MED "F" Mid-term
A patient on anticoagulaant therapy asks the PCT about shaving. The best response from the PCT would be.
"Let me get you an electric razor."
Flatulence may be caused by which of the following?
- Abdominal Surgery. - Carbonated Beverages. - Cabbage or beans.
Poor oral hygiene can put the patient at risk for what?
- Bad breath. - Gum disease. - Tooth loss.
Urinary catheters can be placed in the?
- Bladder. - Ureter. - Kidney.
What are characteristics of normal urine?
- Clear. - Pale yellow (Hay color).
The goal for patients with hemorrhoids is to?
- Decrease pain. - Prevent elimination problems. - Prevent tissue damage.
The PCT explains that the purpose of a sitz bath is to reduce inflammation in the perineal and anal area. What is the least amount of time the PCT will instruct for a sitz bath?
20 to 30 minutes.
The PCT encourages a patient who has been vomiting to drink fluids because the body fluid lost daily must match the amount of fluid taken in to maintain homeostasis. What is the recommended daily amount of fluid for an adult?
2500 ml.
Mrs. Anderson's oral temperature is 99 Degrees F. Dr. Xu requests that you record it in Celsius. What would that be?
37.2 Degrees Celsius.
Sammy Feaver, age 6, weighs 21.4 kg. His mother asks you how much that is in piounds. You repond that it is _____ pounds?
47.1 lbs
How often does the sheets on a bed get changed?
As needed (Once per day).
A(n) ________ enema stimulates peristalsis (intestinal movement) by introducing large volumes of fluid to distend the bowel?
Cleansing.
The hospice nurse clarifies that hospice service is initiated when what type of treatment is no longer effective?
Curative.
What is the equation for lbs-kg?
Divide lbs by 2.2.
Which of the following pulses is palpated on top of the foot?
Dorsal/Pedal.
Your patient is having difficulty breathing. The medical term for this is?
Dyspnea.
What is painful or difficult urination called?
Dysuria.
What can a PCT suggest to decrease the thirst of a patient who is on a fluid restriction?
Eating cold fruits.
Immediately after removing the used bedpan from under the patient, the PCT should?
Empty, clean, and store it properly.
How often do you perform oral care on a unconscious patient?
Every 1-2 hours.
The PCT has been directed to perform hourly rounding. The PCT is aware that this intervention is intended to increase safety by preventing?
Falls.
What is the leading cause of death for the elderly?
Falls.
What does a male patient use a bedpan for?
Feces.
Infants under 1 year of age should never be given?
Honey.
If a patient is diagnosed with secondary hypertension, this means that the?
Hypertension is associated with another disease.
Abbreviation for Intake and Output?
I/O
The inability to control urine or bowel elimination is documented as?
Incontinence.
The nurse instructs a PCT to use large muscle groups when lifting. What is the rationale for this instruction?
It distributes the workload more evenly.
When explaining the difference between a colostomy and an ileostomy, the PCT explains which of the following about an ileostomy?
It drains semi-liquid stool.
The older adult is at increased risk for poisoning from which of the following?
Medications.
What is another name for urination?
Micturation.
What is another name for hospital corners?
Mitered corner.
What is the equation for C-F?
Multiply by 9, then divide by 5, then add 32.
The PCT is preparing to bathe a patient. What should the room temperature be set at?
No cooler than 68° F.
What is it called when you urinate more then once per night?
Nocturia.
The Texas catheter is inserted in?
None of the above.
What do you do if the patient is eliminating black stool?
Notify the nurse.
What organization is in charge of the hospital food?
OBRA. (Omnibus Budget Reconciliation Act)
The hospice nurse tells the family that the nurse coordinator, an RN, will visit them. What is the role of the nurse coordinator?
Officially admit the patient to the hospice service.
What is the primary concern of the healthcare team?
Patient safety.
What does the PCT recognize is important to consider when planning hygiene care of the patient?
Patient's preferences.
Which of the following is not a routine reason that an enema would be given?
Replacement of fluids.
What is the spoke exchange from the nursing team?
Report.
What type of fire extinguisher should be used when the oxygen concentrator machine malfunctions and causes an electrical fire?
Type C.
What is the urethra opening called?
Urinary meatus.
Dr. Xu is concerned that an older patient may be experiencing orthostatic hypotension. How would you check the patient's BP?
With the cuff in place, take the BP with the patient lying down and then immediately after she stands.
Abbreviation for Left?
l
Abbreviation for Milligram?
mg
Abbreviation for Milliliter?
ml
Abbreviation for Nasogastric tube?
ngt
Abbreviation for Nothing by mouth?
npo
Abbreviation for Oxygen saturation?
o2 sat.
