study guide Flashcards
In what way does the skeletal system support the immune system
The bone marrow is the site of WBC production
What change is associated with integumentary system in elderly?
Collagen alterations
What is the best example of indirect contact?
children playing with blocks
What is an example of objective data?
ECG tracing
What condition is considered an obstructive disorder of the respiratory system?
emphysema
( results in the failure of the alveoli and trapping of air in the distal airways w/ resulting obstruction to the flow of air. )
Which statement is true?
A. sanitization is the removal of all pathogens on inanimate objects
B. disinfection is more effective than sterilization for cleaning surgical instruments
C. sanitization inhibits the action of microorganisms
D. disinfected can be removed all pathogens from a surface.
sanitization inhibits the action of microorganisms
Sanitization is the process of inactivating or inhibiting, but not eliminating pathogens from a surface such as surgical instruments. Sanitization is more effective than disinfection because 100% of all infectious agents are removed from an object.
What is the correct procedure for collecting a 24 hr urine?
Discard the first void, collect the urine for the subsequent 24 hours period.
What is the difference between HbgA1C and blood glucose test
HbgA1c provides a three month average glucose level
The provider is conducting a physical urinalysis. What are the characteristics assessed?
color, odor, clarity, volume, and specific gravity
Turbidity: the quality of being cloudy, opaque, or thick with suspended matter.
What is a characteristics is consistent with a dx of bulimia?
Damage to the oral cavity
The CMA is providing home care for a patient for a patient recently diagnosed with HTN. What is an appropriate menu item?
Grilled chicken and pasta
Diet should be moderate amounts of animal fats and small amounts of sodium.
What is the main purpose of the Z-tract intramuscular injection technique?
Avoid possible local skin reactions
Used when prescribed medication can potentially irritate or discolor the skin on contact. The retraction and release of the subcutaneous tissue decrease the possibility of any leakage of the medication onto the the skin following the injection.
Which lab result should be reported?
A. HbgA1C 6.2%
B. BUN 19 mg/dl
C. potassium 2.8 mEq/L
D. WBC 9,000 k/ uL
Potassium 2.8mEq/L
to avoid the development of cardiac arrhythmias
The normal potassium level for an adult ranges from 3.5 to 5.2 mEq/L (3.5 to 5.2 mmol/L).
Potassium levels between 3 and 3.5 mEq/L (3 to 3.5 mmol/L) are considered mild hypokalemia.
Anything lower than 3 mEq/L (3 mmol/L) is considered severe hypokalemia
testing
Elevated CRP level is associated with what condition?
CAD ( Coronary artery disease)
CRP is a indicator of the presence of an inflammatory process that can be ID as a risk factor for CAD.
May indicated the presence of arthritis, pancreatitis and kidney failure.
This is a serum test;
Red-top tube, gel-barrier tube, lavender-top (EDTA) tube, or green-top (heparin) tube
What is dimensional analysis?
the process used to calculate medication dosages
How to document intake of 8oz container of milk
240 mL
Metric system is used for all numerical documentation int he electronic health record.
8 x 30 = 240
What of following manifestations is associated with diabetic ketoacidosis?
A. Shaking and tremors
B. Sweating
C. Fruity breath odor
D. Anxiety and irritability
Fruity breath odor
Which of the following statements by the CMA indicates the need for additional instructions related to patient safety?
A. I will leave the beds in the lowest position
B. If a patient is having a seizure, I will insert a tongue depressor to maintain the airway
C. I will check the patient’s documentation for fall precautions
D. I will notify environmental services of any fluid spills.
B;
during a seizure, the patient’s head should not restrained.
What defines pure-tone audiometry?
Subjective measure of the hearing threshold.
Pure tone audiometry measures the patient’s ability to hear tones at a certain decibel level.
Which of the following exam/ position pairs is stated incorrectly?
A. Vaginal Exam: lithotomy
B. Sigmoidoscopy: prone
C. Fleet’s enema: lateral
D. EKG/ECG: Fowler’s position
Sigmoidoscopy: prone
Patient with HTN taking digoxin. Which statement should be reported?
A. I don’t buy processed foods
B. I take St. John Wort for my depression
C. I cook my vegetables w/o salt
D. I will tell my doctor if i feel lightheaded
I take St. John Wort for my depression
regular usage decreases the effectiveness of digoxin.
Patient had an IV infusing at 50ml/hour, a heparin drip infusing at 8ml/hour, an enteral infusion at 30 ml/hour, and 50 ml of d5W w/ clindomycin IV every 6 hrs. Foley cath was emptied 3 times - 450ml, 375ml and 525ml and the total wound drainage was 46 ml.
What is the correct documentation of the 24 hr intake and output.
Input:
D5W 24 x 50 = 1,200
Heparin 8 x 24= 192
D5W 50 x 4 = 200
Tube Feeding 30 x 24 = 720
Total = 2,312
Output:
Urine = 1,350
Wound = 46
Total = 1,396
Which of the following disease is a vector-borne disease?
A. Lyme disease
B. Legionnaire disease
C. Varicella
D. Impetigo
Lyme disease
Vectors are living organisms that can transmit infectious pathogens between humans, or from animals to humans
What are the manifestations associated w/ serum potassium level of 7.52mEq/L?
