You turn these inside out down to the heel before putting them on a postoperative patient
antiembolism stockings
This is where you place the V1 lead on a patient
4th intercostal space right side of the sternum
We use these to prevent deep vein thrombosis
Sequential Compression device (SCD)
This is rotating the patient's hips away from the body and back when performing passive range-of-motion exercises
abduction and adduction
This is what you do after an accidental needle stick
Wash site with soap and water
This is what you do when your patient goes into ventricular fibrillation
Alert the response team and start CPR
This is how often you renew your BLS CPR certification
2 years
This is the passive range-of-motion exercise you would do with an ankle
Dorsiflexion
This is what you say to a person that is in respiratory distress with their lips and tongue swelling
Ask the patient if they are allergic to anything
A fire in the hospital cafe would be considered this type of disaster
Internal disaster
Which vital sign should you inform the nurse:
BP 88/58 mm Hg
oral temperature 99-degrees F
Heart rate = 78 bpm
Respirations 20 bpm
Blood pressure is out of range
This is the stage the pressure ulcer is in when you see layers of skin worn away with subcutaneous fat visible
Stage III
This is the position you place a patient in for postmortem care
Supine
What type of artifact is this?
AC interference
If the SA node fires slowly, what rhythm will you see on the heart monitor?
Sinus bradycardia
This is where you place the green lead for a Holter monitor
Right lower thoracic area
White on right
Smoke over fire
clouds over grass
This is where you place leads V1 and V2 on a patient with bilateral breast implants
Slightly higher above the implants
This is what you do when you have AC interference on the monitor
Unplug nearby equipment
Electrodes should be placed on skin that is
Clean and dry
This is how pertussis is spread
Droplet
This is what you call a heart of 125 bpm
sinus tachycardia
This is when rigor mortis sets in
2-4 hours
This is the last sense to leave the body
Hearing
When cleaning a wound what should you inform the nurse about
a foul odor
This is the first sign of skin breakdown
Redness and discoloration of the skin
Lay the patient flat (supine)
This is a problem you could have with an expired blood tube
Loss of vacuum
This is what a stress test tests
The heart during exercise
This is what you use to sterilize instruments
An autoclave
This is the type of technique you would use to place a urinary catheter
Sterile technique
These are violations of the sterile technique and field
Dropping hands below waist
Reaching over the sterile field
Turning your back on the sterile field
Chemotherapy patients requires this type of isolation
Reverse isolation
This is what you would do if your postoperative patient has purulent drainage and warm skin around the area
Notify the nurse
This is what you do when you find a nasal cannula on the floor in a patient's room
Get a new cannula and place it on the patient
This is the first thing you do before doing any procedures on the patient
Identify the patient
This is the purpose of an incentive spirometer
to prevent pulmonary complications
OSHA requires this on Safety Data Sheets on all chemicals in the office
First aid measures
You must wear this PPE for an airborne isolation unit
Gloves and an N95 mask
These are the most common identifiers for patient identification
Name and date of birth
Bilirubin samples must be protected from this
Light
This person is responsible for reporting abuse of a co-worker
The PCT . YOU shall Report Abuse
Which blood pressure should you report to the nurse
90/70 mm Hg
110/78 mm Hg
120/80 mm Hg
150/96 mm Hg
150/96 mm Hg
This is used to perform a capillary puncture
Lancet
What should you ask a patient if they complain of pain
What their pain level is currently
What do you use to clean the skin before an EKG
alcohol prep
This is the documentation that gives rights to patients living in a long-term facility
Residents' Bill of Rights
This is used to clean inanimate objects
Disinfectants
What should you do when your patient has a glucose level of 40 mg/dL
Report findings to the nurse
What is the position you place a patient in that has an NG tube
Semi-Fowler's
What do you need to do when transferring a patient from a bed to a wheelchair using a mechanical lift
Spread and lock the lift base
What do you do when you find bruising on an immobile patient. Any patient really
Report findings to the nurse
What do you do when a patient tells you they used the call light last night without anyone answering
Explain that you must notify the nurse manager
Who helps with a plan of care for the patient's caregivers
The nurse
How do you keep a restraint free environment for a patient that wonders
Use relaxation techniques with the patient
What do you do first if you get splashed in the eye while doing a heel stick
Flush eyes for 15 minutes
How is Tuberculosis transmitted
Airborne
Dentures are an example of what
prosthetic device
What should you do if you see a terminal patient crying with their family
