Term
| (208) Identify the three basic principles of asepsis. |
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Definition
1. Asepsis is the absence of microorganisms.
2. asepsis can only be completely achieved on inanimate objects.
3. limiting the spread of microorganisms breaks the infection cycle; promoting an aseptic environment for our pt's undergoing minor surgery. |
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Term
| (208) describe medical asepsis and how it is applied during medical procedures |
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Definition
| Medical asepsis is the practice of reducing the number of organisms present and reducing the risk for transmission. maintaining good personal hygiene, standard precautions, hand washing, and disinfecting contaminated material. |
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Term
| (208) Medical technicians are responsible for protecting the patient from harm. Name the primary way to prevent introducing microorganisms to the patient and when should it be accomplished. |
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Definition
Hand washing.
Accomplished before and after patient contact. |
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Term
(208) You are asked to assit the physician with the circumcision of a 1wk old male patient in the pediatric clinic. The equipment is gathered and ready to be arranged for the procedure.
Which aseptic technique will be used when preparing the equipment? |
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Definition
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Term
(208) You are asked to assit the physician with the circumcision of a 1wk old male patient in the pediatric clinic. The equipment is gathered and ready to be arranged for the procedure.
What rules apply when surgical asepsis is required? |
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Definition
1. If in doubtof sterility consider it unsterile.
2. cover steril items with a sterile covering until ready for use.
3. touch only the outer wrapper or cover when opening sterile container
4. handle a sterile article only with sterile instrument or sterile gloves
5. when a sterile item is removed from sterile field, do not return it. |
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Term
| (208) what is the most common type of blade used during minor surgeries? |
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Definition
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Term
| (208) describe the function of a hemostat and rake retractors. |
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Definition
Hemostat- used for clamping or occluding.
Rake retractors- used for exposing or retracting. |
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Term
| (208) What are the technician's duties when a tissue sample is taken and must be processed by pathology? |
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Definition
| label specimen, log it into CHCS and transport the specimen to pathology. |
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Term
| (208) what is surgical asepsis? |
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Definition
| The practice designed to eliminate all microorganisms. |
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Term
| (208) describe the primary purpose of having housekeeping duties? |
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Definition
| to control the spread of infection. |
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Term
| (209) briefly describe how each step of the nursing process applies to medication administration. |
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Definition
Assessment: gather history of past illnesses and medications, chief complaint, and any cultural needs.
nursing diagnosis: address concerns such as lack of knowledge, noncompliance, and ineffective coping of the medical diagnosis and expected treatment.
Planning: establish clear and specific goals with the patient regarding expected outcomes of medical treatment.
Intervention: applies to correct and timely administration of medication and patient education. teach patient how to reach desired goals.
evaluation: evaluate compliance with interventions. if goals were reached or not reached, should the process be started over again. |
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Term
| (209) Which step of the nursing process allows for reassessing the goals and provides the opportunity to restart the entire cycle? |
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Definition
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Term
| (209) What is the most common method of calculating drug dosages? |
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Definition
using the basic calculations dosage of ordered dose divided by the supplied dose.
1)check to ensure all measurements are the same, convert as necessary.
2)write the problem in equation form using the appropriate formula and complete calculations.
3)check the accuracry of answers and have verified with another individual. |
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Term
(209) Mr. Adams has an order to receive 5mg/kg of medicine each day. Mr. Adams weighs 220lbs. The medicine supplied is in 50mg/cc.
How much does Mr. Adams weigh in kg? |
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Definition
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Term
(209) Mr. Adams has an order to receive 5mg/kg of medicine each day. Mr. Adams weighs 220lbs. The medicine supplied is in 50mg/cc.
how many cc's does the patient receive? |
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Definition
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Term
(209) The doctor ordered Mrs. Smith to receive a medication of 1gm of Flexeril q4h. The medication from pharmacy is supplied in 2000mg/tab
How many tablets will the patient receive? |
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Definition
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Term
(209) The doctor ordered Mrs. Smith to receive a medication of 1gm of Flexeril q4h. The medication from pharmacy is supplied in 2000mg/tab
How many tablets will the patient receive in one 12hr shift? |
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Definition
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Term
| (209) list the four basic principles of medication administration |
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Definition
1. Be knowledgeable
2. Use judgment
3. Have skill in delivery
4. Patient education |
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Term
| (209) What medication references are available to the technician if needed? |
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Definition
| Medication package insert, Physician's Desk Reference (PDR), MTF approved medication list. |
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Term
| (209) What are the basic 5 rights of medication administration and what is the sixth additional right? |
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Definition
| Right medication, Right amount, Right time, Right patient, Right dose. Right documentation. |
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Term
| (209) What is the largest amount of the drug that will produce a therapeutic effect without symptoms of toxicity? |
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Definition
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Term
| (209) Define loading dose. |
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Definition
| Initial high dose used to elevate the level of the drug in the blood quickly |
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Term
| (209) What are the seven elements of proper medication documentation? |
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Definition
| The medication, dosage, time, route, location, adverse signs of reactions, and the patient's response. |
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Term
| (210) What is the most common desired effect of drug action? |
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Definition
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Term
| (210) If a patient is to receive digoxin to improve contractility of the heart, in what category of desired drug actions would that be placed? |
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Definition
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Term
| (201) This term is applied when drugs are used to return the body to health, but not cure the disease. |
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Definition
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Term
| (210) What signs and symptoms must the technician warn the patient they may experience after taking an adrenergic medication? |
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Definition
| May include palpitations, nervousness or tremors, tachycardia, cardiac arrhythmias or anginal pain. |
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Term
| (201) Explain the function of the sympathetic nervous system. Which category of drugs is used to prevent its action in the body? |
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Definition
Sympathetic nervous system is used to mobilize the body for quick response and action.
