Shared Flashcard Set

Details

B4N051 TEST 2
5 LEVEL CDC 4N051
248
Medical
Not Applicable
02/24/2019

Additional Medical Flashcards

 


 

Cards

Term
What organization is responsible for establishing the hospital accreditation evaluation criteria?
Definition
Joint Commission
Term
As a minimum, how frequently should area specific general operating instructions (OI) be reviewed?
Definition
Annually
Term
Pathogen
Definition
An organism that causes infection and disease
Term
Bacteria
Definition
Primitive one-celled, plant like organisms that reproduce rapidly
Term
What condition must be present for a virus to multiply?
Definition
Susceptible tissue
Term
Which stage of infection is the period of time between the invasion of the infectious agent into the body and the onset of symptoms of the particular disease?
Definition
Incubation
Term
Which infectious agent includes two structural categories known as yeasts and molds?
Definition
Fungi
Term
Purpose of standard precautions recommended by the CDC
Definition
Reduce the risk of transmission of micro-organisms from both recognized and unrecognized sources of infection in hospitals
Term
what should you do if the clothes you are wearing at work become contaminated?
Definition
Change, bag the dirty clothes and launder them in hot soapy water
Term
one of the most common and serious complications a woman may develop from gonorrhea is...
Definition
PID- pelvic inflammatory disease
Term
a healthcare provider notifies public health of a suspected communicable disease by...
Definition
using a telephone or locally derived form
Term
the absences of infection
Definition
asepsis
Term
which substance is used to inhibit the growth and development of microorganisms on living tissue
Definition
antiseptic
Term
when using a mask in an insolation unit, put the mask on...
Definition
before entering, and take it off before leaving
Term
what is the shelf life for sterilized equipment using the event related method
Definition
when package integrity is compromised
Term
which is not a commonly used disinfection agent
Definition
HCl
Term
What is the temperature range of sterilization cycle in a practice acid sterilizer?
Definition
122-131 degrees F
Term
Which item may not be placed in a hydrogen peroxide plasma sterilizer?
Definition
count sheets
Term
what are the standard identifiers associated with the National Patient Safety Guidelines
Definition
PT's full name and date of birth
Term
What are the foundations of safe and effective healthcare?
Definition
proactive risk identification, assessment, and control
Term
the very low density lipoproteins transport...
Definition
triglycerides that are synthesized in the liver from the carbohydrates to adipose cells
Term
nursing actions that facilitate self-actualization is pertinent during which aspect of the nursing care?
Definition
rehabilitation
Term
a toddler is expected to weigh four times the birth weight at...
Definition
24 months
Term
what is a characteristic of late adulthood?
Definition
muscle atrophy
Term
what controllable factor did Florence Nightingale link with health and the environment?
Definition
pure water
Term
what is most likely to be a part of a work site wellness program?
Definition
blood pressure screenings
Term
a good source of protein is...
Definition
poultry
Term
clinical signs of B12 deficiency are first noted by...
Definition
pernicious anemia
Term
pregnant women who overdose of B6 may have caused newborns to be born with...
Definition
seizures
Term
vitamin c can not be found naturally in
Definition
cheese
Term
a sign of vitamin A deficiency
Definition
night blindness
Term
which illness is not related by vitamin k?
Definition
heparin overdose
Term
what percentage of body weight are minerals responsible for?
Definition
4
Term
signs of sodium chloride deficiency can be seen
Definition
through an excessive amount of fluid loss
Term
when administering potassium intravenously, you should
Definition
mix the potassium thoroughly before administration
Term
calcium can not be found in
Definition
pork
Term
which route is injectable iron administered?
Definition
z-track
Term
electrolytes that release hydrogen ions in water are called...
Definition
acids
Term
what symptoms my occur with blood pH alkalosis?
Definition
dizzy and agitated
Term
complex carbs are also called
Definition
polysaccharides
Term
what organ is primarily responsible for controlling lipid metabolism
Definition
liver
Term
amino acids are the small molecular building blocks of
Definition
proteins
Term
what is an accurate definition of leukocytes?