Paresthesias, elevated T waves and QRS widening on the ECG
The normal potassium level in the blood is 3.5-5.0 mEq/L.
Levels between 5.1 mEq/L to 6.0 mEq/L are considered to be mild hyperkalemia.
Levels of 6.1 mEq/L to 7.0 mEq/L are moderate hyperkalemia
Levels above 7 mEq/L reflect severe hyperkalemia.
Progressive hyperkalemia may result in ECG changes, including peaked T wave, flattened P wave, prolonged PR interval, ST depression, and prolonged QRS duration
What is a ‘sick day’ plan?
medicines that should be temporarily stopped during a dehydrating illness
insulin administration protocol for DDM1 w/ decreased intake due to illness
Details of the DEXA with a patient who is menopausal. Which of the following statement is consistent w/ this screening test?
A. The scan can also identify arthritic changes in the hip joint
B. Meds containing Magnesium should not be taken for 24 hr prior to the exam
C. Scan does not provide a reliable assessment of the bone in men
D. Fasting for 6 -8 hr prior to the exam is recommended.
Meds containing Magnesium should not be taken for 24 hr prior to the exam
Caring for an elderly patient who often asks words to be repeated but able to watch TV set at normal volume.
Which inventions is most appropriate?
A. Speak more loudly when addressing the pt
B. arrange for the interpreter who is fluent in sign language
C. refer the patient to an audiologist to be fitted for a hearing aid
D. maintain a normal volume, speak slowly, and allow the patient time to process.
maintain a normal volume, speak slowly, and allow the patient time to process.
deficit is a delay in the processing or understanding the spoken word not in hearing the word.
The purpose of buccal and sublingual routes of meds admin w/ patient. Which statement indicates a need for the additional information?
(false statement)
A. Buccal med have an additional components that allows for the decreased permeability of the gums and palate
B. Sublingual meds provide immediate release of meds to the systemic circulation
C. Buccal meds are formulated to withstand the acid environment of the stomach
D. Sublingual meds may exert a local or systemic effects
Buccal meds are formulated to withstand the acid environment of the stomach
Which of the following is an age-related change in the GI System?
A. Dry mouth / xerostomia
B. Increased contractions of the upper esophageal sphincter
C. Increased risk of peptic ulcer disease
D. Malnutrition
Dry mouth / xerostomia
Explain how glaucoma affects the eye.
glaucoma occurs when the the flow of fluid in the anterior portion of the eye is either slowed or blocked.
Eventual change in the pressure in the eye can affect the optic nerve, which will lead to vision loss if not controlled.
Which of the following measurements is one of the mensuration assessment parameters?
A. Range of motion of the shoulder and arm
B. Fundal height in a pregnant women
C. bowels sounds
D. Body symmetry
Fundal height in a pregnant women
Which of the following is NOT included in the pt-exposure care of a healthcare worker following occupational exposure to the HIV virus?
A. pt-exposure anti-viral therapy is contraindicated if the exposed person is pregnant.
B. HIV testing will be repeated at 6 wks, 12 wks and 6 mos at min.
C. Exposed person should avoid blood or tissue donation, breast feeding or pregnancy for 6 to 12 wks after exposure
D. Renal and hepatic studies and CBC will be done at baseline and repeated freq.
pt-exposure anti-viral therapy is contraindicated if the exposed person is pregnant.
Anti-viral therapy started immediately after exposure, w/o waiting for further specialty consultation if the exposed person is pregnant due to the risk of the unborn fetus.
Which of the following menu choices is the best source of fiber?
A. 1 c strawberry
B. 2 pcs whole wheat bread
C. 1 oz dry roasted almonds
D. 1 c split pea soup
1 c split pea soup
contains 4.8 g
strawberry - 3g
whole wheat - 3.8g
dry almond - 3 g
A patient tells the CMA that he is doing well with his recovery from an MI 3 weeks ago. Which of the following statements by this patient indicates the needs for add’l instructions?
A. I’m walking 20 mins a day
B. My BP is well controlled by my new meds
C. I think the ginseng that I am taking is helping me to exercise easier.
D. I’ve stopped using salt at the dinner table.
I think the ginseng that I am taking is helping me to exercise easier.
Ginseng can potentially increase bp and decreased the effectiveness of warfarin.
Which of the following tubes contains a coagulant that facilitates the clotting of the blood in prep for plasma tests?
A. Tiger top (red/black)
B. Red top
C. Purple top
D. Light blue top
Tiger top
contains silica which promotes clotting of the blood to allow analysis of the clotting factor.
While many of the manifestations are common to both forms of abuse, which of the following manifestations most likely indicates substances abuse as opposed to alcohol abuse?
A. Depression
B. Violent behavior
C. Lack of interest in the family or activities
D. Abrupt weight change
Abrupt weight change
( due to the affects to GI and brain )
Which of the following lab reports is consistent with acute renal failure?
A. BUN 12mg per dL
B. Serum creatinine 5.4 mg per dL
C. GFR 92 L/min x 1.73(2)
D. HbgA1C 14.5 mg per dL
Serum creatinine 5.4 mg per dL
When kidney are damaged by disease or injury, waste products such as creatinine accumulate in the bloodstream.
Normal range .6-1.2mg
