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CCMA revisions > Mod 3: Gen Pt Care 1 (56%) > Flashcards

Mod 3: Gen Pt Care 1 (56%) Flashcards

1
Q

dermal punch biopsies, dermal cutter, scalpel, gauze, Incision and drainage tray, and specimen collection swabs & containers are most likely used in

A

dermatology

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2
Q

3 channel EKG, electrodes, EKG paper, and a holter monitor are most commonly used in

A

cardiology

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3
Q

glucometers, alcohol pads, adhesive strips, test strips, and lancets are most likely found in

A

endocrinology

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4
Q

otoscope, ophthalmoscope, percussion hammer, penlight, tuning fork, safety pin, small vials containing hot & cold liquids, vials w/different scents & tasting liquids, and cotton balls are most likely found in

A

neurology

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5
Q

vaginal speculums & retractors, cytology kits, stitch removal sets, dressing kits, ultrasound, and fetal doppler machine are most likely found in

A

OB/GYN

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6
Q

a peak flow meter spirometry machine, and disposable mouthpieces and nose clips are most likely found in

A

pulmonology

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7
Q

this position relieves strain on lower back and relaxes the abdominal muscles. it is used to inspect the head/neck/chest/vagina/rectal/perineal areas and for digital vagina and rectal exams

A

dorsal recumbent

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8
Q

this position is used for exams of the head/neck/upper body, for those with breathing difficulties, or eating

A

Fowler’s

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9
Q

this position is used for postsurgical exams, breathing difficulties, lower back injuries

A

semi-fowler’s

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10
Q

aka: left lateral

A

lateral semi-prone recumbent or sims

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11
Q

this position is used for rectal exams/temperatures, enemas, perineal & pelvic exams

A

left lateral

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12
Q

this position is used for proctologic exams, sigmoidoscopy procedures, and rectal & vaginal exams

A

knee-chest

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13
Q

aka: nonparenteral

A

enteral

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14
Q

define parenteral

A

non-oral; does not go through GI

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15
Q

what is the difference between transdermal and topical meds

A

transdermals are generally administered via patch for slow release and topical usually comes in creams/ointments/emulsions for faster release

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16
Q

list the times the medication should be checked with the order

A
  1. when collecting meds
  2. when preparing meds
  3. when putting meds back
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17
Q

list the original rights of medication administration

A

pt, medication, form, dose, route, time, and technique

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18
Q

what are the 2 additional rights of medication administration

A

education and documentation

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19
Q

proper documentation of medication administration should include these elements

A

date, time, quantity, medication, strength, lot number, manufacturer, expiration date, consent obtained and pt outcome

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20
Q

aka eye instillation

A

ocular/ophthalmic administration

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21
Q

describe how to provide an eye instillation

A
  • use nondominant hand to gently pull down lower lid with thumb or 2 fingers
  • gently rest dominant hand on pt forehead while administering
  • release the lid and ask pt to close eyes and blot away any meds w/tissue
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22
Q

how should an eye drop be dispensed

A

about 1/2 inch above sac

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23
Q

how should eye cream/ointment be administered

A

even thick ribbon along inside edge of lower lid on conjunctiva moving from medial to lateral

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24
Q

describe how to perform an ear instillation

A
  • pt lies on side w/affected ear up
  • hold applicator 1/2 inch above ear canal and administer
  • have pt remain in position at least 5 min
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25
Q

t/f: anaphylaxis may occur hours after exposure to allergen

A

true

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26
Q

when performing an ear instillation for a child, how should you adjust the auricle of the ear?

A

pull auricle outward and down

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27
Q

after administrating epinephrine to a person experiencing anaphylaxis, what should be done

A

massage injection site and call 911

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28
Q

what should be asked and documented regarding medication allergies

A
  • name of suspected meds (rx & otc)
  • timeframe of reaction from initiation
  • strength & formulation
  • description of reaction
  • indication for meds being taken
  • number of doses taken/days before reaction
  • route of administration
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29
Q

how long should a pt wait after receiving a medication to observe any adverse reactions

A

20-30 min

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30
Q

how long should the epipen stay in the thigh upon injection

A

at least 10 seconds

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31
Q

all instruments and equipment that penetrate skin/enter body/come in contact with other normally sterile bodies of body need to undergo