Definition
protect against disease at the cellular level
Term
life span of a lymphocyte
Definition
years
Term
what cells do lymph nodes contain in large numbers to fight invading microorganisms?
Definition
lymphocytes and macrophages
Term
the primary central gland of the lymphatic system is the
Definition
thymus gland
Term
nathan has broken out in chickenpox for the first time. his body's response is called a?
Definition
primary immune response
Term
during which stage of healing are immature fiber cells and capillaries formed?
Definition
inflammation
Term
for many patients who suffer from injuries or medical conditions, their first psychological response is
Definition
shock and disorientation
Term
which signs or symptoms of nervous system impairment would you look for in na intoxicated pt?
Definition
impaired vision, uncoordinated movement, behavioral changes
Term
which fluid imbalance is characterized by dry mucous membranes, weak rapid pulse, orthostatic hypotension, and a low central venous pressure?
Definition
hypovolemia
Term
what electrolyte deficit or excess can cause dysrhythmias, leading to cardiac or respiratory arrest
Definition
hyperkalemia
Term
what acid base imbalance is caused by hyperventilating?
Definition
respiratory alkalosis
Term
deficiency in respirations such as low or irregular shallow respirations can lead to an excessive accumulation of CO2 in the blood which results in a condition called...
Definition
respiratory acidosis
Term
the basic purpose of infusion therapy is to...
Definition
administer fluids into the circulatory system
Term
what is the best way for a med tech to ensure the sterility of an IV solution?
Definition
remove protective devices yourself
Term
in a piggyback set up, what prevents the mixing of the primary and secondary infusions?
Definition
back-check valve
Term
to REDUCE the possibility of infection and vessel damage on pts scheduled for long term therapy, how often should you change a pts IV site?
Definition
every 48-72 hours
Term
in cc, what is the slowest possible flow rate per hour you may set for an IV
Definition
10-50 cc
Term
which urine test is done to determine the hydration level of a pt
Definition
specific gravity
Term
what steps should you take of you identify a small object while straining urine?
Definition
place it in a sterile cup and notify the nurse
Term
after obtaining a blood sample, instruct the patient to maintain pressure of the venipuncture site for
Definition
2-3 minutes
Term
what should be done prior to operating a glucose meter?
Definition
read the OI's
Term
in the objective information section of the pt's paperwork it is important to identify the pt's...
Definition
pulse rate
Term
a protoscopy is an inspection of the
Definition
rectum
Term
when educating the patient with PFB in proper shaving you should instruct the patient to shave...
Definition
with slow strokes
Term
the eye can generally see wavelengths between...
Definition
400-750 nm
Term
at what age range is visual acuity its best?
Definition
15-20
Term
when preforming a pulmonary function test , abnormal functions are present if the predicted forced expiratory volume at one second or forced vital capacity percentage is less than...
Definition
80
Term
during pulmonary function testing the minimum number of practice attempts and acceptable tracings an examinee must preform are...
Definition
2;3
Term
any artificial products or features which appear on an electrocardiogram tracing are called...
Definition
artifacts
Term
what term is used to describe any variance in the normal electrical rate or sequence of cardiac activities discovered on electrocardiogram tracings?
Definition
arrythmia
Term
if you are preforming an electrocardiogram on someone who is rated a copy of that electrocardiogram must be sent to...
Definition
USAF Central Electrocardiographic Library
Term
What is another term for orthostatic hypotension
Definition
postural hypotension
Term
notify the nurse or physician immediately if the patients O2 saturation falls below
Definition
97 percent
Term
when can a minor surgery begin?
Definition
after the consent form is signed
Term
when cutting through the thick muscular skin of the back, a provider may use...
Definition
mayo scissors
Term
when cleaning a wound, you notice foreign material, what would the next step be?
Definition
flush the wound
Term
after you have applied a topical anesthetic what would you do next?
Definition
test sensory awareness
Term
how much vacuum must suction units provide when clamped?
Definition
300 mmHg
Term
when preforming a crash cart check what should you do after ensuring the defibrillator or cardiac monitor operate?
Definition
annotate the date and time on the rhythm strip
Term
when transmitting information over the radio what info should not be broadcast?
