Download 68W LPC 1 Exam 2025 Questions And Correct Answers(Verified Answers) A+ Graded and more Exams Nursing in PDF only on Docsity!
68W LPC 1 Exam 2025 Questions And
Correct Answers(Verified Answers) A+
Graded
Individual Sick call slip form. May be used as a means of communication between medical personnel and the patients Commander. DD Form 689 Basic form used to document the chronological record of outpatient treatment. SF 600 Initial correction procedure for an entry error. Single line through information, write "error" and your initials. Access to medical information may be given to? The patient, patient care personnel, medical researchers and medical educators. Personnel not involved with the patients care or in medical research will not have access to information unless the following situations apply. Access required by court order, needed for hospital accreditation, authorized by the patient. Disclosure of medical information. Handled by patient administrator, all requests are done in writing except in emergency situations. Subjective Information Age, Sex, Race and first day of last menstrual period, history of illness, OPQRST, past medical, surgical and social history, last oral intake, AMPLE Referral to medical officer Refer all red flags Quarters Restricted to rest in patients place of domicile, includes freedom to move within their living space, to and from dfac and or medical facilities. May not perform any military duties, usually assigned for 72 hours. Bedrest
Patient is restricted to their bed with allowances for travel to dining facility and latrine. May not perform any military duties. Commander Who has the authority to decide if a soldier should break their profile? Microorganism Microscopic living cells found almost everywhere in the environment. Pathogens microorganisms that cause disease Colonies As bacteria reproduce, they form groups of many millions of individual cells called? Spore forming bacteria Are resistant to the environment and can survive extreme conditions of light, drying and many chemicals.. Most difficult to control and destroy. Contagious Disease Diseases transmitted to many individuals quickly and easily. Hand Washing What is the single most useful and effective means of breaking the chain of infection and stop the spread of disease? Sterile Item is free of all microorganisms and spores Sterilization Destroys all microorganisms an spores by exposing articles to heat or to chemical disinfectants long enough to kill all microrganimsms and spores, i.e. autoclave (pressure steam _______) Airborne precautions Tiny microorganisms from evaporated droplets remain suspended in the air or are carried on dust particles and inhaled. Droplet precautions Microorganism are propelled through the air from an infected person who is sneezing, coughing, talking or being suctioned and deposited on the host's eyes, nose or mouth. Contact precautions Is the most frequent mode of disease transmission. Direct contact between a susceptible hosts body surface and an infected or colonized person.
Check with HCP If you have any doubts about the suitability of any medication for any patient who would you check with? Patient, Medication, Time, Route, Dose, Documentation Six rights of drug administration Repeat order to medical officer and verify medication 3 times (Before, during and after) Removal from storage area, preparing medication, returning to storage Right medication procedure to ensure patient is given the correct medicine 20 minutes following injection How long should you observe a patient for an allergic reaction after administering medication? Mild and Moderate allergic reactions involves a generalized body response that reaches a point and do not continue to get worse. S/S may persist for several hours but are not progressive and do not pose a threat to life. Hives or uticaria S/S of mild to moderate allergic reactions. Anaphylaxis Refers to hypersensitivity reaction to an antigen. Most severe type of allergic reaction. epinephrine Given at 0.3-0.5 mg IM for adult during an analphylaxis reaction, may be repeated every 5 to 10 minutes Diphenhydramine Antihistamine (Benadryl) 25-50 mg IM or IV Solu-Medrol Corticosteroid given 125 mg IV Normal Saline Bolus 500 cc, prescribed by medial officer as needed Observe patient swallowing the medication When giving oral medications this is important. Inhaler with spacing device Patient unable to coordinate inspiration and activation of the metered dose inhaler. This helps with administration.
Dry Powder Inhaler have the patient hyper-extend the neck, place lips around mouth of dispenser creating airtight seal, depress canister while taking quick deep breath, instruct patient to hold breath for 10 seconds, exhale slowly through pursed lips, wait 2 minutes between puffs if more than one ordered. Purpose of Intradermal Injections (ID) Testing for exposure to diseases, testing sensitivity to allergens or medications. inner forearm Preferred site for ID injections Purpose of the Wheal indicates that the medication has entered the area between the intradermal tissues. 45 degree angle Administer Subcutaneous injection, what is the correct angle of the needle? intramuscular injection Used when a large volume of medication is needed for a stronger effect. 10-20 minute absorption rate and long duration (hours to weeks) 90 degree angle Angle to hold IM needle when administering Broad and narrow spectrum antibiotic Effective against a wide range of microorganisms Narrow spectrum antibiotics Effective against only a few organisms Advantages of oral antibiotics Oldest method of drug administration, safest, most convenient, most economical, easy to give. Mycoses An antifungal medication is a fungicide used to prevent and/or treat funfal infections is known as: Factors of fungal infections High humidity and abnormalities relative to the immune system or hormones Prevention episodes of fungal infection Keep skin clean and dry, as well as maintain good hygiene. Fungal infections are contagious wash any contaminated surfaces that may have been in contact with infected person.
