surgical patient?
which exercise is not commonly used for postoperative patients?
-standing hamstring stretches
-turn, cough, and deep breath
-circle with the big toe
standing hamstring stretches
which form is used to document a patient's blood transfusion
-standard form 518
-standard form 3066
-af form 2019
-af form 3066
standard form 518
how is whole blood normally supplied
-100 cc units
-250 cc units
-450 cc units
-500 cc units
450 cc units
what is the guideline for the maximum minutes of time from pick up to the transfusion start of blood products
If a patient you are monitoring is receiving a blood transfusion and you notice distended neck veins and dyspnea. What should you do first?
-continue to monitor; this is normal side effect
-place patient on left side
-administer 100 percent oxygen
-stop the transfusion
stop the transfusion
Which pain management method must be closely monitored because it can result in a depressed respiratory system?
-application of transcutaneous electrical nerve stimulation devices
-injection of long duration local anesthetic into incisional area
-administration of oral analgesics
-administration of narcotics
administration of narcotics
Ideally, in what position is a patient placed before performing oropharyngeal suctioning?
Orthopedic deformities, such as a clubfoot or wryneck, are categorized as
A fracture that results from disease, such as metastatic cancer of the bone, is called
the semi recumbent position should be avoided over long periods of time in patients with orthopedic disorders because it
-causes drop foot
-causes venous statis
-causes external hip rotation
-promotes flexion deformities of the hip
promotes flexion deformities of the hip
which term is used to describe the sound that bones make as they rub together
Pin care is required with what type of reduction of the bone?
-closed reduction, external fixation
-closed reduction, internal fixation
-open reduction, external fixation
-open reduction, internal fixation
open reduction, external fixation
What actions, if any, should you take if your patient complains that his or her short leg cast feels tight?
-none it is normal for a cast to feel tight
-remove the cast
-bivalve the cast
-petal the cast
bivalve the cast
the cramping burning or crushing pain complained about by amputees in their missing limb is referred to as
-phantom limb pain
-phantom limb sensation
phantom limb pain
What equipment is essential to have at the postoperative bedside after surgical amputation of a limb?
Turning a patient on a Stryker frame quickly after a spinal cord injury can cause
rehabilitation for a patient with a spinal cord injury is normally
-a lifelong process
-of no use because they do not fully recover
-continued for six months after the injury occurred
-continued for up to two years after the final surgery
a lifelong process
the side of the body that is affected by a stroke is determined by the
-dominant right or left side
-side of the body that is weaker
-side of the brain that was traumatized
-position the patient was in when the stroke occured
side of the brain that was traumatized
During which child developmental stage is separation anxiety the most stressful?
the normal adaptive mechanism used by children when they lose their sense of control is
when caring for a child with nausea and vomiting a primary concern would be
Which reason is not appropriate for restraining a child?
-the physician needs to suture the childs face
-the child continues to climb out of bed in the night
-to prevent the child from falling out of a highchair
-you have other tasks to do and no time to sit with child
you have other tasks to do and no time to sit with child
when providing skin care for the elderly it is important to avoid using
How would you help stimulate the appetite of an elderly patient?
-explain the importance of nutrition
-ask patient to try new foods
-cater to the patient's customs
-bring a tray full of choices
cater to the patient's customs
which is a sign of uremia
the first stage of dying is
All that a person is, feels, and does is generally termed
What affects an individuals feeling about themselves?
-opinions of others
Which psychiatric term defines an irresistible urge to perform apparently meaningless actions?
which psychiatric term defines a mood disorder identified by feelings of elation and well being, flight of ideas, and physical overactivity
Your behavior or actions in the presence of a patient who is anxious should be
a patient who feels unloved, unneeded, inferior, and hurt displays a behavior of
When does the rehabilitation process begin with a mentally ill patient?