Definition
name
Term
in the AF, you can use lights and sirens on an ambulance call only...
Definition
when local protocol authorizes it
Term
the action of assessing the scene of an accident to provide valuable information to the EMT is called...
Definition
scene sizeup
Term
when there is an apparent vehicle fire how many feet should the ambulance be parked from the affected vehicle?
Definition
50 feet
Term
when preforming an initial assessment on a pt and the pt responds by spontaneously opening his or her eyes how would you assess the patients mental status?
Definition
alert
Term
if the pt is not alert and his or her breathing is lower than 8 Breaths per minute provide...
Definition
BVM ventilations and high flow O2
Term
as a general rule apply a cervical collar if there is any blow above the...
Definition
clavicles
Term
a rapid trauma assessment is preformed on a pt with...
Definition
a significant MOI, and focuses on the area of the body where the greatest threats to the patient are
Term
when you ask a medical patient what may have triggered his or her pain you are questioning...
Definition
provocation
Term
while gathering a history of illness when you ask if the pain is constant or intermittent, what are you trying to determine?
Definition
time
Term
what are your responsibilities as an EMT at the scene of a hazmat incident?
Definition
caring for the injured and monitor.rehabilitating hazmat team members
Term
which device is commonly used for patient transfers in wartime and disaster situations
Definition
army field litter
Term
if an individual walks into a medical treatment facility and asks for assistance bringing in a family member, you should ask...
Definition
what is wrong with the pt to determine the appropriate transfer device
Term
if you are treating a severely injured pt with a life threatening problem it may be appropriate to skip the...
Definition
detailed physical exam
Term
in minutes, how often should you reassess an unstable pt?
Definition
5 minutes
Term
which acronym is used by EMT in the field to describe a possible fracture?
Definition
PSD, painful, swollen deformity
Term
which classification of fractures are considered more serious due to possible blood loss and contamination?
Definition
open
Term
while working in the ER a pt comes in and states that he or she has splashed a chemical into their eye. what should you determine first?
Definition
if they are wearing contact lenses and what type
Term
in what anatomical location is the pacemaker lead inserted when using a temporary external pulse generator system?
Definition
right atrium
Term
which individual is not authorized to see and treat patients?
Definition
RN
Term
What considerations determine the steps in the routine admission process
Definition
patients condition and the facility policy
Term
what would be the responsibility of the medical technician during a routine patient admission to a nursing unit?
Definition
vitals, height and weight
Term
which statement allows a patient to depart from the medical facility for a short period of time, usually between 24-28 hours
Definition
Pass
Term
how many pounds of baggage are allowed fir a patient being areomedically evacuated
Definition
66
Term
a pt who is authorized to live outside the hospital while still receiving treatment is considered
Definition
subsisting out
Term
if an inpatient chart with a doctors orders for vital signs q4 was blank for the day you would assume...
Definition
vitals were not complete
Term
what is the proper method if annotating a shift change totals on the DD form 792 intake and output worksheet?
Definition
circle the last accumulated total
Term
which nursing activity is the main aspect of resolving nursing diagnosis
Definition
planning
Term
relative to the nursing process, what is a client goal?
Definition
a realistic and measurable statement of the expected change in patient behavior
Term
what is a way to relieve most of the patients concerns prior to surgery
Definition
preoperative teaching
Term
what has a significant impact on the patients perceived quality of care and treatment?
Definition
professionalism and caring attitude of the staff
Term
what is the best reason for prepping the skin prior to surgery?
Definition
reduces the chances of infection
Term
without provider approval what is the maximum number of minutes anti embolism stockings may be removed
Definition
30
Term
what precaution is taken for a post pt who received a radioisotope implant
Definition
isolation is necessary
Term
which position is the bed placed in preparation to receive a postoperative surgical patient
Definition
high
Term
what exercise is not commonly used for post patients?
Definition
standing hamstring stretch
Term
which form is used to document a patients blood transfusion
Definition
SF 518
Term
How is whole blood normally supplied
Definition
450 cc unit
Term
what is the guideline for the max number of minutes of time from pick up to the transfusion of blood products
Definition
30
Term
if a pt you are monitoring is receiving blood transfusion and you notice distended neck veins and dyspnea, what should you do first?