Abbreviation for Pulse?
p
Abbreviation for Precutaneous endoscopic gastrostomy?
peg
Abbreviation for As needed?
prn
Abbreviation for Every day?
qd
Abbreviation for right?
r
Clinical changes that occur during the dying process include?
- Decreased Blood Pressure. - Mouth Breathing. - Slow Pulse.
How do you perform parineal care for a female?
- Top to bottom. - Sides then middle.
Ostomies can be created because of?
- Trauma to the intestine. - Severe inflammation. - Intestinal cancer.
A patient recently had their urinary catheter removed and is now experiencing difficulty urinating. How can the PCT help stimulate urination?
- Turning on the sink faucet. - Pouring warm water over the perineum - Placing the patient's hands in warm water.
The joint commission defines a sentinel event as?
-An unexpected event -An event that results in serious injury or death -An event that results in high risk for death or serious injury
The PCT recognizes signs and symptoms of dehydration in the client and notifies the nurse. Which of the following would the PCT report?
-Dry mucous membranes. -Increased heart rate. -Decreased blood pressure.
Which of the following increase the risk for falls?
-Illness. -Medication. -Hospital environment.
The introduction of cow's milk before 1 year of age could lead to which complications?
-Iron deficiency anemia -Milk allergies
The PCT is caring for a patient on a fluid restriction. The PCT is aware that fluid restrictions are used for patients with which diagnoses?
-Recent heart attack. -Congestive heart failure -Ascites
The elderly are at increased risk for falls because of which of the following?
-Unsteady Gait -Vision Changes -Medications
How long should the pulse be counted for the most accurate results?
1 minute.
The nurse instructs the PCT to use a bladder training schedule to assist the patient in returning to a regular voiding pattern. The PCT assisted the patient at 0800. At what time should the PCT direct the patient to the bathroom again?
1000.
Your office uses thermometers that record temperatures in Celsius, but the mother of a young child doesn't understand what 38.6° Celsius means. Convert the temperature into Fahrenheit for her.
101.5° F.
Proper hair care is important for the paitent's self-image. What is the proper water temperature when shampooing a patient's hair?
110 Degrees F.
Mr. Garcia weighs 250 pounds. You are expected to record this weight in kilograms. It is equal to ________ kg.
113.6 kg
What is the normal respiration range?
12-20 respiration per minute.
What is the normal Blood Pressure range?
120/80.
Mrs. Anderson's BP reading is 132/74 mm Hg. What would her pulse pressure be?
58 mm Hg.
The hospice nurse explains that to qualify for admission to a hospice, the attending physician must certify that the patient has a life expectancy of fewer than how many months?
6 (six) months.
What would be considered a normal pulse for an average-sized, 37-year-old patient in good health?
60 to 80 beats/min.
What percentage of an adult's body weight consists of water?
60%
Most patients should void within ____ hours of having the urinary catheter removed?
8 (eight)
What should the water temperature be when preparing a tepid (cool water) bath for a patient?
98.6° F.
Post-mortem care includes which of the following?
A rolled towel under the chin.
A nurse assesses an area of sustained redness on the coccyx area of a resident in long-term care. What is the most likely cause of this pressure area?
Collapse of blood vessels.
What is common in older patients due to their slower digestion?
Constipation.
Which type of catheter is used when enlargement of the prostate gland is suspected?
Coudé.
The PCT differentiates between curative and palliative care. What is true of curative treatment?
Curative treatment is focused on prolonging life.
The PCT notices white dots on the shoulders of a patient after brushing their hair. The PCT is aware that this is??
Dandruff.
If a patient is a marathon runner, the resting pulse would be expected to be?
Decreased.
What is the equation for F-C?
Deduct 32, then multiply by 5, then divide by 9.
Stoma output from which location could be less irritating to the skin because it is less acidic?
Descending colon.
When a blood pressure cuff is deflated, the last tapping sound is the __________ pressure.
Diastolic.
How often do you check on a patient that is in restraints?
Every 15 minutes.
What are the guidelines for removing restraints?
Every 2 hours for 10 minutes.
Which type of catheter has a balloon near the tip that is inflated after insertion?
Foley.
What bed position if used for feeding a patient?
Fowler's.
Clear water is used to cleanse the eyes. It is important to sue proper technique when cleansing the eyes to prevent infection. What direction will the water flow when cleansing a patient's eyes?
From the inner toward the outer canthus.
How should the PCT cleanse the meatal opening when performing male perineal care?
From the meatus outward.
The PCT is brushing the hair of a patient who is unable to do so on their own. The hair is matted and tangled. The PCT is aware that the best way to brush the hair is?
From the scalp to the end of the hair.
The nurse tells the PCT that the patient must choose from the following foods: ice cream, creamy soups, gelatin, pudding, milk, and juices. The PCT is aware that these foods are on which therapeutic diet?
Full liquid diet.
What must the PCT do before applying a safety reminder device (SRD)?
