EXAM #1 (8-25 → 9-8) Flashcards

1
Q

what are the two patient identifiers?

A

patient name

date of birth

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2
Q

true/false

an identification band is placed on all inpatients and outpatients undergoing operative or invasive procedures

A

true

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3
Q

true/false

a patient must be asked to state their full name and date of birth

A

true

never ask if they are Mr. or Mrs. _____

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4
Q

what should you do to confirm patient identification when they are non-communicative or incapacitated

A

check the ID bracelet

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5
Q

what color is the no blood draw bracelet

A

red

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6
Q

what color is the allergy bracelet

A

yellow

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7
Q

what color is the fall risk bracelet

A

orange

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8
Q

what color is the photo sensitive braclet

A

black

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9
Q

what color is the DNR bracelet

A

blue/purple stars

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10
Q

what color is the wander bracelet

A

pink

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11
Q

what is medical asepsis?

A

involves a reduction in the number of infectious agents, which decreases the probability of infection but does not reduce it to zero

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12
Q

what is surgical asepsis?

A

procedure used to prevent contamination of microbes and endospores before, during, and after surgery using sterile technique

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13
Q

what procedures are commonly performed in imaging that require sterile technique

A
Angiography
Image guided biopsies
Line placements
Myelograms
Radiation seed implants
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14
Q

what is sterile draping

A

specific area where a tray or sterile towel (sterile drape) that is considered free of viable micro-organisms is placed

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15
Q

is a package sterile if it is wet?

A

no, packages are sterile if they’re clean and dry

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16
Q

if a package is already opened, is it considered sterile?

A

no, opened packages are unsterile

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17
Q

if the expiration period has passed on a blue-wrapped package, is it sterile?

A

no, packages past the expiration date are unsterile

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18
Q

what is homeostasis?

A

consistency

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19
Q

what are vital signs

A

body temperature

pulse rate

blood pressure

respiratory rate

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20
Q

[*] what is the 5th vital sign?

A

pain is often referred to as the 5th vital sign

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21
Q

what are the levels of alertness

A

AVPU

Alert

verbal stimuli

pain stimuli

unresponsive

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22
Q

vital signs are an indicator of the patient’s _____ to _____

or an _____ effect to _____

improvement of vital signs indicate that the treatment is having a _____ effect

A

vital signs are an indicator of the patient’s response to therapy

or an adverse effect to therapy

improvement of vital signs indicate that the treatment is having a positive effect

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23
Q

what is normal body temp in F° and C°

A

98.6°F

37°C

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24
Q

_____ plays an important role in maintaining body temp

A

hypothalamus plays an important role in maintaining body temp

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25
Q

the hypothalamus can initiate _____ _____ and _____ to dissipate body heat

or _____ to generate heat and __________ to conserve heat

A

the hypothalamus can initiate peripheral dialation and sweating to dissipate body heat

or shivering to generate heat and vasoconstriction to conserve heat

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26
Q

what are the five routes to measure core body heat

A

oral

axillary

tympanic (ear)

temporal

rectal

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27
Q

what does the body temp have to be to be considered hyperthermia

A

99.5°F

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28
Q

_____ may be medically induced to decrease metabolic demends

A

hypothermia

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29
Q

what is the major muscle of ventilation

A

diaphragm

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30
Q

what is inspiration

A

diaphragm contracts and causes expansion of chest (inhale)

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31
Q

what is expiration

A

relaxation of the diaphragm and returns chest to original position (exhale)

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32
Q

what is considered a respiration

A

inspiration and expiration

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33
Q

what is the normal respiratory rate of an adult

A

12-20 breaths per minute

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34
Q

how do you obtain respiratory rate

A

observing patient’s chest movement

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35
Q

true/false

you should keep your hand on the patient’s wrist after you complete counting pulse