-within 12 hours of admission
-within 24 hours of admission
-as soon as the patient is admitted
as soon as the patient is admitted
what is the primary rehabilitation need of a mentally ill patient
-strengthening the patient's defenses
-group therapy to prevent relapse
-prevention of regression
-social actions follow up
strengthening the patients defenses
when observing and reporting on mentally ill patients the most important factor to consider is
Psychotherapy usually includes all of the following treatments except
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
-only report if parents admit abuse
-counsel parent on actions
-nothing, the tech is not responsible for reporting
report suspected abuse
What occurs in the third and final phase of spousal abuse?
-counseling is sought
-tension and stress builds
-physical or verbal abuse occurs
-spouse states it will never happen again
spouse states it will never happen again
Which drug classification causes euphoria, excitement, dilated pupils, diaphoresis, tachycardia, and rapid breathing?
what is the priority when providing care to a patient that has abused a substance
-draw blood for alcohol and drug testing
-monitor vital signs and sustain life
-contact first sergeant
monitor vital signs and sustain life
For patients who suffer from pain, the best way to ensure a successful exercise activity program is to
-schedule activities for afternoon or evening
-begin program early in patient's hospital day
-plan activities in conjunction with pain medications
-provide reassurance and a clear explanation of program
being the program early in patient's hospital day
When planning activities for patients with psychological problems, your primary goal should be to
-motivate the patient
-reassure the patient
-show sincere concern
-develop a good rapport
develop a good rapport
what should you do to help patients who become angry and hostile
-involve patient in group therapy sessions
-allow patient to become physically abusive
-refer patient to nurse or physician for counseling
-allow them to channel their hostility through verbal expression
allow them to channel their hostility through verbal expression
To aid in preventing decubitus ulcers, patient positioning should be changed every
Why should your feet be parallel when you are standing?
-prevent back hip and leg strain
-prevent back hip and neck strain
-maintain balance and prevent back hip and leg strain
-maintain balance and prevent back hip and neck strain
maintain balance and prevent back hip and leg strain
To use the internal girdle of support, you must
-simultaneously contract abdominal and buttock muscles
-simultaneously contract abdominal and shoulder muscles
-contract buttock muscles and relax abdominal muscles
-contract abdominal muscles and relax buttock muscles
simultaneously contract abdominal and buttock muscles
Which factors determine the technique you will use to move the patient up in bed?
-size and capabilities of patient
-size and capabilities of technicians
-size of patient and capabilities of technicians
-size of patient capabilities of technicians and available equipment
size and capabilities or patient
When turning a patient, what is the most important precaution to take whether you are pushing or pulling the patient?
-do not push too hard
-raise the far siderail
-raise the near siderail
-lock the wheels on the bed
raise the far side rail
The person in charge of a bed to stretcher transfer should be positioned
-near patients shoulders furthest from stretcher
-at bottom of bed on stretcher side
-at the head of bed on stretcher side
-near patients shoulder closest to stretcher
at the head of the bed on the stretcher side
Which devices can be used to slide a patient from the bed to a stretcher?
-drawsheet and trapeze
-drawsheet and roller board
-drawsheet and patient hoist
-roller board and patient hoist
drawsheet and roller board
When helping a patient to ambulate, how should you stand and where should you place your hands?
-beside patient with your arm interlocked with patients
-beside patient with one hand on patients waist one under arm
-beside and a little behind patient with arm interlocked with theirs
-beside and a little behind patient with hand on patients waist and one hand under arm
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?
Which type of patient exercise is provided for patients who are either unable or not allowed to exercise?
Care must be taken to ensure patients do not strain while holding their breath when performing isometric exercises as that may cause
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?
the diet that is inadequate in all nutrients and should not be given for more than three days is the
which precaution should be taken just prior to performing a procedure that uses the patient's nasogastric tube
-check physician's orders
-check for tube placement
check for tube placement
What should the solution temperature be during gastric gavage?
During catheterization of a male patient, at what angle is the penis held, and how many inches is the catheter inserted?
-20, 4 to 5 inches
-30, 6 to 10 inches
-60, 4 to 5 inches
-90, 6 to 10 inches
90, 6 to 10 inches
During catheterization of a female patient, how many inches (how far) is the catheter inserted for placement in the urinary bladder?
