This and That
Clinical Intake
Clinical Intake #2
Pulse/Respiratory rate
Abnormal Breathing
100

Six factors that are known to affect vital signs

stress, food intake, liquid intake, medical conditions, age, and physical activity

100

What does patient demographic information include?

name, address, telephone number, insurance information, and emergency contact

100

Information gathered from what a pt communicates. not measurable/described or experienced by the pt

Subjective data

100

what term reflects a pulse that is difficult or faint to detect?

thready

100

Fast/Rapid breathing 

hyperventilation

200

5 causes of orthostatic hypotension

dehydration, heart disease, diabetes, some medications, and nervous system disorders.

200

Most common method of verifying the correct pt prior to tx? 

have pt state their full name and DOB

200

Correspondence, financial and insurance information is found in what part of the health record ?

administrative section

200

What term reflects a pulse that is very strong? 

Bounding

200

small clicking, bubbling, or rattling sounds

Rales

300

Difficulty going to sleep, profound sadness, change in appetite and loss of energy are signs of ?

depression

300

What pt identifiers are used to verify a pt for financial issues?

pt full name adn verify the last 4 digits of social security number

300

Social hx, medical hx and family history are found in what section of the pt chart?

Clinical section

300

Adolescent and older pulse ranges from ?

60-100  bpm

300

Excessively deep breathing

Hyperpnea 

400

what should the CCMA write if the pt refuses to answer a question?

"pt declined to answer" 

400

The primary reason for the office visit is called ____

Chief complaint

400

Information that can be observed or measured.

Objective data

400

Toddler pulse rate ranges from ? 

98-140 bpm

400

Difficulty breathing unless in the upright position

Orthopnea

500

Difficulty focusing, irritability, feeling cold or sweaty, heart palpitations and SOB are common symptoms of ? 

Anxiety

500

Comparing the pts list of medications to the medical record as a safety measure to reduce the risk of improperly prescribing an incorrect or contraindicated prescription is called _____________

Medication reconciliation 

500
Diet, exercise, caffeine intake, smoking, use of alcohol or recreational drugs are part of what history

Social history

500

Term for slow respiratory rate

Bradypnea

500

Large airway sounds 

Rhonchi