Definition
stop the transfusion
Term
which pain management method must be closely monitored because it can result in a pressed respiratory system
Definition
administration of narcotics
Term
ideally in what position is a patient placed before preforming oropharyngeal suctioning
Definition
semi sitting
Term
orthopedic deformities such as clubfoot or wryneck are categorized as....
Definition
congenital
Term
a fracture that results from disease is called
Definition
pathologic
Term
the semi-recumbent position should be avoided over long periods of time in pots with orthopedic disorders because...
Definition
promotes flexion deformities of the hip
Term
the sound that bones make as they rub together
Definition
crepitus
Term
pin care is required with what type of reduction of the bone
Definition
open reduction, external fixation
Term
what actions if any should you take if your pt complains that his or her short leg cast feels tight
Definition
bivalve the cast
Term
the cramping, burning, or crushing pain complained about by amputees in their missing limb is  called
Definition
phantom limb pain
Term
what equipment is essential to have at the post bedside after a surgical amputation of the limb?
Definition
tourniquet
Term
turning a pt on a stryker frame quickly after a spinal cord injury can cause
Definition
cardiac arrest
Term
rehab for a pt with a spinal cord injury is normally
Definition
a lifelong process
Term
the side of the body that is affected by a stroke is determined by the
Definition
side of the brain that was traumatized
Term
during which childhood developmental stage is separation anxiety the most stressful?
Definition
preschool
Term
the normal adaptive mechanism used by children when they lose their sense of control is...
Definition
regression
Term
when caring for a child with nausea and vomiting a primary concern is...
Definition
dehydration
Term
which reason is not appropriate for restraining a child?
Definition
you have other tasks to do, and no time to sit with the child
Term
when providing skin care for the elderly it is important to avoid using...
Definition
alcohol
Term
how would you help stimulate the appetite of an elderly patient?
Definition
cater the patients customs
Term
which is a sign of uremia?
Definition
oliguria
Term
the first stage of dying is
Definition
denial
Term
all that a person is, feels, and does is generally termed...
Definition
personality
Term
what affects an individuals feelings about themselves
Definition
self perception
Term
which psychiatric term defines an irresistible urge to preform apparently meaningless actions
Definition
compulsion
Term
a mood disorder identified by feelings of elation and well being flight of ideas and physical overactivity
Definition
mania
Term
your behavior or actions in the presence of a patient who is anxious should be
Definition
consistent
Term
a patient who feels unloved unneeded inferior and hurt displays a behavior of
Definition
withdrawl
Term
when does the rehabilitation process begin with a mentally ill patient?
Definition
as soon as the patient is admitted
Term
what is the primary rehabilitation need of a mentally ill patient
Definition
strengthening of the patients defenses
Term
when observing and reporting on mentally ill patients the most important factor to consider is
Definition
behavior
Term
psychotherapy usually includes all of the following treatments except
Definition
electroconvulsive therapy
Term
what action if any should you take if you notice a child showing signs if abuse
Definition
report the suspected abuse
Term
what occurs in the third and final stage of abuse
Definition
spouse states it will never happen again
Term
which drug classification causes euphoria, excitement, dilated pupils, diaphoresis, tachycardia, and rapid breathing?
Definition
stimulant
Term
what is the priority when providing care to a patient that has abused a substance?
Definition
monitor vitals and sustain life
Term
for patients who suffer from pain the best way to ensure a successful exercise activity program is to...
Definition
begin the program early i the hospital stay
Term
when planning activities for the patients with psych problems your primary goal is to
Definition
develop a good rapport
Term
what should you do to help patients who become angry and hostile?
Definition
allow them to channel their hostility through verbal expression
Term
to aid in preventing decubitus ulcers, patient position should be changed every...
Definition
2 hours
Term
why should your feet be parallel when standing?
Definition
maintain balance and prevent back hip and leg strain
Term
to use the internal girdle of support you must...
Definition
contract the ab and buttocks muscles
Term
which factors determine the technique you will use to move the patient up in bed
Definition
size and capabilities of the pt
Term
when turning a patient what is the most important precaution to take whether you are pushing or pulling the patient?
