Download Medical Terminology and Procedures and more Exams Nursing in PDF only on Docsity!
68W LPC 1 EXAM | 100% Correct Answers | Verified | Latest
2024 Version
Individual Sick call slip form. May be used as a means of communication between medical personnel and the patients Commander. - correct answer DD Form 689 Basic form used to document the chronological record of outpatient treatment. - correct answer SF 600 Initial correction procedure for an entry error. - correct answer Single line through information, write "error" and your initials. Access to medical information may be given to? - correct answer 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. - correct answer Access required by court order, needed for hospital accreditation, authorized by the patient. Disclosure of medical information. - correct answer Handled by patient administrator, all requests are done in writing except in emergency situations. Subjective Information - correct answer 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 - correct answer Refer all red flags Quarters - correct answer 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 - correct answer Patient is restricted to their bed with allowances for travel to dining facility and latrine. May not perform any military duties.
Commander - correct answer Who has the authority to decide if a soldier should break their profile? Microorganism - correct answer Microscopic living cells found almost everywhere in the environment. Pathogens - correct answer microorganisms that cause disease Colonies - correct answer As bacteria reproduce, they form groups of many millions of individual cells called? Spore forming bacteria - correct answer Are resistant to the environment and can survive extreme conditions of light, drying and many chemicals.. Most difficult to control and destroy. Contagious Disease - correct answer Diseases transmitted to many individuals quickly and easily. Hand Washing - correct answer What is the single most useful and effective means of breaking the chain of infection and stop the spread of disease? Sterile - correct answer Item is free of all microorganisms and spores Sterilization - correct answer 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 - correct answer Tiny microorganisms from evaporated droplets remain suspended in the air or are carried on dust particles and inhaled. Droplet precautions - correct answer 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.
physiological dependence - correct answer the body develops a chemical need for a drug psychological dependence - correct answer patient is convinced that they have a need for a drug 68W - correct answer The safe and correct dispensing of medications remains with who? Even when directed by the supervising health care provider. Check with HCP - correct answer 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 - correct answer 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 - correct answer Right medication procedure to ensure patient is given the correct medicine 20 minutes following injection - correct answer How long should you observe a patient for an allergic reaction after administering medication? Mild and Moderate allergic reactions - correct answer 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 - correct answer S/S of mild to moderate allergic reactions. Anaphylaxis - correct answer Refers to hypersensitivity reaction to an antigen. Most severe type of allergic reaction. epinephrine - correct answer Given at 0.3-0.5 mg IM for adult during an analphylaxis reaction, may be repeated every 5 to 10 minutes
Diphenhydramine - correct answer Antihistamine (Benadryl) 25 - 50 mg IM or IV Solu-Medrol - correct answer Corticosteroid given 125 mg IV Normal Saline Bolus - correct answer 500 cc, prescribed by medial officer as needed Observe patient swallowing the medication - correct answer When giving oral medications this is important. Inhaler with spacing device - correct answer Patient unable to coordinate inspiration and activation of the metered dose inhaler. This helps with administration. Dry Powder Inhaler - correct answer 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) - correct answer Testing for exposure to diseases, testing sensitivity to allergens or medications. inner forearm - correct answer Preferred site for ID injections Purpose of the Wheal - correct answer indicates that the medication has entered the area between the intradermal tissues. 45 degree angle - correct answer Administer Subcutaneous injection, what is the correct angle of the needle? intramuscular injection - correct answer 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 - correct answer Angle to hold IM needle when administering
800 micrograms transbuccally - correct answer Dosage and route of Fentanyl 5mg slow IV push over 1 - 2 minutes - correct answer Initial dose of morphine Acetominophen - correct answer can cause liver damage if given at higher doses for an extended period of time. 0.4 - 2 mg slow IVP over 1 - 2 minutes may need to be repaeted 3 to 4 times - correct answer Strength and route of administration for Narcan Narcan wears off faster than morhpine - correct answer What is the reason why after administering Narcan the patient may fall back into respiratory depressing? Aspirin (ASA) - correct answer This drug is not indicated for military members in combat Overdose/Toxicity S/S - correct answer High pitch tinnitus, vertigo, hyperthermia, depression, agitation andconfusion followed by stupor and coma. Respiratory depression. Median Cubital Vein - correct answer First choice venipuncture,well supported least apt to roll. Sclera - correct answer White of the eye, connected to six muscles that allow the eye to look up, down and side to side. Retina - correct answer Inner layer of eye, contains rods and cones allows us to see images. Lacrimal Glands - correct answer Prevents infections and moistens the eye Contact lenses - correct answer Wearing these worsen chemical exposures of the eye and corneal injuries such as corneal foreign bodies, lacerations, ulcers or infections.
