Shared Flashcard Set

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CDC- 4N051B Volume 2B- Patient Care Skills II
4N051B
100
Military
Professional
06/29/2015

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Cards

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