Definition
raise the far sidereal
Term
the person in charge of a bed to stretcher transfer should be positioned
Definition
at the head of the bed on the stretcher side
Term
which devices can be used to slide a patient from the bed to a stretcher?
Definition
draw sheet and roller board
Term
when helping a patient to ambulate how should you stand and where should you place your hands
Definition
slightly behind and beside the pt with hand on the waist and under the near arm
Term
which is a safe stable gait that can be used by patients who are either unstable or not allowed to exercise?
Definition
4 point
Term
which is a safe stable gait that can be used by patients who can bear some weight on both legs
Definition
four point
Term
care must be taken to ensure patients do not strain while holding their breath when preforming isometric exercises as that may cause
Definition
heart attack
Term
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?
Definition
liquid
Term
the diet that is inadequate in all nutrients and should not be given for more than 3 days is
Definition
clear liquid
Term
which precaution should be taken just prior to preforming a procedure that uses the patients NG tube
Definition
check for placement
Term
what should the solution temperature be during a gastric lavage
Definition
room temperature
Term
during catheterization of a male patient at what angle is the penis held and how many inches is the catheter inserted
Definition
90, 6-10 inches
Term
during cauterization of a female patient how many inches is the catheter inserted for placement
Definition
2-3 inches
Term
when measuring urine output of an infant, oe gram of diaper weight is equal to
Definition
one milliliter
Term
for administration of an enema the patient is preferable placed on
Definition
the left side
Term
colostomy irrigations are preformed to
Definition
establish fecal control
Term
what is the normal arterial oxygenation range
Definition
95-98 percent
Term
what condition occurs if CO2 builds up and mixes with water in the blood stream
Definition
respiratory acidosis
Term
when using an oxygen tent how frequently should oxygen concentrations and temperature be checked
Definition
1-2 hours
Term
for patients using a nonrebreathing mask the inspired oxygen concentration is
Definition
60-90 percent
Term
what actions should you take when moving a patient on a venturi mask
Definition
monitor in transport and reassess on arrival
Term
what complications could occur to the patient following a thoracentesis?
Definition
shock bleeding and dyspnea
Term
closed chest drainage is a system used to
Definition
re-expand a collapsed lung
Term
what cardiac related condition may be caused by a fall in cardiac output resulting in cerebral ischemia
Definition
syncope
Term
the physiological function that the heart sound S1 is associated with is
Definition
closure of the mitral and tricuspid valves
Term
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
Definition
valsalva
Term
what position should a patient be placed in for insertion of a central venous pressure line into a neck vein
Definition
trendelenburg
Term
as a minimum how many minutes should you irrigate a patients eye with chemical burns?
Definition
20
Term
how are corneal abrasions detected
Definition
fluorescein stain
Term
there is a high success rate if a dentist carries out a tooth replacement procedure within how many minutes of the accident
Definition
30
Term
damage to the epidermis with possible damage to the dermis and its appendages is classified as what kind of burn?
Definition
partial thickness
Term
a burn is classified as moderate if it involves
Definition
full thickness burns that cover 2-10 percent of the body
Term
when caring for a patient with electrical burns at a facility your first priority is
Definition
management of the patients airway
Term
how would you apply a sterile dressing with the intention of deriding a wound
Definition
wet to dry
Term
what is the proper sequence for cleaning a wound
Definition
remove old dressing, sterile gloves, wipe from the wound out
Term
what reflex action would be caused if you leave a heat treatment in place too long
Definition
reflex vasoconstriction
Term
how do you apply moist heat
Definition
moisten a towel and place between the patient and heat application
Term
A specialist who can guide a provider in prescribing drugs is best defined as a...
Definition
clinical pharmacist
Term
out of the several names given each medication, which of these drug names is given by the manufacturer?
Definition
trade name
Term
which statement is true regarding the role of a medical service technician in medication administration?
Definition
technicians may administer medications with supervision from a nurse or physician
Term
With medications, what is not a right (legal and ethical) of the patient?
Definition
choose method of administration
Term
What form should be filled out when reporting a medication error
Definition
AF Form 765
Term
How many ways can a provider initiate a drug order?
