CCMA Exam Prep (NHA) Graded A

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During an emergent crisis, DO NOT - ANSWER alarm the patient 3 essentials when performing blood draws - ANSWER 1. test requisition review 2. proper patient identification 3. site choice 2 esse... ntials when performing EKG or other cardiac monitoring - ANSWER 1. inform pt. of what is expected 2. observe for complications CLIA-waived tests - ANSWER simple, performed with low risk of error When performing a CLIA-waived test, always... - ANSWER 1. identify the patient 2. wear PPE 3. read all manufacturer directions and instructions BIG OSHA (needle) protocol - ANSWER do NOT recap needles Sharps container - ANSWER Puncture and leak proof and labeled with biohazard symbol for disposal of scalpels, needles and any other sharp object Biohazard bag - ANSWER Leak proof bag for disposal of gloves, gauze and bandages Standard Precautions - ANSWER ALL bodily fluids except sweat are to be considered infectious for all patients. Change gloves... - ANSWER When handling contaminated surfaces and in-between patients Before putting gloves on you should always - ANSWER wash hands with soap and water or use an alcohol-based hand sanitizer Blood pressure measures the - ANSWER pressure of blood against the walls of the artery and ventricles The artery and ventricles contract so that the ... - ANSWER blood is pushed to the aorta and pulmonary artery Systole - ANSWER heart contracts Diastole - ANSWER heart relaxes FIRST thing you do when taking any pt. vitals - ANSWER Tell patient what you're going to do If you have to manually obtain a BP, what should you palpate? - ANSWER Brachial artery in antecubital region of arm When taking BP, which arm should you use? - ANSWER Generally the right unless the left has stronger pulse Heart rate gives physician information about the heart's... - ANSWER rhythm, volume and vessel elasticity How long should you count to get a pt.'s HR? - ANSWER 30 sec. (multiply by 2) or 1 minute *IF there are irregularities, count for 1 minute T/F: You should tell the pt. when you are measuring their respirations. - ANSWER False, do NOT tell the pt. as this may cause them to change their breathing patterns. How long should you observe a pt.'s respirations for? - ANSWER 30 sec. (multiply by 2) or 1 minute Most common site for a temperature reading - ANSWER oral Question to ask pts. before taking their oral temp: - ANSWER "Have you eaten anything, had anything to drink, smoked, or exercised within 30 minutes of coming to the doctor today?" What position do you put patients in to obtain a rectal temperature? - ANSWER Sims or lateral recumbent position: pt. lies on left side, left hip and leg straight, right hip and knee bent For an aural/tympanic temperature, how should you manipulate the ear in a pt. over the age of 3? - ANSWER Pull up and back For an aural/tympanic temperature, how should you manipulate the ear in a pt. under the age of 3? - ANSWER Pull down and back Where is the temporal artery temperature readings taken? - ANSWER On the forehead Where is the axillary temperature reading taken? - ANSWER Armpit Anthropometric measurements include... - ANSWER height and weight For an infant or child up to 3 years old, growth is measured via... - ANSWER head circumference, length and weight Conversion C -> F - ANSWER (C x 9/5) + 32 Conversion F -> C - ANSWER (F - 32) x 5/9 lbs -> kg - ANSWER lbs x 0.45 kg -> lbs - ANSWER kg x 2.2 ft -> in - ANSWER (ft x 12) + in in -> cm - ANSWER in x 2.54 cm -> in - ANSWER cm x 0.39 Supine - ANSWER pt. flat on back, face up Dorsal recumbent - ANSWER supine, with knees bent Fowler's position - ANSWER lay on table, table elevated 90 deg Prone - ANSWER pt. lies face down Sim's position - ANSWER pt. lay on left side, left leg extended, right bent with knee on table Knee-Chest - ANSWER pt. rests knees and chest on table with head turned to side Trendelenburg - ANSWER pt. supine, bottom of table elevated 30 deg After every patient, the exam room must - ANSWER Be inspected for cleanliness, waste and spills must be cleaned, restocked, paper must be changed 5 steps to prep patient for an exam - ANSWER 1. check medical record for completion 2. pt. needs to sign all consent forms 3. ask pt. reason for visit 4. answer any questions pt. has 5. review medical record and have any lab results out for Doc T/F: Honestly discuss any discomfort a pt. may have during an exam up front. - ANSWER True Most important concepts when administering medications - ANSWER 1. always check pt. allergies 2 double check expiration dates 3. review meds and clarify with Dr. before administering 4. check 3 times to ensure dose matches order and that it is measured properly How many times should the dose and measurement be checked against the physician's order? - ANSWER 3 times It's always important to observe a patient for __ & __ __ when administering oral medications - ANSWER choking & adverse reactions Before administering parenteral/topical medications, the patient should be notified of - ANSWER any tingling or burning they may experience Before administering ___/___ medications, check the skin for any complications - ANSWER parenteral / topical Transdermal medication - ANSWER typically patch of some form DO NOT place transdermal medication on... - ANSWER broken skin What should you write directly on the transdermal patch for a patient? - ANSWER Removal date T/F: Pt. cannot shower with transdermal patch. - ANSWER False What 4 things should you ALWAYS tell the patient before administering any type of injection? - ANSWER 1. what the medication is 2. how it is applied 3. any side effects 4.the fact that it may pinch What 2 things should you always check and re-check before administering a medication? - ANSWER the medication itself and its expiration date Items to assemble before administering an injection are: *hint: there are 7! - ANSWER 1. the meds, 2. gloves, 3. alcohol wipes, 4. syring, 5. sterile needle, 6. gauze, 7. sharps container Steps to take BEFORE administering ANY type of injection: - ANSWER 1. wash hands and glove up 2. assemble items 3. wipe vial with alcohol swab 4. draw up medication- no air! Steps to take AFTER administering ANY type of injection: - ANSWER 1. place gauze next to needle and remove at the same angle as it was inserted 2. place needle in sharps container 3. if pressure is needed, apply now 4. remove gloves and wash hands 5. document the dosage, method, location and any complications in the pt.'s chart Area to insert needle into for INTRAMUSCULAR injections - ANSWER deltoid muscle Area to insert needle into for INTRADERMAL injections - ANSWER volar forearm Area to insert needle into for SUBCUTANEOUS injections - ANSWER abdomen, back of upper arm, outer thighs, upper buttocks Angle to insert needle for INTRAMUSCULAR injections - ANSWER 90 deg Angle to insert needle for INTRADERMAL injections - ANSWER 15 deg Angle to insert needle for SUBCUTANEOUS injections - ANSWER 45 deg During INTRAMUSCULAR injections, do you aspirate? - ANSWER Aspirate before injecting, then inject slow and steady During INTRADERMAL injections, do you aspirate? - ANSWER NO! Be swift with injection. During SUBCUTANEOUS injections, do you aspirate? - ANSWER Aspirate before injecting, then inject slow and steady After INTRAMUSCULAR injection, what do you do? - ANSWER Apply pressure and wiggle muscle After INTRAERMAL injection, what do you do? - ANSWER DO NOT apply pressure or wiggle After SUBCUTANEOUS injection, what do you do? - ANSWER Apply pressure at the Doc's request PFT - ANSWER pulmonary function test For a PFT to be accurate, pt. must not have done what 3 things? - ANSWER Smoke, use nebulizer, or use bronchodilator within 6 hours of taking test How many times must you repeat a PFT ? - ANSWER 3 Long distance visual test - ANSWER Snellen chart [Show More]

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