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NHA CCMA Test > Module 9: General Patient Care > Flashcards

Module 9: General Patient Care Flashcards

1
Q

Proper Idenification

A

Patient state their full name and date of birth

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2
Q

Personal Protective Equipment

PPE

A

barrier equipment used to prevent exposure to blood and other body fluids

gloves, goggles, masks

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3
Q

Active Listening

A

using techniques that allow the receiver to fully undrstand the message being communicated

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4
Q

Open-Ended Questions

A

questions that lead to further explanation

vs. a yes or no response

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5
Q

Restatement

A

repeating or paraphrasing information relayed by sender to confirm accuracy

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6
Q

Reflection

A

when the receiver focuses on the main idea of the message bit incorporates feelings the sender might be exhibiting or possibly feeling

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7
Q

Clarification

A

summarizing the information relayed by the sender to clear up any confusion

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8
Q

Nonverbal Communication

A

gestures and actions that leave interpretation up to the receiver

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9
Q

Chief Complaint

A

reason for the office visit

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10
Q

Subjective Information

A

information that is personal or what someone is feeling

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11
Q

Objective Information

A

information collected that is observed by someone other than the patient

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12
Q

Audiometry

A

test to determine level of hearing

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13
Q

Visual Acuity Testing

A

use of tools such as a Snellen chart to screen for visual impairments

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14
Q

Urinalysis

A

screening tool that evaluates the urine for the presence of dissolved substances/assists with diagnosis

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15
Q

Anthropometric Measurements

A

screening test that include height/weight

circumference of head for infants

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16
Q

Vital Signs

cardinal signs

A

temp, heart rate, resprations, blood pressure

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17
Q

Denver Developmental Screening Test

A

series of activities used to determine the developmenal stage of children

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18
Q

Mini-Mental State Exam

A

tool used to determine the level of awareness of current events and recall of past events to screen for orientation or dementia