-2 to 3
-3 to 4
-4 to 5
-5 to 6
2 to 3
when measuring urine output of an infant, one gram of diaper weight is equal to
-one milliliter (ml)
For administration of an enema, the patient is preferably positioned
-on left side
-on right side
on left side
colostomy irrigations are performed to
-prevent patient from having to wear an ostomy appliance
-keep the bowel empty as much as possible
-prevent the possibility of odors
-establish fecal control
establish fecal control
what is the normal arterial oxygen saturation range
-85 to 88 percent
-89 to 91 percent
-92 to 95 percent
-95 to 98 percent
95 to 98 percent
what condition occurs if CO2 builds up and mixes with water in the blood stream?
When using an oxygen tent, how frequently should oxygen concentrations and temperature be checked?
-1 to 2 hours
-3 to 4 hours
-4 to 8 hours
-8 to 12 hours
1 to 2 hours
For patients using a nonrebreathing mask, the inspired oxygen concentration is
-30 to 40 percent
-40 to 50 percent
-60 to 90 percent
-80 to 100 percent
60 to 90 percent
what actions should you take when moving a patient on a venturi mask
-monitor in transport
-reduce oxygen flow in transport
-monitor in transport and reassess patient on arrival
-reduce oxygen flow in transport and reassess patient on arrival
monitor in transport and reassess patient on arrival
what complications could occur to the patient following a thoracentesis
-shock bleeding and dyspnea
-hypertension tachycardia dyspnea
-bleeding and increase in distance between systolic and diastolic
-dyspnea and decrease in distance between systolic and diastolic
shock, bleeding, and dyspnea
Closed-chest drainage is a drainage system used to
-deflate the chest cavity
-deflate a collapsed lung
-reexpand a collapsed lung
-reexpand the chest cavity
reexpand a collapsed lung
What cardiac related condition may be caused by a fall in cardiac output resulting in cerebral ischemia?
the physiological function that the heart sound S1 is associated with is
-closure of aortic and pulmonic valves
-closure of mitral and tricuspid valves
-opening of the aortic and pulmonic valves
-opening of the mitral and tricuspid valves
closure the mitral and tricuspid valves
when preparing a patient for insertion of a central venous pressure line what maneuver is taught to the patient to decrease change of and air embolism
what position should a patient be placed in for insertion of a central venous pressure line into a neck vein
-left lateral recumbent
-right lateral recumbent
as a minimum how many minutes should you irrigate a patients eye with chemical burns
how are corneal abrasions detected
there is a high rate of success if a dentist carries out a tooth replacement procedure within how many minutes of the accident
Damage to the epidermis with possible damage to the dermis and its appendages is classified as what type of burn?
A burn is classified as moderate if it involves
-full thickness that involves 2 to 10 percent of body surface
-partial thickness that involves less than 15 percent of body surface
-partial thickness burns involving more than 30 percent of body
-full thickness involving more than 10 percent of body surface
full thickness that involves 2 to 10 percent of body surface
when caring for a patient with electrical burns at a facility, your first priority is
-apply sterile dressing to burn sites
-management of patients airway
-evaluate extent of burn
management of patients airway
How would you apply a dressing with the intention of debriding a wound?
-wet to dry
-wet to wet
wet to dry
what is the proper sequence for cleaning a wound
-remove old dressing, sterile gloves, wipe from wound out
-remove old dressing, sterile gloves, wipe towards wound
-apply sterile gloves, remove old dressing, wipe from wound out
-apply sterile gloves, removed old dressing, wipe towards wound
remove old dressing, sterile gloves, wipe from wound out
What reflex action would be caused if you leave a heat treatment in place for a prolonged period of time?
how do you apply moist heat
-fill water bottle with hot water and place on affected area
-moisten towel and place between heat application and patient
-wash affected area with warm water then apply heat source
-place patient under heat lamp and use spray bottle to dampen skin
moisten towel and place between patient and heat application
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