A

sterilization

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32
Q

what are the 3 categories of reusable medical devices

A
  • critical
  • semi critical
  • non critical
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33
Q

define critical devices

A

reusable medical devices that come in contact w/blood or normally sterile tissue

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34
Q

define semi-critical devices

A

reusable medical devices that come in contact w/mucus membranes

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35
Q

define non-critical devices

A

reusable medical devices that come in contact w/unbroken skin

36
Q

t/f: needles have an expiration date that need to checked

A

true

37
Q

how many mL is 1 cc

A

1

38
Q

the higher the gauge the

A

smaller the lumen

39
Q

what common medications are injected via subQ

A

insulin, heparin, immunizations, allergy medications

40
Q

subQ injections are generally less than

A

1.5 mL

41
Q

list subQ injection sites

A
  • upper outer arm
  • abdomen
  • upper thigh
  • scapula
  • lower back/upper buttocks
42
Q

describe the process of injecting subQ

A

pinch at least 1 in of skin and inject below it at a 45 degree angle

43
Q

list ID injection sites

A

mid forearm, upper chest under clavicles, scapulas

44
Q

what is the max amount of medication injection in an ID

A

0.1 mL

45
Q

common medications injected via IM are

A
  • antibiotics
  • hormones
  • vaccines
46
Q

common IM sites are

A
  • deltoid
  • ventrogluteal
  • dorsogluteal
  • vastus lateralis
47
Q

the deltoid can only hold

A

1 mL medication

48
Q

deltoid IMs should be avoided for pts younger than

A

3

49
Q

what is the preferred injection site for oily and irritating solutions

A

ventrogluteal

50
Q

the ventrogluteal IM site can hold

A

up to 3 mL medication

51
Q

what needle gauges should be used for subQ

A

23-25

52
Q

what needle length should be used for subQ

A

5/8 in

53
Q

what needle gauge should be used for ID injections

A

25-27 G

54
Q

what needle length should be used for ID injections

A

3/4 to 1/2 in

55
Q

what needle gauge should be used for IM injections

A

22-25 G

56
Q

what needle length should be used for IM injections

A

1-1 1/2 in

57
Q

this medication is generally supplied in 30-, 50-. or 100- unit measurements

A

insulin

58
Q

from most to least, what sites absorb insulin the fastest

A

abdomen, arms, thighs, and buttocks

59
Q

providers should be notified immediately if pts experience any of these after receiving an injection

A
  • severe pain at site
  • tingling/numbness
  • redness/swelling/warmth at site
  • prolonged bleeding
  • signs of allergic reaction
60
Q

should air be injected into a vial before drawing medication

A

yes

61
Q

t/f: inject air, invert vial, withdraw meds

A

true

62
Q

what is the purpose of a filter needle

A

prevent withdrawal of lass or rubber particulate especially from ampule

63
Q

when drawing from an ampule, what should be prevented

A

prevent shaft and tip of needle from touching rim of ampule

64
Q

these syringes generally vary from 0.5-60 mL

A

hypodermic

65
Q

these syringes generally vary from 0.5-1 mL

A

tuberculin

66
Q

100 units from an insulin syringe is equal to

A

1 mL

67
Q

t/f: insulin syringes do not have detachable needles

A

true

68
Q

define controlled substance

A

any medication that has the potential for abuse or addiction

69
Q

refrigerated medication should be stored at

A

between 2-8 C (35-46 F)

70
Q

frozen medications should be stored at

A

-50 to -15 C (-58-5 F)

71
Q

how may medications be stored

A

alphabetically or by classification

72
Q

define MEDICATION ADMINISTRATION RECORD

A

report serving as legal record of medications administered to pt

73
Q

the MAR should include

A
  • medication name
  • dose
  • date and time
  • route administered
  • special instructions
  • any reaction to medication
  • name of prescribing provider
74
Q

define TRANSCRIBING

A

taking info from order and transferring it to the MAR

75
Q

medications stored at room temp should be kept at

A

20-25 C (68-77 F)

76
Q

in addition to the elements required on all prescriptions, electronically generated ones must have

A
  • DEA # of prescribing provider if it is a controlled substance
  • phone number of provider
  • time and date of transmission
  • name of pharmacy sent to
77
Q

define SPECIALTY PHARMACIES

A

pharmacies that provide medications not commonly found in community/retail pharmacies for more complex, chronic, and rare health conditions

78
Q

list all the subsections of a pt medical record

A
  • demographic
  • health history
  • physical exam
  • allergies
  • medication record
  • problem list
  • administrative data
  • correspondence
  • schedule/financial/billing info
  • progress notes
  • lab data
  • diagnostic procedures
  • continuity of care
79
Q

what is the difference between EMR and EHR

A
  • EMR is an electronic pt medical history
  • EHR has the EMR and can be incorporated across more than 1 health care organization
80
Q

define INCIDENCE

A

new cases

81
Q

define PREVALENCE

A

existing cases

82
Q

define COMPUTERIZED PROVIDER ORDER ENTRY (CPOE) system

A

electronic process allowing provider to enter medical orders electronically into system

83
Q

what is the benefit of a clinical decision support system (CDSS)

A

enhance decisions with targeted clinical knowledge & pt information such as checking for medication interactions/allergies/errors

84
Q

t/f: a CPOE can correct misplaced decimals

A

false

85
Q

what is the difference between telemedicine and telehealth

A
  • telemedicine includes online health care provider & remote service visits
  • telehealth is more expansive and includes non-pt, non-clinical services, and education
86
Q
A

CCMA revisions (9 decks)

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