A

true

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36
Q

what is tachypnea

A

respiratory rate greater than 20 breaths per minute

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37
Q

what is bradypnea

A

respiratory rate less than 12 breaths per minute

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38
Q

what is dyspnea

A

difficulty breathing

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39
Q

what is apnea

A

absence of spontaneous breathing

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40
Q

what is pulse

A

rapidity of each heart contraction and is recorded as the number of beats per minutes

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41
Q

when is pulse rate most accurate

A

when recorded for one minute

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42
Q

what is the normal adult pulse rate for an adult

A

60-100 beats per minute

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43
Q

where can pulse be palpated

A

superficial arteries

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44
Q

what are the four common sites for obtaining pulse

A

radial artery

brachial artery

carotid artery

apical (stethoscope on chest)

45
Q

what is tachycardia

A

pulse rate greater than 100 beats per minute

46
Q

what is bradycardia

A

pulse rate lower than 60 beats per minute

47
Q

if no pulse can be found at the wrist, where else can it be accessed?

A

carotid artery

48
Q

what is a pulse oximeter

what are the normal pulse rate values?

A

used to measure a patient’s pulse and oxygen saturation

(finger light device)

normal pulse values in a healthy person would be 95-100%

49
Q

what is blood pressure

A

a measure of the force exerted by blood in the arterial walls during contraction and relaxation of the heart

50
Q

what is systolic pressure

A

peak pressure during contraction of heart

51
Q

what is diastolic pressure

A

pressure exerted on the vessel walls when the heart is relaxed

52
Q

what are sphygmomanometer and stethoscopes used for

A

measuring blood pressure

53
Q

what is the normal blood pressure in an adult for systolic and diastolic?

A

systolic =

54
Q

what is the blood pressure for hypertension?

A

blood pressure above 140/90

55
Q

what is the blood pressure for hypotension?

A

blood pressure below 95/60

56
Q

which is usually more desirable? low or high blood pressure?

A

low blood pressure

57
Q

how do you take a patient’s blood pressure?

A

have them sit or lie

arm should be supported at heart level

apply cuff over bare arm with bladder over brachial artery

inflate cuff

put stethoscope above cuff

deflate cuff

measurement

58
Q

True / False

Many sterile trays/packages come commercially prepared and will have specific instructions for opening.

A

True

59
Q

True / False

Sterile supplies can be added to an established sterile field

A

True

60
Q

True / False

A 1 inch border around sterile drape is considered sterile

A

False; a 1 inch border around sterile drape is NOT considered sterile

61
Q

[*] All fluids and medications added to a sterile field must be ______ with name of fluid/med, and dose

A

All fluids and medications added to a sterile field must be labeled with name of fluid/med, and dose

62
Q

Anything below the surface of the table or level of the waist, as well as the undersurface of the drape, is considered _____; any items that falls below this level is considered _____

A

Anything below the surface of the table or level of the waist, as well as the undersurface of the drape, is considered unsterile; any items that falls below this level is considered unsterile

63
Q

If a solution soaks through a sterile field to an unsterile field, the wet area can be _____

A

If a solution soaks through a sterile field to an unsterile field, the wet area can be redraped

64
Q

what is an inpatient?

A

someone who has been admitted

65
Q

what is an outpatient?

A

someone who has come to the hospital for diagnostic testing or treatment (scheduled appointments)

66
Q

Quality care depends on accurate and timely _____

A

Quality care depends on accurate and timely communication

67
Q

What is paralanguage

A

patients forming ideas from the pitch, stress, tone pauses, etc of your speech

68
Q

What are the three types of touch

A
  1. Emotional support
  2. Emphasis
  3. Palpation - gentle use of fingertips

Ask permission before touching a patient and explain you are palpating for proper positioning

69
Q

Ages of patients

Infants, toddlers, preschoolers, school-aged

Adolescents?

Young adults?

Middle-aged?

Mature Adults?

A

Adolescents (10-25 years)

Young adults (25-45 years)

Middle-aged (45-65 years)

Mature Adults (65 years and older)

70
Q

Should you get on your knees for children to talk to them (pediatrics)?

A

yes

71
Q

what is swaddling?

