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
Q

Knee-Chest

A

gynecological or rectal exams
treatments of spinal adjustments

prone/bent at the waist resting knees with arms above head

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26
Q

Jack-Knife

A

rectal exams or instrumentation

lying over exam table that is lifited in middle

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27
Q

Lithotomy

A

femal pelvic exam

lying flat on table with butt at end of table/feet rsting in stirrups

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28
Q

Dorsal Recumbent

A

catheterizations, genital exam of younger kids, adolescents

lying flat on back with knees bent

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29
Q

Prone

A

exams involving back of body including bottoms of feet

lying flat on abs with arms above head

30
Q

Supine

A

exams involving front of body
CPR

lying flat on back with arms down to side

31
Q

Trendelenburg/Modified

A

SHOCK

legs elevated above head to corce circulation to vital organs

32
Q

Instruments for General Exam

A

Ophthalmoscope
Otoscope
Stethoscope

33
Q

Needle

Intradermal

ID

A

Gauge: 27 to 28
Length: 3/8 inch

34
Q

Needle

Subcutaneous

SC

A

Gauge: 25 to 26
Length: 1/2, 5/8 inch

35
Q

Needle

Intramuscular

IM

A

Gauge: 20 to 23
Length: 1 to 3 inch

36
Q

many adult/older children vaccines are given via route

Deltoid Muscle

intramuscular injection site (IM)

DO NOT USE SITE FOR YOUNGER THAN 3

A

90* angle
DO NOT aspirate vaccines
2 to 3 mL

1 to 2 inch below acromion, DOSAGE NEVER OVER 1mL

apirate most other types of meds administered via route

37
Q

Ventrogluteal Muscle

intramuscular injection site (IM)

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

A

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
Q

Ventrogluteal Muscle

intramuscular injection site (IM)

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

A

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
Q

Vastus Lateralis Muscle

intramuscular injection site (IM)

administration locations in Mid to Upper thigh

A

90*angle
Do NOT ASPIRATE VACCINES

use site for vaccines/meds administration for infants/children younger than 3

40
Q

Subcutaneous

Subcutaneous/Intradermal Injection SQ,ID

insulin or heparin

A

45* angle
Sites should be rotated

upper outer arm, abdomen, thigh

41
Q

Intradermal

Subcutaneous/Intradermal Injection SQ,ID

A

10* to 15* angle

used for testing, common site for TB testing mid forearm

42
Q

Oral

A

in the mouth

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
Q

Buccal

eating, drinking, smoking influence absorption

A

between cheek and gums rapid absorption
meds bypasses the digestive system, resulting in smaller doses

DO NOT CHEW OR SWALLOW

meds designed to melt while held in cheek area

44
Q

Sublinqual

A

under tongue, nitroglyerin tablets/spray common for of meds
med bypasses digestive system, smaller doses

solids: meds melt/absorbs into bloodstream
liquids: spray are used to deliver

45
Q

Inhalation

A

typically used for targeted areas such as bronchial passages
delivered via nebulizer

meds to be effective, must hold meds in lungs as long as possible
inhalers, or nebulizers, patients can tend to be shaky, dizzy

46
Q

Topical

A

designed to react locally/systematic absorption in mini

serve barrier to prevent irritants from damage the skin or used to treat skin
monitor for skin irritation or reaction

47
Q

Mucosal

A

designed absorb into/through mucous membranes

vagina, rectum, eye, ear, nose

48
Q

Transdermal

A

slow absorption of meds
used for quitting smoking, pain meds, hormone delivery

avoid touching meds when applying, dispose of patch where children can’t get, monitor skin for irritation, rotate sites

49
Q

Abrasion

A

scrape or rub
superficial wound often affecting
(knee, elbows)

apply pressure if bleeding, clean/flush debris, apply bandage

50
Q

Incision

A

open injury typically caused by sharp object causing straight cut
bleeding can be profuse

apply pressure until bleeding controlled, clean gently, apply bandage

51
Q

Laceration

A

open injury that is jagged in nature and caused by a sharp object
bleeding can be profuse

apply pressure until bleeding controlled, clean gently, apply bandage

52
Q

Puncture

A

open wound that is caused by an instrument that deliver a stab
usually small with limited bleeding

apply pressure, clean to remove debris, apply bandage

53
Q

Contusion

A

closed injury, also known as bruise
caused by a blunt-force trauma
ranges in severity based on the trauma received/location

apply cold pack or ice, elevate limb if affected, observe for signs of increased intracranial pressure if head contused

54
Q

Concussion

A

closed head trauma in which the brain has been jolted/shaken

meaure vital signs, observation, provider asessment/possible computed tomography scan (CT)

55
Q

Strain

A

stretching/tearing of a muscle/tendon that connects a muscle

RICE

56
Q

Sprain

A

stretching/tearing of ligament

RICE

57
Q

Fracture

A

break bone, open fracture: skin is broken, closed fracture: no break in skin

control bleeding, immobilize area, apply ice, check pulse, treat for shock

58
Q

Anaphylaxis

A

severe allergic reaction where circulatory shutdown/respiratory distress results in shock

extreme emergency provide life support, give oxygen, epinephrine call 911

59
Q

Acute Abdominal Pain

A

general symptom that can be life threatening

obtain detail CC, keep them warm, NPO,

60
Q

Bleeding Emergencies

A

occur intern/extern, amount depends on blood supply

arterial bleeding is more crisis than capillary

apply pressure, elevate site, apply ice, limit movement, keep quiet,

61
Q

Burns

A

severity based on location
first: sunburn
second: blister
third: dry/charred

electrical, chemical, thermal

remove patient, flush with cool water, DO NOT remove clothes unless chemical burns,

62
Q

Rule of Nines

A

head: 9%
arms: 9%
body: 18%
genitals: 1%
legs: 18%

63
Q

cryosurgery

A

process of exposing tissue to extreme cold temp to destory cells
may be performed for warts or cervical dysplasia

canister w liquid nitro, cryoprobe

provide instructions, assist

64
Q

colposcopy/hysteroscopy

A

using instrument to inspect vagnial, cervix, uterus

cryosurgery, conization, biopsies

colposcope/hysteroscope exam stirrus

65
Q

electrosurgery or elctroauterization

A

stop bleeding, destroy small polys, break scar tissue

foot pedal, grounding cable, pad

inspect pad/cable,

66
Q

toenail removal/ingrown treatment

A

sterile scissors/forceps/hemostats/anesthetic

67
Q

endoscopy

A

small tube w/ camera in gastro system

gastroscope, laparoscope, hyterscope

68
Q

mole or cyst removal

A

moles change color, size evalute for cancer

local anesthetic, scalpekl,m or punch device, suture supplies

69
Q

SOAP note

A

subjective, objective, assessment, plan

70
Q

most commom pulse sites

A

radial-located on wrist
brachial-inside upper arm
carotid-neck

71
Q

5 phase of Korokoff Sound

A
  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