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Chapter 9-12: Vitals > Vitals > Flashcards

Vitals Flashcards

1
Q

Yes or no: a patient’s idea of treatment success is being able to successfully manage the disease

A

Yes, the patient would like to know they were heard and that their situation will be managed appropriately

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2
Q

What is the most important part for the CMA to make feel during a physical exam?

A

We are to put the patient at ease. Patients come in sick and/or nervous and we are to make them comfortable

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3
Q

How should we help the patient understand that their appointment was for a single issue occuring, but wants to talk to the doctor about multiple problems instead?

A

Make sure the patient understands we have limited time in order to see all patients, but if time permits we will try

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4
Q

What part of the medical history includes notes and location, quality, and timing?

A

This is called history present illness

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5
Q

Is the review of systems the physician’s overall assessment of the major body functions? Yes or no

A

Yes, the review of systems is where a patient is fully assessed using all the body systems

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6
Q

Are a chronological set of notes for each visit a format for a source-oriented medical record? Yes or no

A

Yes

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7
Q

Is it important for the CMA during a medical exam to make sure and ask the patient whether they have any questions? Yes or no

A

Yes, make sure the patient feels they have been heard. Encourage them to ask any questions

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8
Q

What is the best way to communicate with an uncommunicative patient during a physical exam and review of their medical history?

A

Allow for the patient to see samples/examples to review in order to help get through the exam

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9
Q

How should a CMA ask a patient about sensitive topics such as alcohol and drug use?

A

These are uncomfortable topics for most people. Make sure to be non-judgemental. Establish a good rapport

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10
Q

What should the CMA do when asking necessary questions needed for the patient’s medical history intake, but the patient refuses to answer the questions regarding sexual history?

A

Make sure that if you skip that particular question, you come back around to asking again

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11
Q

Which body system is the CMA reviewing when assessing joint stiffness, muscle pain, and limitation of mobility?

A

The musculoskeletal system

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12
Q

Which body system is the CMA reviewing when assessing changes in a patient’s speech?

A

The neurological system

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13
Q

Which body system is the CMA reviewing when assessing SOB (shortness of breath)?

A

The respiratory system

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14
Q

Yes or no: patient-oriented format is NOT a common medical records format

A

Yes, it is not

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15
Q

What are the major components of the problem-oriented medical record?

A

You would expect to see database, problems list, diagnostics and treatment plan, and progress notes

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16
Q

What is the most appropriate action in order to make a correction when an error has been made in a patient’s chart?

A

When correcting errors, draw a single line through the text and place initials/date

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17
Q

What is the correct order for information placed chronologically in the chart?

A

Primary provider notes, EKG and X-rays, hospital notes, consultations, correspondence

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18
Q

When helping a physician prepare a room, you have to take the patient in to the room, confirm their identity, and put the patient at ease. What would be the next step in preparing the room for a physician and client assessment?

A

Explain the purpose and importance of the information needed

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19
Q

What is the most important thing to consider when asking the patient questions during a health history interview?

A

Patient understanding of information

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20
Q

What is considered the patient’s chief concern: disease, illness, treatment, or medications?

A

Illness

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21
Q

What is considered the physician’s chief concern: disease, illness, treatment, or medications?

A

Disease

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22
Q

What is included in patient demographic information?

A

Full name, address, and telephone number

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23
Q

Is insurance history involved within the patient’s medical history form? Yes or no

A

No

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24
Q

Does HIPPA involve description of various treatments for patients? Yes or no

A

Yes

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25
Q

Which of the following is NOT a method used for charting: CHEDDAR, SWISS, SOAP, SOAPER

A

SWISS

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26
Q

What does the E in SOAPER stand for?

A

Education

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27
Q

What type of history involves siblings and parents?

A

Family history

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28
Q

What is the expansion of information that makes a patient come to see a physician?

A

Present illness

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29
Q

What type of medical history involves health problems, illnesses, and surgeries?

A

Medical history

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30
Q

What type of history involves occupation, hobbies, and drug habits?

A

Social history

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31
Q

Discuss the difference between subjective and objective data

A

Subjective data: symptoms, patient’s complaints (what we are told) Objective data: vital signs (what we see)

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32
Q

What is plan of care?

A

Testing and treatments

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33
Q

What does PO stand for?

A

By mouth

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34
Q

What does XR stand for?

A

X-ray

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35
Q

What does WNL stand for?

A

Withing normal limits

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36
Q

What is the symbol for the medical abbreviation for change?

A

A triangle

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37
Q

What is the word for slow breathing?

A

Bradypnea: Brady(slow) pnea(breathing)

38
Q

What is the word for low blood pressure?

A

Hypotension: hypo(low)

39
Q

What is the name of the sound that is a crowing high pitched sound in someone’s throat from an airway obstruction?

A

Stridor

40
Q

Is gender a factor that influences body temperature? Yes or no

A

No, gender does not affect temperature vales

41
Q

What part of the brain monitors blood pressure?

A

Hypothalamus

42
Q

What helps keep a thermometer clean between patients, and prevents patient cross-contamination?

A

Use a cover, such as a disposable plastic sheath

43
Q

What could throw off temperature readings when taking a temperature using a tympanic thermometer?

A

Ear wax: also known as cerumen

44
Q

How do you insert an oral thermometer?