Get a physician's order.
What do you do before a procedure with a patient?
Get consent.
The hospice nurse introduced the family to the volunteer coordinator who will assign a volunteer to the patient. What can a hospice volunteer do for a patient and caregiver?
Give the family respite.
What could a slight reed ting to urine indicate?
Hematuria.
The PCT must follow the principles of medical asepsis while making a patient's bed, including procedures for handling linens. How should the PCT handle soiled linens?
Hold away from the uniform.
If a bedridden patient has chills and is shivering, what would you expect the body temperature to be?
Increased.
If a patient is anxious, the PCT could expect the pulse to be?
Increased.
The PCT is assisting a patient to perform personal hygiene. What is the most important focus of the PCT when assisting this patient?
Independence.
Interventions for the patient with a urinary drainage system are aimed at early detection and prevention of?
Infection.
How will the PCT correctly replace a patient's dentures after cleaning?
Inserting the upper dentures first.
A disaster situation occurs and involves an explosion in a hospital laundry. How would this disaster be classified?
Internal.
How can the PCT help ensure a safe environment?
Keep the call light within the patient's reach.
What is the overall objective of hospice service?
Keep the patient comfortable as death approaches.
why do we measure urine output?
Kidney function.
When do you change the pillow case when bed making?
Last.
A(n) ________ enema is used to soften the stool and lubricate the bowel to make defecation easier?
Oil retention.
The patient with an indwelling urinary catheter inserted in the bladder is sitting up in the chair. Where should the drainage bag be secured?
On the side of the chair below the bladder.
One of the contraindications to the use of the tympanic thermometer is?
Otitis Externa
How can you help patients feel comfortable about having their weight measured in the office?
Place the scale in a private area of the office.
The PCT suspects a victim of poisoning. Who should the PCT call to receive the best assistance for dealing with this victim?
Poison control center.
Which of the following pulses is palpated behind the knee?
Popliteal.
The nurse is assessing a patient's skin for signs of impaired skin integrity. The PCT is aware that which finding by the nurse is considered a major manifestation?
Pressure Ulcers.
While taking vital signs on Mrs. Anderson, you note a difference between her radial and apical pulses. This problem is known as the?
Pulse deficit.
The medical term for an oral temperture above 99.5 Degrees F is?
Pyrexia.
Which of the following pulses is palpated on the wrist?
Radial.
The PCT is caring for a resident with a safety reminder device who is complaining about pain under the device. The PCT is aware that he is responsible for which of the following?
Reporting the pain to the nurse.
When the infant is introduced to solid foods, the first food is usually?
Rice cereal.
Mrs. Anderson has experienced periods of vertigo and syncope in association with recently diagnosed orthostatic hypotension. What does this mean?
She has occasional dizziness and fainting.
What is a dead person covered with?
Shroud.
Stertorous breathing often is described as sounding similar to?
Snoring.
A patient is admitted to the hospital with poorly fitted shoes and calluses. The PCT is aware that which resource is available to help the patient obtain fitting footwear.
Social Services.
The instrument used to measure the blood pressure is the?
Sphymomanometer.
A patient is recovering from a hemorrhoiectomy and experiences dizziness within 5 minutes when taking a sitz bath. What action should the PCT implement.
Stay with the patient and call the nurse for help.
Which blood pressure reading would be seen in an adult with hypotension?
Systolic BP below 90 mm Hg.
When a blood pressure cuff is deflated, the first tapping sound is the ______ pressure.
Systolic.
What is a pulse that is higher then 100 called?
Tacy-cardia.
A safe and accurate method of recording the temperature of a 6-month-old infant is with which type of thermometer?
Temporal Artery.
The temperature of a 3-year-old child with bilateral otitis externa is best taken with which type of thermometer?
Temporal artery.
Which site for taking an infant's body temperature is considered to give the most accurate results?
Temporal artery.
Which of the following pulses is palpated on either side of the eyes?
Temporal.
The suprapubic catheter is inserted through?
The abdominal wall.
The PCT does not provide foot care to which patient?
The patient with diabetes.
The primary reason for an enema is?
The promotion of defecation.
What is rigormortis?
The stiffening of the body after death.
Young children are at increased risk for injury because?
They frequently put objects in their mouths.
What is the equation for kg-lbs?
Times kg by 2.2.
The PCT is discussing the role of nutrition with a patient. How should the PCT respond when the PCT asks what occurs when protein, mineral, iron, and fat combine?
Tissue is built and maintained.
What is the role of the hospice medical director?
To function as mediator between the team and healthcare provider.
The PCT is aware that the patient may have safety reminder devices applied to the wrists for which purpose?
To prevent the patient from pulling at IV lines.
Which of the following is not a reason that urinary catheters are used?
To prevent urine flow.
