MAS Final Study Guide Flashcards
when using a tympanic membrane, it is important to
attach a disposable sheath and place the thermometer snugly in the ear
what are internal factors that affect blood pressure
- vasoconstriction
- cardiac output
- blood volume
- blood viscosity
what is NOT an internal factor that affects blood pressure?
stress
the erythrocyte sedimentation rate (ESR) blood test screens for
inflammatory process
what is the normal range of potassium found in the blood?
3.5 to 5.1 mEq/L
blood chemistries and HIV/AIDS antibody tests must be performed with that color test tube?
red color stopper
a patient just had a color of cold water and you are getting ready to perform vital signs and measurements. What is the to perform?
BP, P, R, Ht, Wt, T
when performing a venipuncture using an evacuation system, how deep to you penetrate?
penetrate the vein wall to a depth of 1/4 to 1/2 inch
some tests cannot use alcohol for the reason it will result in inaccurate test results. What alternative substance can be used to prep the skin before a venipuncture?
povidone-iodine
what is the liquid or fluid portion of the blood?
plasma
in order to inflate the blood pressure cuff, the valve is turned -
clockwise
when medications are mixed and dissolved into a solution administered by a slow drip in the vein, the administration is known as
infusion
what does hyperpnea mean?
rapid and deep breathing
where are the common sites for intradermal injections?
forearm and back
what area is the most accurate measurement of body temperature?
rectal
which gauge is the smallest?
25 gauge
what is the normal prothrombin time (PT)?
11 to 15 sec
what tests use a green collection stopper?
electrolyte studies
a blood test that measures creatine kinase (CK) can identify a patient with-
heart disease
a medication that is administered subcutaneously is-
injected into the skin
you are drawing blood on Mrs. Green. You have explained the process to the 82-year-old patient and begin the procedure. You are using an evacuated tube system and as you insert the third tube into the holder, Mrs. Green begins to cry. You immediately ask if she is in pain and she replies, “No, but I am so scared! Why do they need this much blood? I must have a terrible disease!” the best response is
“Drawing blood does not necessarily meant you are ill; blood tests are one of the best ways to get an overall picture of your health.”
when reconstituting and drawing a medication for injection-
puncture the diaphragm of the vial of diluent with the needle and inject the air into the vial
when measuring the weight of an adult, you should-
place a disposable towel on the scale
Kaiden is a 32-year-old businessman who is being seen in the health care facility because he has been feeling fatigued all of the time. He says he is having difficulty concentrating at work, and his appetite is off. The physician has ordered several blood tests. When you explain the procedure to Kaiden, he smiles and says, “Oh, sure, I’ve been through this many times before. Do what you have to do!” A few seconds after you withdraw the needle, Kaiden suddenly goes limp. You realize that he has fainted and is beginning to slip out of the chair. You should do is
gently lower him to the floor while protecting his head.
auscultation is done by using a
stethoscope
when taking blood pressure, there are 5 sounds that are heard after the cuff is deflated. Those sounds are called-
korotkoff sounds
The physician has asked you to draw blood from Peter, a 24-year-old patient, for routine pre-employment testing. As you begin explaining the process, Peter starts to look very uncomfortable. Although he pretends nothing is wrong, you soon discover that he is afraid of needles. The following suggestions you might help Peter ,
“See the magazine in the rack on the wall? Focus on that while I draw the blood.”
a ___ is a liquid used to dissolve and dilute a medication
diluent
when taking an infants pulse, if the brachial artery cannot be felt, what is an alternative to look for the pulse?
over the apex of the heart
Quint Gardner, a 35-year-old established patient, is in the office for his annual checkup. He says he feels great, and he appears to be in good physical condition. According to office policy, you check his blood pressure using the aneroid sphygmomanometer and his temperature using an axillary thermometer. His vital signs are: BP: 118/88 RL 16, T: 102.4, P: 62. Given these vitals the medical assistant’s next step is to
recheck his temperature using a different type of thermometer.
what is the normal range for an adult heart rate per minute?
60-100 bpm
palpitation is performed by
feeling a part with the hand
what range is considered a normal range for blood pressure in an adult?
110/65-130/80 bpm
which medication administration is considered the most rapid -acting and produces the most immediate effect
intravenous/IV
Mrs. Reeves is a 57-year-old patient who was brought to the office because she has been having frequent dizzy spells. In addition to the routine vital signs, the following would you expect the physician ask you to perform to the patient is
postural vital signs
what procedure is used to obtain a blood sample through the middle or ring finger?
capillary puncture
when giving a subcutaneous injection, how should the needle be angled?
hold the needle and syringe at a 45-90 degree angle to the skin
intradermal injections are used to administer-
allergy and TB testing
what is a normal fasting glucose level?
74-120 mg/dL
what is the normal oral adult temperature?
97-99 degrees Fahrenheit
Ms. Anderson was giving medications on the unit. Just as she was taking a medication out of the patient’s cassette, she was interrupted by another patient asking about an appointment. While having the discussion, she opened the medication container and poured the dose and gave it to the intended patient. When she retuned to the cassette, she realized she gave the wrong medication.
She neglected to perform the three checks of medication administration.
the pulse point that is located in the bend of the elbow is called the-
brachial pulse
adult height should be measured to the nearest
quarter of an inch
what instructions should be given to the patient when teaching them how to do a medication sublingually?
not eat until after the medication has been dissolved
a ___ is a homogenous mixture of a solid, liquid, gaseous substance in a liquid
solution
A blood urea nitrogen (BUN) test is used to identify
kidney disorders
When administering a medication according to the “rights” of medication administration, you should
read the medication label on the container three times
The hemoglobin A1C test reflects blood glucose levels over _____ period of time.
3 months
Number 1 in the picture is the ________, a vein commonly used for venipuncture.
cephalic vein
what is the first step when collecting a blood specimen?
identify the patient correctly
what does dyspnea mean?
difficult or painful breathing
The measurement on this sphygmomanometer is
88mmHg
- The measurement on this sphygmomanometer gauge is
168 mmHg
what should be done when drawing blood from an elderly patient?
elevate their arm after removing the needle
what is the term for red blood cells, white blood cells, and platelets?
formed elements
the general rule when for medication administration is to
calculate the dose and have it double checked if unsure of your answer
Julia is a 16-year-old patient who has come to the health care facility for her annual physical. the physician has asked you to draw blood for routine blood tests. When she realizes that you are going to draw her blood, she frowns and backs away. She tells you that when “they” drew her blood last year, it left a huge, ugly bruise that took weeks to go away, your best response is
Some bruising is possible, but I will do everything possible to minimize it
what is the first line of defense during a phlebotomy procedure?
gloves
what is a small glass or plastic container that is sealed to keep its contents sterile?
ampule
the description of whole blood is
clear, yellow liquid that remains after a blood clot is formed
when administering a liquid medication
Hold the medicine at eye level, with the palm over the label, and pour the correct amount of the medication
what is the medical term for deep snoring or rattling sounds that are associated with asthma?
rhonchi
a medication that is administered intramuscularly is
injected to a muscle
a small calibrated glass tube that holds a precise volume of fluid is
micropipette
Nina Trevez is a 32-year-old patient who is in your medical office. During the initial patient interview, Ms. Trevez says her appendix was removed when she was 10 years old, she had a complete mastectomy of the left breast 5 years ago, and she has a severe allergy to penicillin. The following actions would you be careful to take while taking Ms. Trevez’s vital signs is
to check her blood pressure using the right arm.