A

holding an infant closely with a blanket

72
Q

when do kids begin to develop memories, ideas, and feelings?

A

12 months

TRIGGERED WHITE LAB COAT

73
Q

Should you speak to toddlers with simple words?

A

yes

74
Q

What is a toddler’s concept of time?

A

now, now, now

the future does not exist

75
Q

When do kids begin to think logically

A

5-10 years

76
Q

What is a primary concern for adolescents

A

body awareness and modesty

77
Q

adolescent phase begins earlier for boys or girls?

A

girls

78
Q

what is a middle adolescent?

A

between peer group influence and early sexual relationships

79
Q

middle adolescents appreciate being treated like a(n) _____.

A

adult

80
Q

what do late adolescents focus on

A

mature relationships with both sexes

financial dependency

81
Q

what age range is considered young adult?

A

25-45 years

82
Q

what age range is considered middle-aged

A

45-65 years

83
Q

what age range is considered to be mature adult?

A

65+ years

84
Q

what age range is considered to be young-old

health and active?

A

65-74 years

healthy and active

85
Q

what age range is considered to be old-old

health and active?

A

75-84 years

transitional

86
Q

what age range is considered to be oldest-old

health and active?

A

85+ years

frail and infirmed

87
Q

What is the cardinal rule?

A

patience + respect

88
Q

Who was that Swiss Psychiatrist who described the 5 stages of grief?

What are they?

Must they go in that order?

Does everyone reach acceptance?

A

Elisabeth Kubler-Ross

Denial
Anger
Bargaining
Depression
Acceptance

Different order for everyone, can return to or experience both at the same time

Not everyone reaches acceptance

89
Q

What is the initial stage of grief for those who have received a diagnosis of a terminal illness?

A

denial

90
Q

What stage of grief does someone go into, replacing denial?

A

anger

91
Q

What is HCAHPS?

What does it stand for?

A

HCAHPS is a core set of questions to improve customer service and quality activities

Hospital Consumer Assessment of Healthcare Providers and Systems

92
Q

What is the CG-CAHPS Survey?

A

Items within survey instrument measure patient’s perception of care including:
• Getting appointments and healthcare when needed
• Seeing provider within 15 minutes
• Timely test results
• How well doctors communicate
• Courtesy and helpfulness of office staff
• Recommending the provider office
• Overall rating of the doctor

Clinician and Group CAHPS

93
Q

What is Value Based Purchasing (VBP)?

A

Healthcare organizations are being held accountable for the cost and quality of healthcare

Standardize Performance Measurement

Transparency and Public Reporting

Informed Choice

94
Q

What is an infection?

A

Infection is the establishment and growth of a microorganism on or in a host

When the infection results in injury to the host, the host is said to have a disease.

Pathogenic microorganisms cause infectious disease

95
Q

What are pathogens?

A

Can multiply in large numbers and cause an obstruction

Cause tissue damage

Secrete organic substances called exotoxins

96
Q

What are the four types of pathogens?

A

bacteria

virus

fungi

parasites

97
Q

what is ingression

A

body in contact with environment and gets exposed to pathogens

98
Q

penetration of pathogens?

A

microorganisms invade past the epithelial barrier

99
Q

first phase of microbe multiplication?

A

incubation period

100
Q

chain of infection

4 things

A

For infections to be transmitted:

  1. Host
  2. Infectious organism
  3. Mode of transportation
  4. Reservoir
101
Q

health care associated infection (nosocomial infections)

A

infection due to receiving health care

102
Q

Iatrogenic Infection

A

An infection that results from intervention with a physician

103
Q

Asepsis

A

no infection

104
Q

sterilization

A

killing of all of it

105
Q

antiseptics are applied _____

A

topically

106
Q

WASH YO GOD DAMN HANDS

A

WASH EM GOOD

107
Q

MASLOW’S HIERARCHY OF NEEDS

A

self-actualization

esteem

love/belonging

safety

physiological

108
Q

What are buffers

A

Activities that decrease the negative effects of stress but do not change the stressors