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CCMA18Exam > Chapter 9 Patient care > Flashcards

Chapter 9 Patient care Flashcards

1
Q

What are the most common solutions used to disinfect surfaces?

A

Sodium Hypochlorite Solution ( 1:10 bleach/water) or commercial chemical disinfectant.

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2
Q

What are PPE and examples?

A

Personal protective equipment. Barriers to blood and body fluids. Gloves Goggles, mask.

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3
Q

What are Therapeutic Communication Techniques during Intake process?

A

Active Listening, Open-ended questions, restatement, reflection, clarification and nonverbal communication.

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4
Q

What is Chief Complaint?

A

Subjective information that ID’s the reason for the visit in the records in pt.’s own words.

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5
Q

What is normal range for Ht rate for newborn to 1 mo.

A

120-160/min

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6
Q

Toddler Ht rate range is (1-3 yrs)

A

80 -130/min

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7
Q

Preschool Ht Rate ( 3-5 yr)

A

80-120/min

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8
Q

School Age Child HT rate (6-15 yrs)

A

70-100/min

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9
Q

Adult Ht rate (15yr and older)

A

60-100/min

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10
Q

Convert height from inches to feet and inches by:

A

Divide inches by 12: Example:62”/12” = 5ft. 2 in

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11
Q

1 kg = how many pounds ?

A

2.2lbs

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12
Q

To convert pounds to Kg :

A

Divide weight in pounds by 2.2

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13
Q

To convert Kg to pounds:

A

Multiply weight in Kg by 2.2.

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14
Q

What is the calculation for Body Mass Index?

A

Weight in Kg / Height in m (squared) = BMI OR Wt in lbs / Ht. in inches 9Squared) x 703 = BMI

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15
Q

Normal BMI is:

A

18.5 to 24.9

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16
Q

BMI for obesity is:

A

3.0 and greater

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17
Q

a speculum is used to examine the:

A

Nose

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18
Q

Trendelenburg position is used to:

A

Stabilize pt. in shock. (legs elevated above head)

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19
Q

Lithotomy position is used for;

A

female pelvic exam, (feet in stirrups)

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20
Q

Intradermal (ID) needles are what gauge and length?

A

27-28 lumen by 3/8 in. long

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21
Q

Subcutaneous (SC) needles are what gauge and length?

A

25-26 lumen by 1/2 in.- 5/8 in. long

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22
Q

Intramuscular (IM) needles are what gauge and length?

A

20-23 lumen by 1-3 in. (depending on patient size and muscle)

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23
Q

Why is dorsogluteal site no longer recommended for Intramuscular injections?

A

Complications with sciatic nerve possible.

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24
Q

What are the 3 sites for 90 degree IM injections (intramuscular) ?

A

Deltoid muscle, Ventrogluteal muscle, vastus latera;lis muscle.

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25
Q

What angle are subcutaneous (SQ) injection sites done at? What are they used for?

A

45 degrees. Heparin, Insulin.

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26
Q

What angle are Intradermal (ID) sites injected at?

A

10-15 degrees.TB or Allergy tests.

27
Q

Strain is:

A

Stretch/tear of ligament (bone to bone) Tx: RICE

28
Q

Sprain is:

A

Stretch/tear of muscle or tendon (connects muscle to bone) Tx: RICE

29
Q

Dressings are _______ and bandages are _______

A

Sterile, Non-sterile

30
Q

A border of __ around a sterile field is considered non-sterile.

A

1 inch.

31
Q

What tools and precautions does an MA need for staple or suture removal?

A

Forceps, stitch scissors or staple removers. Soak w/ saline if crusted. Look for exudate. If gaping, stop and notify provider.

32
Q

A CPOE is:

A

Computerized Physician Order Entry

33
Q

What are the three pulse sites for adult, child and emergency situations?

A

Radial- adult, bracial-child and carotid for emergency.

34
Q

What is Pulse Oximetry and what does it read?

A

Not a vital sign but it reads % of O2 saturated in blood by an infra red light attached to finger. 95% or higher normal. No nail polish.

35
Q

Pain Scale is what? How to detect pain?

A

Asking pt. to rate their pain on 1-10. Facial grimacing, holding body parts. Subjective.

