Module 1 - Pt Care
If a patient starts to fall or faint, what part of them should you focus of protecting?
Their head
You notice something abnormal when making your rounds, who do you reports your finding to?
THE NURSE
What is the best way to prevent the transmission of infections?
Proper hand hygiene
When collecting a blood culture with, which tube is collected first?
Blood culture
What is the average speed and gain of a standard EKG?
Speed: 25 mm/s
Gain:10 mm/mV
The patient states: "I am healthy and fit, I run everyday. There's no way I have cancer."
What stage of grief are they in?
Denial
Which government agency overlooks patient safety and quality of care?
The Joint Commission
When you place a bandage over an open wound, which link in the chain of infection are you breaking?
Portal of entry
You can leave a tourniquet on the patient for a maximum of how long?
after 1 minute, hemoconcentration begins
What does the P wave represent?
Atrial depolarization
When performing postmortem care, you should remove all tubes from the patient. What do you do with the tubes that you can't?
(give specific measurements)
Cut them so they only stick 1 inch (2.5 cm) out from the body, then secure with tape.
Needles should never be recapped. If you must recap a needle, what is the technique you should use?
One-handed scoop
Name at at least 3 qualities a sharps container must have.
Puncture-proof, easy to use, very accessible, and identifiable
Which vein is (normally) the first choice for a venipuncture?
Median cubital vein
What is the result of right-sided heart failure?
Edema (swelling) in the legs
When administering abdominal thrusts (Heimlich maneuver), what are the two circumstances in which you stop?
When the patient becomes unresponsive or the foreign body is expelled
When should you document any care you provide?
Immediately after administering the care, not before
What are the 3 methods of cleaning in order from least to most effective?
Sanitation, disinfection, sterilization
When inserting the needle, what angle should it be at AND which direction should the bevel be pointing?
15-30 degree angle, bevel facing UP
What are the 4 ways artifacts can show/disrupt an EKG?
Wandering baseline, somatic tremors, AC interference, interrupted baseline
Name the five rights of delegation
(must get all for points)
Right circumstances, right task, right supervision, right direction, right person
What is the difference between an Electronic Health Record (EHR) and an Electronic Medical Record (EMR)?
EHR: accessible across multiple facilities/systems
EMR: stay within one facility/system
List the full chain of infection.
(half points if correct answers, wrong order)
Infectious agent, Reservoir, Portal of Exit, Mode of Transmission, Portal of Entry, Susceptible Host
What is the term for a vein that is tender and warm with a red area around it?
Phlebitic
Correctly describe where all 10 leads go for a 12-lead EKG
(you can say it verbally)
RA: right shoulder/ clavicle area
LA: left shoulder/ clavicle area
RL: right lower abdominal area
LL: left lower abdominal area
V1: right of the sternum, 4th intercostal space
V2: left of the sternum, 4th intercostal space
V3: between V2 and V4
V4: left midclavicular line, 5th intercostal space
V5: anterior axillary line, 5th intercostal space
V6: midaxillary line, 5th intercostal space