Definition
Two
Term
what do many MTFs use to avoid errors when copying a drug order?
Definition
computer generated product
Term
drug administration is controlled primarily by...
Definition
federal law
Term
Narcotics such as codeine, cocaine, and amphetamines, which have a high potential for abuse, but have acceptable medical uses are classified as...
Definition
Schedule II
Term
What law requires a periodic inventory of all controlled substances?
Definition
Controlled Substances Act
Term
As a minimum, how often should controlled temperature drug storage areas be monitored?
Definition
Once per day
Term
Penicillin administered to treat an infection is an example of what category of drugs?
Definition
Curative
Term
The process by which a drug is transported from the site of entry to the circulatory system is know as...
Definition
absorption
Term
A patients weight is a factor in drug action due to...
Definition
body fat absorption
Term
Why are oral medications that are taken before meals generally faster acting?
Definition
Lower digestive system content
Term
How can ambient temperature affect drug action?
Definition
Warmer temperatures increase circulation and cause rapid drug action
Term
Which of these is a common reference source for drugs?
Definition
Physician Desk Reference
Term
A finely ground drug that can be used internally or used externally describes a type of medication prep called a...
Definition
powder
Term
What thype of medication has a cleansing action that produces watery evacuation of intestinal content?
Definition
Cathartics
Term
Which element is not required on a medication order? PT- age, name, specified time, providers signature?
Definition
Age
Term
Before administering any medication, you are not responsible for...
Definition
ensuring A1C Jones is available for work the next day
Term
How many lbs are equal to 65 kg?
Definition
143
Term
Pt needs 5 mg/kg of Ancef. Pt weighs 65 kg. Ancef comes in 50 mg/mL. How man mLs will be given per dose?
Definition
6.5
Term
How many lbs are equal to 65 kg?
Definition
143
Term
need 1 dose of Phenegran 12.5 mg. Phenegran comes in 50 mg/2mL. How many mLs would you administer?
Definition
.50
Term
The method of parenteral administration that involves injecting into muscle is called...
Definition
intramuscular (IM)
Term
Name the parts of the needle.
Definition
Hub, shaft, bevel
Term
what administration method delivers medication directly into a patients digestive system?
Definition
oral
Term
to prevent contamination and accidental spills, liquid medications being administered to inpatients are usually poured where?
Definition
bedside
Term
what is a disadvantage of inhalation medication?
Definition
Monitoring the precise amount of drug administration os difficult
Term
when administering eye medications, ensure the patients treated eye is lower than the other in order to...
Definition
prevent contamination of the unaffected eye
Term
into what body cavity are otic medications administered?
Definition
external auditory canal
Term
to administer ear drops into a patient under three years of age, you gently pull the earlobe...
Definition
down to straighten the ear canal
Term
vaginal suppositories are administered to...
Definition
combat infection
Term
When administering a vaginal douche, how high above the patients vagina do you hang the bag?
Definition
12-18 inches
Term
which medications primary action is pain relief?
Definition
analgesics, sedatives, hypnotics
Term
opioids are contraindicated with...
Definition
head injury treatment
Term
opiod antagonists are used in the treatment of...
Definition
opioid overdose
Term
nonopioid analgesics are available...
Definition
OTC
Term
anti-inflammatory actions are associated with
Definition
preventing the formation of prostaglandins
Term
a common side effect of sedatives and hypnotic medications is..
Definition
a depressed state of REM sleep
Term
Which OTC CNS stimulant is frequently taken in prolonged high doses producing habituation and psychological dependence?
Definition
Caffiene
Term
What is not a side effect tricyclics?
Definition
pupil constriction
Term
anti-anxiety medications are prescribed for...
Definition
the treatment of insomnia
Term
Antipsychotics medications are categorized as...
Definition
major tranquilizers
Term
Extra pyrimidal side effects common to typical phenothiazines antipsychotic medications is a result of
Definition
blocking dopamine receptors
Term
which pulse point should be checked before administration of digitalis
Definition
apical
Term
toxic side effects of digitalis does not include...
Definition
tachycardia
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