36
Q

What Skills/activities does the Medical Assistant perform at every visit? (6)

A
  1. Chief Complaint, 2. Weight, 3. Temp. 4. Ht Rate 5. Respirations, 6. Blood pressure
37
Q

What Skills/Activities are performed by the M.A. as part of complete physical?(5)

A
  1. Height, 2. Head Circumference, 3. Visual Acuity (Snellen Chart), 4. EKG (Middle-Aged Adults) 5. Urinalisis
38
Q

When is Pulse oximetry done in Intake by M.A?

A

When pt. has chronic LU. disease or respiratory symptoms.

39
Q

Maternity visits always have what activity for M.A. to perform?

A

Urinalysis

40
Q

How far away does the pt. stand from Snellin or E-snellin chart to take visual acuity test?

A

20 ft. It’s a test

41
Q

What would knee/chest position be used for in pt exam?

A

(Like childs pose.) vaginal/rectal.

42
Q

What would semi-Fowlers position be used for in exam?

A

45 degree angle seated on table. Pt who is uable to lye flat, S.O.B.

43
Q

Sims position is what?

A

Pt. on L. side with l. side slightly flexed and R. leg flexed at 90 degree angle. can use pillow bet. knees. Rectal exam, enema.

44
Q

What position id used for sygmoidosopy?

A

jack-Knife. Lying over exam table that is lifted in middle.

45
Q

Dorsal Recumbent position is:

A

Flat on the back with the knees bent. Used for cathertizations or genital exam of the young pt.

46
Q

When should the 3 checks for medication name, amount and route of dosage be done?

A
  1. Check med. chosen to order of Dr., 2. Check after med is prepared for dosing, 3. Check immediately prior to giving to pt.
47
Q

What do you say to Pt. before giving a medication? (2)

A
  1. Ask consent of Pt. 2. Explain what med is, dose and how it will be given.
48
Q

What is the average HT rate for an infant ( 1 to 12 mo.)

A

80 - 140/min.

49
Q

An adult Respiratory rate is ___ to _____ per min. as compared to an infant which can be _ to ____ per min.

A

12 to 20 Adult, /30 to 50 Infant

50
Q

What are the 3 things that respiration is evaluated on?

A

Rate, Rhythm and Depth

51
Q

Fevers for Rectal Child.

A

100.4 and up

52
Q

Fever for Adult Oral rectal or ear.

A

101 and up.

53
Q

Diabetic Coma (Hyperglycemia) Emergency signs/ procedures are:

A

Signs: Malaise, Dry mouth, Polydipsia (thirst), polyurea, dyspnea, nausea.
Tx: Administer Insulin, Call 911, Monitor vital signs.

54
Q

Insulin Shock (hypoglycemia) Emergency signs/procedures are:

A

Signs: Sweaty, Anxiety, Tachacardia, H/A, Hunger.
Tx: Administer Glucose, Call 911, Monitor Vitals.

55
Q

When removing sutures it is good to do what?

A

Account for the number of sutures or staples removed.

56
Q

How do you cut to remove sutures?

A

Cut close to the knot and pull the suture out by grabbing the knot and pulling with forceps observing the entire suture is removed.

57
Q

Convert Celcius to Farenheight

A

Cx9/5+32=F

58
Q

Convert Farenheight

A

F-32X5/9=C

59
Q

Seizures Procedures:

A
  • Assist to lying position
  • Tilt head to side
  • Time Seizures
  • Stay w/ Pt. and observe
  • Call 911 if continues
60
Q

Removing Sutures Procedures:

A
  • Remove every other or staple while observing the site
  • If gaping, stop, notify provider
  • Cut UNDER the knot and pull sutures out w/forcepts
  • put on gauze and count?
61
Q

Stroke signs/procedures

A

-aphasic or dyspasic ( cant’ speak)
-Paralysis (one sided)
-Drooping mouth
-Loose consciousness
_____________________
-Administer O2
-Call 911
-NPO
Vital Signs
-Medical History

62
Q

preauthorization (billing/coding)

A

For reserving an in-patient (in-hospital) procedure. Must call Insurance Co before scheduling. (Need #)

63
Q

precertificaton (billing/coding)

A

MA or Pt. contacts Insurance Co. to confirm coverage before scheduling referrals (diagnostic or therapeutic) Need #.

64
Q

controlled substances

A

Pt. must deliver paper Rx to pharmacy. Cannot be called in.

CCMA18Exam (12 decks)

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