A

Place the thermometer under the tongue

45
Q

When taking an oral temperature, what is important to know about what the patient has been doing prior?

A

Drinking, eating, chewing gum can affect a proper reading

46
Q

Is it important to use powder under the arm when taking an axillary temperature? Yes or no

A

No

47
Q

Do you manipulate the ear when using a tympanic thermometer?

A

No, leave the earlobe as is while checking temperature

48
Q

What needs to be included in using when checking a rectal temperature?

A

Lubricant. This area does not produce natural lubricant

49
Q

What is the normal temperature of an adult in Celsius?

A

37.0 °C

50
Q

Are athletes pulses higher or lower than others?

A

Lower, can be in the 40’s-60’s

51
Q

What is the term for a pulse rate above 100?

A

Tachycardia: tachy(high) cardia(heart)

52
Q

How should an artery on palpation feel?

A

Gentle pressure over correct area, the artery should feel sponge-like, elastic

53
Q

What is a brady level for heart rate? Below what numerical vaue

A

Below 60bpm

54
Q

What part of the brain controls the involuntary action of respiration?

A

Medulla oblongata

55
Q

Dyspnea mean what?

A

Painful or labored breathing

56
Q

What numerical values are average normal adult rate of respirations?

A

14-20

57
Q

What term describes crackling and rattling during the respiratory cycle?

A

Rales

58
Q

Where do you put your stethoscope to check for apical pulse?

A

5th intercostal space at midclavicular line

59
Q

Systole or diastole: which of the following terms is used to determine the force exerted in the arterial walls during cardiac contraction?

A

Systole/systolic

60
Q

What kind of reading would you get if the blood pressure cuff is too large for the patient’s arm?

A

Could give a false reading such as low bp

61
Q

What would be an example of a hypertensive blood pressure reading?

A

160/100

62
Q

Is clotting capabilities considered a cardiovascular factor in influencing blood pressure?

A

No, it is not

63
Q

What is the range of numerical values that is normal for an adult diastolic blood pressure?

A

60-80

64
Q

Which artery is the most commonly used artery for assessing blood pressure?

A

Brachial artery

65
Q

Why is it important to get height and weight at the same time?

A

To get all the information at once and especially for the doctor may need the values for treatment

66
Q

If you break a mercury thermometer, what is the best way to clean up the mercury?

A

Use an eyedropper to pick up the mercury itself

67
Q

What is the reason we move the BP cuff up one one inch above the antecubital space to get a blood pressure reading?

A

To prevent hearing other sounds (extraneous) while assessing for patient’s BP

68
Q

What is the name of an organization that works alongside with WHO (World Health Organization) to initiate the elimination of mercury from hospital’s waste systems?

A

Environmental Protection Agency

69
Q

What substances can cause an occasional premature contraction when checking a patient’s pulse?

A

Alcohol, nicotine, and caffeine

70
Q

In an emergency situation, where is the best place to check for a pulse?

A

Carotid

71
Q

What type of thermometer do you use over the skin to check temperature over an artery?

A

Tenporal

72
Q

How do you clean temporal thermometers between patients?

A

Alcohol wipes

73
Q

When checking temporal temperature, what could be a reason for an inaccurate reading?

A

If the patient is sweating

74
Q

What is the most common site to check a pulse rate during an assessment?

A

Radial

75
Q

When using an electric sphygmomanometer, what do you NOT need to check the BP

A

Stethoscope

76
Q

How many pounds are in one kilogram?

A

2.2 lbs

77
Q

What is the conversion factor for temperature Celsius to F?

A

(0°C x 9/5) + 32 = 32°F

78
Q

What is the term of examination method to check the amount of flexion and extension of a joint by applying forceful passive movement?

A

Manipulation

79
Q

What potential complication can occur after an examination a patient sitting in a particular position, that they should be assisted in maintaining that position for a few minutes before getting up?

A

Help keep patients safe, may be having dizzy spells

80
Q

Why is specific positioning important for provider assessments?

A

It allows the doctor better view for exams

81
Q

Why do we offer a drape or cover when we place a patient in a exam room?

A

Maintain modesty

82
Q

What is the position dorsal recumbent and what position is it for to assess what part of the body?

A

On back, knees slightly bent up. Examine abdomen

83
Q

What is the position Sims and what position is it for to assess what part of the body?

A

Side lying one knee bent (this is a back view of the body, help with elderly that can’t get into lithotomy)

84
Q

What is the position supine and what position is it for to assess what part of the body?

A

Flat on back. Generalized assessment (front)

85
Q

What is the position Lithotomy and what position is it for to assess what part of the body?

A

On back, knees way up, propped in stirrups for OB exams

86
Q

What is the position Prone and what position is it for to assess what part of the body?

A

On stomach, generalized assessment (back)

87
Q

What is the position Proctologic and what position is it for to assess what part of the body?

A

Butt up and body bent over for check of prostate in men

88
Q

What color describes pallor?

A

Lighter than normal coloring, pale

89
Q

What color describes jaundice?

A

Yellow tint to skin

90
Q

What color describes cyanosis?

A

Blue, low oxygen in body. Could be fingers, toes, lips

91
Q

What color describes vitiligo?

A

White patches on skins

Chapter 9-12: Vitals (1 decks)

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