Adrenergic blockers. |
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Term
| (210) A patient you are caring for has congestive heart failure (CHF) and is taking oral digitalis. What category of medications is contraindicated for use with the patient? |
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Definition
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Term
| (210) Once cholinergic medications have been introduced into the body, what are the actions of this type of drug? |
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Definition
| Increased GI peristalsis, contraction of the urinary bladder, increased secretions and skeletal muscle strength, lower intraocular pressure, constrict pupils and slow heart rate. |
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Term
| (210) List the three drug interactions with a brief description of each that the technician needs to be aware of. |
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Definition
1. Synergism- action of two drugs working together, for a more effective result.
2. potentiation- two drugs, one prolongs or multiplies the effect of another.
3. Antagonism- opposing action of two drugs, one decreases or cancels the action of another. |
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Term
Mrs. Jones came to the Family Practice Clinic. While screening her medication history, she admitted to taking OTC Tagamet for her heartburn at home. Her doctor had previously prescribed Tofranil for her current depression.
1. for what drug interactions do you need to be alert?
2. is it desirable or undesirable? |
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Definition
1. Potentiation
2. Undesirable. |
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Term
| (210) what are the signs of otoxicity? |
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Definition
| Hearing difficulty or dizziness. |
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Term
| (210) What is the term used for severe allergic reaction? What are the clinical manifestations to identify this type of reaction? |
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Definition
Anaphylaxis.
Dyspnea, chest constiction along with hives or fever. |
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Term
(210) a patient you are screening into the clinic is being treated with an antibiotic for strep throat. She is being seen for a current complaint of acute onset of watery diarrhea with mild vaginal itching.
1. What do you suspect might be happening?
2. The doctor asks you to provide some home remedy teaching to this patient, what might you suggest? |
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Definition
1. Indirect toxicity or superinfection.
2. Buttermilk or yogurt. |
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Term
(208) all of the following are principles of asepsis except:
a. break the infection cycle
b. acheived on inanimate objects.
c. the absence of microorganisms
d. promoting a septic environment. |
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Definition
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Term
(208) Using barriers as necessary for all patients is the definition of:
a. medical precautions
b. standard precautions
c. primary precautions
d. sterile precautions |
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Definition
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Term
(208) when cutting through thick muscular skin of the back, a provider would most likely use a
a. pair of iris scissors
b. disposable scalpel only
c. a pair of bandage scissors
d. knife with a detachable blade |
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Definition
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Term
(208) What information should not be documented on the labels of any pathology specimens?
a. name of the provider
b. name of the hospital
c. name of the technician
d. anatomical location of the specimen |
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Definition
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Term
(209) fifteen milliliters are equal to how many tablespoons?
a. one
b. two
c. three
d. five |
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Definition
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Term
(209) before administering any medication you are responsible for all of the following except
a. being knowledgable of the side effects of the Phenergan
b. performing all steps in the modified six medication rights
c. verifying any possible interactions against current medications
d. for ensuring A1C Jones is available for work the next day. |
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Definition
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Term
(209) Lt Col McNamara ordered a single dose Phenergan 12.5mg, to be administered intramuscular to A1C Jones for nausea and vomiting. The phenergan is supplied in 50mg/2cc pre-filled syringes. How many cc's would you administer?
a. 0.25
b. 0.50
c. 2.50
d. 5.0 |
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Definition
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Term
(209) Modified six medication rights include which of the following?
a. patient, amount, medication, time, route, and documentation
b. route, amount, time, supplier, medication and documentation
c. time, medication, color, route, amount, and documentation
d. medication, cleanser, route, amount, time, documentation |
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Definition
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Term
(210) all of the following are sources of medication except
a. animals
b. humans
c. plants
d. synthetic |
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Definition
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Term
(210) Ibuprofen can be administered to acheive which of the following drug actions?
a. curative and substitutive
b. restorative and curative
c. palliative and supportive
d. substitutive and chemotherapeutic |
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Definition
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Term
(210) palpitations, nervousness, and tachycardia are all side effects of
a. cholinergics
b. adrenergics
c. cholinergic blockers
d. adrenergic blockers |
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Definition
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Term
(210) adrenergic blockers are contraindicated with patients having the following except
a. diabetes
b. hypotension
c. migraine headaches
d. congestive heart failure |
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Definition
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Term
(210) increased gastrointestinal peristalsis, bladder contraction and increased sweat secretions are the actions of
a. adrenergics
b. cholinergics
c. adrenergic blockers
d. cholinergic blockers |
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Definition
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Term
(210) The medications that block the actions of the parasympathetic nervous system are
a. adrenergics
b. cholinergics
c. adrenergic blockers
d. cholinergic blockers |
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Definition
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Term
(210) the drug action 3D, is commonly seen with
a. adrenergics
b. cholinergics
c. adrenergic blockers
d. cholinergic blockers |
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Definition
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