One reason the PCT focuses on oral hygiene is to maintain a healthy state of the oral cavity. What is another reason to promote oral hygiene?
To stimulate appetite.
What do you do to the unconscious patients head during oral care?
Turn it to the side.
What important safety precaution should the PCT teach parents in order to prevent burns to small children?
Turn pot handles on stoves away from reach.
Disposable undergarments or underpads are used for patients with which of the following?
Urinary incontinence.
A patient who has a catheter placed just for surgery should have it removed as soon as possible to help prevent?
Urinary tract infection.
The PCT is aware that the older adult may drink less to avoid which behavior?
Urinating.
Hemorrhoid care includes which of the following?
Using witch hazel pads.
The diastolic BP is heard during which Korotkoff phase?
V (Five)
The PCT weighs a patient at the same time of day with the same scale and same clothing. What is this a simple and accurate method of determining?
Water balance.
Patients with blood in their urine may have a special catheter with a larger opening. This catheter is known as a?
Whistle-tip.
What should the PCT do to reduce the effort of moving a heavy object?
Widen the base of support in the direction of movement.
What does Edentulos mean?
Without teeth.
Abbreviation for Respiratory rate?
rr
Abbreviation for Routine?
rtn
Abbreviation for Temperature?
temp
Abbreviation for Tube feeding?
tf
Where should the PCT place the load when carrying heavy objects?
Close to the body mid-line.
Abbreviation for Kilogram?
kg
Ms. Jones is expecting visistors and is concered about her appearance. She asks the Patient Care Technician (PCT) about brushing her hair. Which response is the most helpful?
"I will get you a hair brush and you can brush your hair."
In the P.A.S.S. mnemonic, the "A" stands for what?
Aim.
What would be the correct explanation of catheter care?
Cleansing the first 2 inches of the catheter with soap and water every shift.
When would you use restraints?
After all other means have been eliminated.
The use of a safety reminder device can lead to an increase in?
Agitation.
In the R.A.C.E. mnemonic, the "A" stands for what?
Alarm.
The PCT is aware that the patient with a history of cancer treatment may experience which of the following?
Alopecia.
Which of the following pulses is auscultated with a stethoscope?
Apical.
A newborn is observed in the nursery with periodic episodes of not breathing, What is this called?
Apnea.
The PCT is assisting a client with dressing. Which action by the PCT is the most helpful?
Ask the client what they would like to wear.
The hospice nurse requests that the patient designate a primary caregiver for himself. What is true of the primary caregiver?
Assumes ongoing responsibility for health maintenance of the patient.
How frequently should the PCT clean the nares of patients who have a nasogastric tube or are receiving oxygen by nasal cannula?
At least every 8 hours.
How often should the nurse cleanse the meatal-catheter junction of a patient with an indwelling catheter?
At least every 8 hours.
How often should the PCT cleanse the meatel-catheter junction of a patient with an indwelling catheter?
At least twice a day.
An infant's pulse typically is taken by which method?
Auscultating over the apex of the heart.
The opening of the pillow case should be facing where?
Away from the door.
A patient is noted to have pediculosis capitis. The PCT should do what?
Bag and tag the patients items.
What do you use to protect the mattress of the bed?
Bed protector (Chuck)
When you are taking the pulse, where should you position the artery to be measured in relation to the level of the heart?
Below or at the same level.
What should the PCT do to protect his or her back when lifting or moving a patient?
Bend knees and hips.
An aural thermometer should not be used if the patient has?
Bilateral Impacted Cerumen
Your patient has been diagnosed with uncontrolled hypertension. How would you expect the pulse to feel?
Bounding.
The stethoscope typically is placed over which artery when the BP is auscultated?
Brachial.
Which of the following pulses is palpated in the antecubital space?
Brachial.
What is a pulse that is lower then 60 called?
Brady-cardia.
Which of the following pulses is palpated in the neck?
Carotid.
When changing the gown of a patient with an IV line, which of the following is correct?
Change the gown when the nurse changes the IV tubing.
The PCT is delivering a meal tray to a patient on a clear liquid diet. Which item would the PCT remove from the tray before delivering it to the patient?
Chicken noodle soup.
Abbreviation for Blood pressure?
bp
Abbreviation for Bowel sounds and blood sugars?
bs
Abbreviatino for Continuous bladder irrigation?
cbi
Abbreviation for Complete bed rest?
cbr
Abbreviation for Foley catheter?
f/c
Abbreviation for Gram?
g
Abbreviation for Gastro intestinal?
gi
Abbreviation for Gastrostomy tube?
gt
Abbreviation for Genitourinary?
gu
Abbreviation for Head of bed?
hob
Abbreviation for Hours of sleep/bedtime?
hs
Abbreviation for Jejunostomy tube?
jt
Abbreviation for Total parenteral tub?
tpn