Visual Acuity - correct answer 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 - correct answer used to measure visual acuity Flushed first - correct answer Treatment for ocular burns before visual acuity test. Turn off all the light and fully cover one eye - correct answer Patient is unable to detect hand motion test for light perception by: Auricle or Pinna - correct answer Shaped to collect sound waves and direct them toward the external auditory meatus (opening of ear canal) Middle Ear - correct answer 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 - correct answer 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 - correct answer Used to inspect EAC and the middle ear Dental Problems - correct answer In adults up to 50% of earaches are this: Ear irrigation or ear drops that will dissolve earwax. - correct answer Cerumen impaction management Otitis Media - correct answer middle ear infection Chief complaints of Otitis media - correct answer I have ear pain and have been running a fever, TM will be bulging and may look red.
Emotional upsets, physical exertion, upper respiratory infection. - correct answer Precipitating factors of asthma may include: Production of excessive mucus - correct answer Acute symptom of asthma Evacuate immediately - correct answer In a field environment what is a treatment for an acute asthma attack? 5 minutes of continuous listening in each quadrant - correct answer Absent abdominal sounds can only be established after what? Gallbladder - correct answer Located in the right upper quadrant of the abdomen Liver - correct answer Stores about 10% of total blood volume (TBV) Gallbladder - correct answer Stores bile formed by liver Pancreas - correct answer Produces and secretes digestive juices into the duodenum (first part of small intestine) and secretes hormones (insulin and glucagon) into the blood to regulate blood sugar levels. Colon, Large intestine - correct answer absorption of water and electrolytes up to 5 - 7 liters per day Kidneys - correct answer Regulates the water, electrolytes and acid based content of the blood. Have patient point to the site, palpate last - correct answer If the patient presents with pain follow this procedure: Inspect, Auscultate, Palpate - correct answer Abdominal assessment
Loperamide (Imodium), and Pepto-Bismol or Kaopectate (Do not give if fever or blood in stool is present) - correct answer Treatment for diarrhea Nephrolithiasis - correct answer Kidney Stone Restless, constantly moving, intermittent pain and cramping. Will migrate. Develops suddenly may awaken PT from sleep - correct answer S/S of nephrolithiasis Bursa - correct answer Saclike body cavity located between joints or at points of friction bewteen moving structures, filled with synovial fluid. Ligament - correct answer sheet of tough fibrous tissue joining two or more bones or cartilages. Strain - correct answer refers to stretching of a muscle subluxation - correct answer incomplete dislocation of a joint Tendon - correct answer Connects muscle to bone Repeated visits for the same complaint - correct answer Red flags of spine evaluations Flexion and extension, lateral bending, rotation - correct answer Testing for ROM in back Repeated visits for same complaints - correct answer Red flags for upper extremities Compare the affected extremity to the unaffected one - correct answer Physical examination what to inspect? Compare the affected extremity to the unaffected one - correct answer Upper extremity examination
Bite wounds - correct answer These wounds are always considered contaminated Primary Intention - correct answer Refers to wound closure immediately following the injury and prior to the formation of granulation tissue. Secondary Intention - correct answer Strategy of allowing a wound to heal on its own without surgical closure. Occurs in injuries such as deep lacerations, burns, and pressure ulcers. Delayed primary closure - correct answer There is a delay in the time between the injury and the closure of the wound. Obesity, Smoking, Diabetes - correct answer Factors that complicate the wound healing process. Administer Tetanus @ 0.5 ml IM - correct answer In dirty wounds, if medical records are not available or the patient can't remember last toxoid booster you should Jackson-Pratt drain - correct answer used when small amounts (100 to 200 mL) of drainage are anticipated Hemovac drain - correct answer used for larger amounts (up to 500 mL) of drainage. herpes zoster (Shingles) - correct answer Infection caused by the chicken pox virus, Pain tenderness and itching occur along the site of the future rash, precedes the rash usually 2 or 3 days. Thoracic or Lumbar region unilaterally - correct answer Most common location for Herpes Zoster infection. Impetigo - correct answer Superficial bacterial skin infection occuring most frequently on exposed parts of the body, especially the hands, face and neck, honey colored crusts and antibiotics.
cutaneous abscess - correct answer Treatment primarily for this skin disease is incision and drainage. Animal Bites - correct answer Wash with soapy water or irrigate with soapy water. 70% of this injury are due to dogs. Contact Dermititis - correct answer Skin inflammation Poison oak, ivy and sumac - correct answer Linear streaks are a characteristic of Corticosteroid for 7 - 14 days - correct answer Treatment for Contact dermatitis in extensive cases. Tinea Pedis - correct answer Tor web lesions often are macerated and have scaling borders, may become vesicular or may become dry and scaly.