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19
Q

Systolic Pressure

A

first sound heard during BP

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20
Q

Diastolic Pressure

A

last sound heard during BP

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21
Q

Korotkoff Sounds

A

5 phases of articular relaxation that are audible while obtaining a manual BP

140/90 over is hypertension

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22
Q

Fowler’s

90 degree

A

exams of eyes, ears, nose, throat, chest

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23
Q

Semi-Fowler’s

45 degree

A

exams chest or shortness of breath

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24
Q

Sims

lateral

A

exams involving rectum, enemas

laying on left side with LL flex/RL at 90*

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25
Knee-Chest
gynecological or rectal exams treatments of spinal adjustments | prone/bent at the waist resting knees with arms above head
26
Jack-Knife
rectal exams or instrumentation | lying over exam table that is lifited in middle
27
Lithotomy
femal pelvic exam | lying flat on table with butt at end of table/feet rsting in stirrups
28
Dorsal Recumbent
catheterizations, genital exam of younger kids, adolescents | lying flat on back with knees bent
29
Prone
exams involving back of body including bottoms of feet | lying flat on abs with arms above head
30
Supine
exams involving front of body CPR | lying flat on back with arms down to side
31
Trendelenburg/Modified
SHOCK | legs elevated above head to corce circulation to vital organs
32
Instruments for General Exam
Ophthalmoscope Otoscope Stethoscope
33
# Needle Intradermal | ID
Gauge: 27 to 28 Length: 3/8 inch
34
# Needle Subcutaneous | SC
Gauge: 25 to 26 Length: 1/2, 5/8 inch
35
# Needle Intramuscular | IM
Gauge: 20 to 23 Length: 1 to 3 inch
36
# many adult/older children vaccines are given via route Deltoid Muscle | intramuscular injection site (IM) ## Footnote DO NOT USE SITE FOR YOUNGER THAN 3
90* angle DO NOT aspirate vaccines 2 to 3 mL | 1 to 2 inch below acromion, DOSAGE NEVER OVER 1mL ## Footnote apirate most other types of meds administered via route
37
Ventrogluteal Muscle | intramuscular injection site (IM) ## Footnote located by placing heel of hand on (right hand placed on right hip) middle finger placed on iliac crest then spread, give injection where V is made
90* angle DO NOT aspirate vaccines site used for deep injections are prescribed or larger quanities of meds are needed | good for viscous meds
38
Ventrogluteal Muscle | intramuscular injection site (IM) ## Footnote located by placing heel of hand on (right hand placed on right hip) middle finger placed on iliac crest then spread, give injection where V is made
90* angle DO NOT aspirate vaccines site used for deep injections are prescribed or larger quanities of meds are needed | good for viscous meds
39
Vastus Lateralis Muscle | intramuscular injection site (IM) ## Footnote administration locations in Mid to Upper thigh
90*angle Do NOT ASPIRATE VACCINES ## Footnote use site for vaccines/meds administration for infants/children younger than 3
40
Subcutaneous | Subcutaneous/Intradermal Injection SQ,ID ## Footnote insulin or heparin
45* angle Sites should be rotated | upper outer arm, abdomen, thigh
41
Intradermal | Subcutaneous/Intradermal Injection SQ,ID
10* to 15* angle ## Footnote used for testing, common site for TB testing mid forearm
42
Oral
in the mouth ## Footnote solids: multiple dose bottles, por pills into lid first then med cup liquid: read lowest point of curve (meniscus) and palm the label to prevent distortion of med drip down bottle
43
Buccal ## Footnote eating, drinking, smoking influence absorption
between cheek and gums rapid absorption meds bypasses the digestive system, resulting in smaller doses | DO NOT CHEW OR SWALLOW ## Footnote meds designed to melt while held in cheek area
44
Sublinqual
under tongue, nitroglyerin tablets/spray common for of meds med bypasses digestive system, smaller doses ## Footnote solids: meds melt/absorbs into bloodstream liquids: spray are used to deliver
45
Inhalation
typically used for targeted areas such as bronchial passages delivered via nebulizer ## Footnote meds to be effective, must hold meds in lungs as long as possible inhalers, or nebulizers, patients can tend to be shaky, dizzy
46
Topical
designed to react locally/systematic absorption in mini ## Footnote serve barrier to prevent irritants from damage the skin or used to treat skin monitor for skin irritation or reaction
47
Mucosal
designed absorb into/through mucous membranes | vagina, rectum, eye, ear, nose
48
Transdermal
slow absorption of meds used for quitting smoking, pain meds, hormone delivery ## Footnote avoid touching meds when applying, dispose of patch where children can't get, monitor skin for irritation, rotate sites
49
Abrasion
scrape or rub superficial wound often affecting (knee, elbows) ## Footnote apply pressure if bleeding, clean/flush debris, apply bandage
50
Incision
open injury typically caused by sharp object causing straight cut bleeding can be profuse ## Footnote apply pressure until bleeding controlled, clean gently, apply bandage
51
Laceration
open injury that is jagged in nature and caused by a sharp object bleeding can be profuse ## Footnote apply pressure until bleeding controlled, clean gently, apply bandage
52
Puncture
open wound that is caused by an instrument that deliver a stab usually small with limited bleeding ## Footnote apply pressure, clean to remove debris, apply bandage
53
Contusion
closed injury, also known as bruise caused by a blunt-force trauma ranges in severity based on the trauma received/location ## Footnote apply cold pack or ice, elevate limb if affected, observe for signs of increased intracranial pressure if head contused
54
Concussion
closed head trauma in which the brain has been jolted/shaken ## Footnote meaure vital signs, observation, provider asessment/possible computed tomography scan (CT)
55
Strain
stretching/tearing of a muscle/tendon that connects a muscle | RICE
56
Sprain
stretching/tearing of ligament | RICE
57
Fracture
break bone, open fracture: skin is broken, closed fracture: no break in skin ## Footnote control bleeding, immobilize area, apply ice, check pulse, treat for shock
58
Anaphylaxis
severe allergic reaction where circulatory shutdown/respiratory distress results in shock ## Footnote extreme emergency provide life support, give oxygen, epinephrine call 911
59
Acute Abdominal Pain
general symptom that can be life threatening ## Footnote obtain detail CC, keep them warm, NPO,
60
Bleeding Emergencies
occur intern/extern, amount depends on blood supply | arterial bleeding is more crisis than capillary ## Footnote apply pressure, elevate site, apply ice, limit movement, keep quiet,
61
Burns
severity based on location first: sunburn second: blister third: dry/charred | electrical, chemical, thermal ## Footnote remove patient, flush with cool water, DO NOT remove clothes unless chemical burns,
62
Rule of Nines
head: 9% arms: 9% body: 18% genitals: 1% legs: 18%
63
cryosurgery
process of exposing tissue to extreme cold temp to destory cells may be performed for warts or cervical dysplasia | canister w liquid nitro, cryoprobe ## Footnote provide instructions, assist
64
colposcopy/hysteroscopy
using instrument to inspect vagnial, cervix, uterus | cryosurgery, conization, biopsies ## Footnote colposcope/hysteroscope exam stirrus
65
electrosurgery or elctroauterization
stop bleeding, destroy small polys, break scar tissue | foot pedal, grounding cable, pad ## Footnote inspect pad/cable,
66
toenail removal/ingrown treatment
sterile scissors/forceps/hemostats/anesthetic
67
endoscopy
small tube w/ camera in gastro system | gastroscope, laparoscope, hyterscope
68
mole or cyst removal
moles change color, size evalute for cancer | local anesthetic, scalpekl,m or punch device, suture supplies
69
SOAP note
subjective, objective, assessment, plan
70
most commom pulse sites
radial-located on wrist brachial-inside upper arm carotid-neck
71
5 phase of Korokoff Sound
1. systolic pressure, first sharp sound 2. swishing sound blood flows thru artery 3. sharp tapping as more blood surges 4. sound chnages to soft then muffles 5. diastolic pressure last sound

NHA CCMA Test (22 decks)

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