Sclera White of the eye, connected to six muscles that allow the eye to look up, down and side to side. Retina Inner layer of eye, contains rods and cones allows us to see images. Lacrimal Glands Prevents infections and moistens the eye Contact lenses Wearing these worsen chemical exposures of the eye and corneal injuries such as corneal foreign bodies, lacerations, ulcers or infections. Visual Acuity Most important step in evaluating occular problems, test is performed initially on all patients presenting with an eye complaint (except for ocular burns) Snellen Chart used to measure visual acuity Flushed first Treatment for ocular burns before visual acuity test. Turn off all the light and fully cover one eye Patient is unable to detect hand motion test for light perception by: Auricle or Pinna Shaped to collect sound waves and direct them toward the external auditory meatus (opening of ear canal) Middle Ear air filled cavity within the temporal bone of the skull containing three ossicles (small bones) the malleus, incus, and stapes. Only skin lined canal in the body. Tympanic Membrane The eardrum. A structure that separates the external ear from the middle ear, a thin translucent see through membrane, pearly gray to amber in color when healthy, redness usually indicates an infectious process. Otoscope Used to inspect EAC and the middle ear Dental Problems In adults up to 50% of earaches are this:
Ear irrigation or ear drops that will dissolve earwax. Cerumen impaction management Otitis Media middle ear infection Chief complaints of Otitis media I have ear pain and have been running a fever, TM will be bulging and may look red. Fever 101 or greater What are the "red flags" of sinus complaints? Epistaxis May be an early sign of a more significant illness such as hypertension or a blood clotting disorder. Acute Sinisitis PT S/S Headache, Cloudy discolored nasal drainage, nasal stuffiness, cough, physical exam shows tenderness to percussion over the frontal or maxillary sinuses. What illness is this? upper respiratory infection PT S/S Sore throat, cough, nasal congestion/discharge, appearance of a slightly reddened pharynx with mucous streaking. Streptococcal Pharyngitis (Strep Throat) PT S/S Severe sore throat, exudate presents in what illness? Peri-tonsillar abscess PT S/S abcess usually affects one side of the mouth resulting in a tonsil deviating toward the midline. Infectious mononucleosis C/O My throat hurts and now matter how much I sleep I am exhausted Shortness of Breath Red flag of respiratory complaints Common Cold can be as mild as having a runny or stuffy nose or as severe as sore throat sneezing, sinus pressure, fatigue, breathing difficulties, pharynx slightly reddened with mucous streaking. Pneumonia Inflammation of the lungs caused by a reaction to an invading pathogenic microorganism or noxious substance. Usually results with accumulation of fluid in a lung lobe.
Nephrolithiasis Kidney Stone Restless, constantly moving, intermittent pain and cramping. Will migrate. Develops suddenly may awaken PT from sleep S/S of nephrolithiasis Bursa Saclike body cavity located between joints or at points of friction bewteen moving structures, filled with synovial fluid. Ligament sheet of tough fibrous tissue joining two or more bones or cartilages. Strain refers to stretching of a muscle subluxation incomplete dislocation of a joint Tendon Connects muscle to bone Repeated visits for the same complaint Red flags of spine evaluations Flexion and extension, lateral bending, rotation Testing for ROM in back Repeated visits for same complaints Red flags for upper extremities Compare the affected extremity to the unaffected one Physical examination what to inspect? Compare the affected extremity to the unaffected one Upper extremity examination Boxer's fracture 5th metacarpal fracture, most common in hand from closed fist striking an object Acetubelum
Hip joint, head of femur firmly placed here. Intolerable pain, not responsive to treatment or repeated visits for same complaint, inability to bear weight, hot swollen joint or inability to flex or extend extremity. Red flags for lower extremities Compare the affected extremity to the unaffected one Inspection for lower extremity Stress Fractures Military recruits and high performance athletes are susceptible to these injuries from overuse. Inversion Most ankle sprains are a result of this. March Fracture The second metatarsal stress fracture derived its name from the Army and is known as the ________ Plantar Fasciitis AKA Heel spur, most common cause of heel pain in adults. Plantar fasciitis S/S Pain at the heel and or sole of the foot. Greatest upon rising from a resting position. Physical Examiniation: TTP at the calcaneus and plantar fascia. Plantar Fasciitis Treatment for this is OTC heel pad, stretching program Dermis Second layer of the skin, contains structures (glands, nerves, ad vessels) that affect cooling sensation and circulation of nutrients. Cellulitis Infection of the skin characterized by heat, pain, redness, and edema Bite wounds These wounds are always considered contaminated Primary Intention Refers to wound closure immediately following the injury and prior to the formation of granulation tissue. Secondary Intention
Tinea Pedis Tor web lesions often are macerated and have scaling borders, may become vesicular or may become dry and scaly.
