Mod 3: Gen Pt Care 2 (56%)

Question 1

define MEDICAL RECONCILLIATION

Answer 1

compare pt current list of medications to list on records

Question 2

the sterile field on a mayo stand should be located where in relation to your body

Answer 2

slightly above the waist and at least 12 inches from the body

Question 3

when opening a sterile packet on the mayo stand, what is the order the flaps should be opened

Answer 3

flap farthest from you, the sides, flap closest to you

Question 4

a border of __ around the sterile drape is considered nonsterile

Answer 4

1 inch

Question 5

what are the do nots of a sterile field

Answer 5

• do not leave unattended
• do not reach over
• do not turn away

Question 6

items within the sterile field that need to be rearranged should be moved with

Answer 6

sterile forceps

Question 7

absorption of absorbable sutures gen happens around

Answer 7

5-20 days

Question 8

the more o’s the

Answer 8

smaller the gauge

Question 9

what is thicker 2-o or 8-o

Answer 9

2-o

Question 10

delicate tissue such as the face and neck generally uses ____ sutures

Answer 10

5-o to 6-o

Question 11

the benefits of staples are that they can be put under

Answer 11

high tension

Question 12

places that staples may be used are

Answer 12

trunk, extremities, and scalp

Question 13

staples should be removed in

Answer 13

4-14 days

Question 14

sutures that are crusting should be ___ before being removed

Answer 14

soaked with saline

Question 15

t/f the skin should be cleansed with alcohol or povidone-iodine solution before removing sutures

Answer 15

true

Question 16

when you are removing stitches, you notice the wound is gaping/bleeding/there is exudate, what do you do

Answer 16

stop and notify the provider

Question 17

what can be used to assist reinforcement of wound closure once sutures are removed

Answer 17

butterfly strips

Question 18

should you lift the staple remover when squeezing the handle to remove staples

Answer 18

no

Question 19

aka severe hypoglycemia

Answer 19

insulin shock

Question 20

pt is presenting with irritability, moodiness/change in behavior, sweating, hunger, and rapid heart rate. what may they be experiencing

Answer 20

mild hypoglycemia

Question 21

pt is presenting with fainting, seizures, confusion, headache, coma, and potentially death. what may they be experiencing

Answer 21

severe hypoglycemia

Question 22

tx hypoglycemia

Answer 22

glucagon/sugar

Question 23

pt is presenting w/thirst, muscle cramping, lightheadedness, chest pain, confusion, lethargy, and potentially death. they recently experienced a significant loss of fluid through severe dehydration and hemorrhaging. what may they be experiencing.

Answer 23

hypovolemic shock

Question 24

pt is experiencing muscle cramping, sweating, pale and clammy skin. what may they be experiencing

Answer 24

heat exhaustion or heat stroke

Question 25

tx hypovolemic shock

Answer 25

control blood loss, blood transfusion, fluids

Question 26

pt is experiencing frostbite, red and tingling skin, pale and numb skin, shivering, confusion, paleness, and loss of consciousness. what may they be experiencing

Answer 26

hypothermia or frostbite

Question 27

pt is pale, perspiring, and complains of nausea/dizziness. what may they be experiencing

Answer 27

syncope

Question 28

shock can result from

Answer 28

trauma, electrical injury, insulin shock, hemorrhage, drug reaction, illness, respiratory distress, fever, heart attack, and poisoning

Question 29

if someone is going into shock, what is the first thing that should be done if they are available (after calling 911)

Answer 29

lay pt down and elevate legs and feet slightly

Question 30

the pt may experience these after having a seizure

Answer 30

confusion, headache, exhaustion

Question 31

sx of poisoning include

Answer 31

discoloration/burns on lips, unusual odor, emesis, presence of suspicious container, drowsiness, unconsciousness, difficulty/stopped breathing, seizures

Question 32

what is the first steps to control arterial bleeding

Answer 32

put pressure with sterile gauze and elevate site of bleeding (put tourniquet if necessary)

Question 33

when cleaning a wound, how should it be done

Answer 33

from top to bottom

Question 34

what should be done when changing dressings that are stuck to a wound

Answer 34

soak the dressing in sterile saline or sterile water

Question 35

difference between dressings and bandages?

Answer 35

- dressings are sterile and cover wounds - bandages are nonsterile and cover dressings

Question 36

what are the 3 phases of wound healing

Answer 36

inflammatory, proliferative, maturation

Question 37

the inflammatory phase takes

Answer 37

3-4 days

Question 38

the proliferating phase takes

Answer 38

4-21 days

Question 39

the maturation phase takes

Answer 39

21 days - 2 years

Question 40

describe the inflammatory phase

Answer 40

- blood clot forms - pain, swelling, loss of function at wound site

Question 41

describe the proliferating phase

Answer 41

fibrin extend across wound and scab begins to form

Question 42

describe the maturation phase

Answer 42

wound closes and scar thins and fades

Question 43

wound complications include

Answer 43

infection, hemorrhage, dehiscence, and evisceration

Question 44

define DEHISCENCE

Answer 44

separation of wound edges

Question 45

define EVISCERATION

Answer 45

separation of wound edges and protrusion of abdominal organs

Question 46

burns that cover ______ require hospitalization

Answer 46

more than 10% of the body

Question 47

sx first degree burn

Answer 47

red and discolored skin with slight swelling

Question 48

sx of second degree burn

Answer 48

red or mottled skin, skin is wet, pain and swelling, blisters

Question 49

sx third degree burns

Answer 49

skin is charred and white & less pain

Question 50

t/f: fourth degree burns are often painless

Answer 50

true (the nerve endings are usually destroyed)

Question 51

how should minor burns be tx

Answer 51

- put under cool running water for 10 min - apply lotion w/aloe vera or cocoa butter - wrap loosely with clean bandage

Question 52

if a blister from a burn breaks, how should it be treated

Answer 52

- gently clean with water - apply antibiotic ointment - cover burn with clean bandage

Question 53

what should be done to treat a major burn

Answer 53

- remove jewelry/belts/other tight items - loosely cover area with gauze or clean cloth - raise burn above heart - watch for signs of shock - separate fingers if affected

Question 54

why should tight things be removed form burn pts

Answer 54

burned areas swell

Question 55

atropine is given for

Answer 55

bradycardia

Question 56

prochlorperazine suppositories are give for

Answer 56

nausea and vomiting

Question 57

sx of an MI include

Answer 57

- chest pain/heaviness/discomfort - pain/discomfort in one or both arms/back/shoulders/neck/jaw/abdomen - SOB when resting/slight physical activity - excessive sweating for no reason - feeling unusually fatigued - nausea/vomiting - rapid or irregular heartbeat - lightheadedness/sudden dizziness

Question 58

when performing CPR, a pulse should not be palpated for more than

Answer 58

10 seconds

Question 59

DME are

Answer 59

medical devices/supplies that can be used repeatedly

Question 60

aka DMEs

Answer 60

DMEPOS

Question 61

what are the requirements for DMEs

Answer 61

- serve medical purpose - be prescribed/ordered by provider - able to be used repeatedly - have expected lifetime of at least 3 years - be used in home - only be useful to pts who have injury/disability