Let the family have privacy
What is the best way to handle a blood draw from a 9 y/o
Explain the procedure to the patient in words they will understand
What should you do if your patient with sequential compression device has discoloration in their legs
Notify the nurse
What do you do after removing an IV
Hold pressure for 2 minutes or until bleeding stops
What do you do with a Type 2 diabetic that is sweating, has a headache, and blurry vision
Check blood sugar
What directions do you give a patient before a clean catch urine specimen
Clean the perineum
Start sample mid stream not the beginning
Do not place the specimen container up to the skin
What can you do to help your patient with ulcers when they are laying supine in bed
put a rolled towel under the ankles to float the heels above the bed
This is what you are not following if you draw blood without gloves on
Universal precautions (standard precautions)
For what reason might you use a safety reminder device
A patient that attempts to pull out their IV
A patient with cystitis might have this
hematuria (blood in the urine)
Where do you stand when using a gait belt with a patient
Behind the patient
What area of the sterile field is contaminated
1 inch around the sterile field. If something touches this area it must be removed and replaced with a new item
What is the first step when you are replacing colostomy appliance
Wash the skin around the stoma with warm water
This is the reason we use sequential compression devices after surgery
To prevent blood clots
This is a contra-indication for the use of anti-embolism stockings
open skin lesions
If a patient says to you, "I don't like being here." What could you say back?
"Tell me more about how you are feeling."
Where do you go when you have issues with a co-worker
Discuss with the administration
What do you do when a jewish man dies and the wife states that per their religion he can not be left alone.
Pull up a chair for the wife while you prepare the patient for family viewing
You need to draw a blood culture and a CBC. What color tube is first
Yellow - blood culture
The duties of the a PCT include
greeting, instructing and educating patients
How do you confirm a patient is compliant before a glucose tolerance test (GTT)
Confirm the patient fasted for 12 hours before the test
What is the best way to reduce employee exposure to infectious materials
Perform hand hygiene
What do you do if your patient is difficult to rouse
Call for the response team and then check pulse and respirations
You start to take a blood pressure and you notice a shunt in the arm. What should you do
Go to the other arm
What did you violate if you look into a chart from a patient you are not caring for
Invasion of privacy
What condition would make capillary puncture contraindicated
Patient with edema in their fingers
This is what is used to clean the site for a blood culture draw
Chlorohexidine
What do you do after you apply the chlorhexidine
Let the iodine dry
What are risk factors for possible elder abuse
When the patient has decreased strength and mobility
How do you measure the output of a patient that has an indwelling catheter
Empty the urine into a graduate and record the findings
By the needle being removed before removing the tourniquet
What type of patient might need adaptive devices for ADL (activities of daily living)
A patient that has had a CVA (cerebral vascular accident)
What should you do for a dementia patient that wonders
Provide a secure place for the patient
When transferring a patient you ...
Have a wide base of support and bend at the knees
A patient can use this to transfer from bed to wheelchair and exercise of the upper arms
Trapeze bar
What is the first thing you take off when leaving an isolation room
Gloves
Where would you find a patient's input and output information
Flow/graph sheets
What did you violate when you faxed information about a patient without consent to a lawyer
HIPAA
This is the purpose of HIPAA
To protect patient information
This is how you weigh a patient that needs a walker
Place the walker over the scale
Observe and prevent injury to the patient
This is what you do with a stool specimen for parasites
Take specimen to lab STAT
This is how a patient with aphasia can tell you their pain level
Use the FACES scale
This is how C-diff is transmitted
Contact transmission
This is what you do if a patient is c/o tingling and numbness at an IV site
Remove the IV
This causes hemolysis in blood tubes
Vigorously inverting tubes
This is the first thing you do before any procedure
You should encourage the patient to assist when transferring the patient from
Wheelchair to bed or vise versa
This is the definition of a sentinel event
Any unanticipated event that results in death or serious injury
lubricant
This is how you clean a penrose drain
Cleanse the area with soap and water working outward around the drain
This is the first step to remove the ostomy device
Remove wafer seal
This is how many continuing credits you need to renew your patient care technician certification
10