Patient Care Hot Spots.txt(Meghan's +Katy's edits)

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Patient Care Hot Spots.txt(Meghan's +Katy's edits)
2014-04-21 20:33:23
Radiation Therapy
RTT review
Patient Care Hot Spots.txt(Meghan's +Katy's edit-pics etc.)
Show Answers:

  1. Nosocomial means:
    Hospital acquired
  2. The most common site of nosocomial infections:
    Urinary tract  (catheters)
  3. Fomite means:
    • Inanimate object
    • ie. door handle, counter top, needle stick
  4. Vector means:
    Insect or animal carrying disease
  5. Enteric precautions are taken with:
  6. ___________ is the study of drugs actions on and interactions with living organisms.
  7. The processes that control absorption, distribution, metabolism and excretion of drugs by the body are called ___________.

    ("kinetics"-the movement)
  8. _________ routes of drug administration include oral, sublingual and rectal.
  9. __________ routes of drug administration include intradermal, subcutaneous, intramuscular (IM), intravenous, intra-arterial and intrathecal (into the spinal canal.)
  10. A harmful side effect may be called a _________.
    Adverse reaction
  11. What is the average lifespan of a red blood cell?
    120 days
  12. Ehat parts of the body are the top 3 producers of bone marrow/WBC's?
    • Pelvic bones (30%)
    • Vertebra (25%)
    • Ribs/sternum (20%)
  13. A _______ cell is immature and will always be the most sensitive to injury.
  14. What is the average lifespan of a white blood cell?
    10 days

    (except lymphocytes: 120 days)
  15. The composition of blood is 55% _______ and 45% _______.
    55% liquid (plasma)

    45% solid (red blood cells(99%) , white blood cells & platelets)
  16. What is the normal range for platelets?

    What is considered critical?

    • CRITICAL < 50,000
  17. The average diastolic pressure for an adult is:
    60-90 mm of Hg

  18. What is the normal red blood cell range in an adult?
    4 - 6 million/cc3

  19. What is the normal white blood cell range in an adult?

    What is considered critical?
    4,000 - 10,000/cc3

    CRITICAL < 2,000 per mm3
  20. What is the normal hemoglobin range in an adult?

    What is considered critical?
    13 - 17/cc3

    • CRITICAL < 10 
  21. What is the normal hematocrit range in an adult?

    What is considered critical?
    38% - 49%

    CRITICAL <34%

    hematocrit: percent
  22. The average systolic pressure for an adult is:
    95-140 mm of Hg

  23. What is the normal BUN level?
    10 - 20 mg/dL
  24. Delivery of nutrients directly into the bloodstream through a needle:
    Total parenteral nutrition (TPN)

    • "parenteral" means around the intestines or a route other than the gi tract. Usually means IV feeding or "intravenous hyperalimentation"
    • Administration through the gastrointestinal tract is sometimes termed enteral or enteric administration.
  25. Delivering liquid nutrition through a tube placed into the stomach or intestines:
    Enteral nutrition (tube feeding)
  26. The enteral and parenteral infusion of nutrients to maintain life:
  27. What is the normal adult glucose range?
    70 - 115 mg/dL
  28. "Clean technique" is known as:
    Medical Asepsis

    (examples: oral, vaginal, rectal exams)
  29. "Sterile technique" is known as:
    Surgical Asepsis
  30. Generally speaking, objects that have been wrapped in cloth or paper and stored in closed cupboards are considered sterile for _____ days.
    30 days
  31. True or False: Any sterile material or pack that becomes dampened or wet is considered contaminated.
  32. The BRAT diet is recommended for patients with:
  33. Res ipsa loquitor means:
    It speaks for itself
  34. List the 4 types of shock and their causes:
    • Hypovolemic: trauma/blood loss
    • Anaphylactic: allergies
    • Cardiogenic: heart attack
    • Septic: infection/fever
  35. What are the 5 classifications of PAP smear results?
    • Class I Normal
    • Class II Some atypical cells but no evidence of malignancy
    • Class III Suggestive of malignancy but not conclusive
    • Class IV Strongly suggestive of malignancy in situ
    • Class V Conclusive of malignancy with deep layers of cells affected
  36. Radiation doses (to the testes) below ____ cGy may cause temporary sterility, while doses above ____ cGy will cause permanent sterility.
    below 500 cGy: temp

    above 500 cGy: permanent
  37. Complement and Interferon are two of the body's proteins which directly or indirectly act to:
    A. synthesize antimicrobial proteins which attach to the surface of bacteria
    B. trap invading organisms to prevent spread
    C. raise the temp of the skin to speed repair
    D. engulf bacteria
    A. synthesize antimicrobial proteins
    (this multiple choice question has been scrambled)
  38. In children under 5, to avoid damage to the sciatic nerve, the preferred site for intramuscular injection is the:
    A. deltoid muscle
    B. gluteus muscle
    C. vastus lateralis muscle
    D. quadriceps femoris
    C. vastus lateralis muscle
    (this multiple choice question has been scrambled)
  39. When IV administration is taking place, the solution should always remain ________ above the level of the vein.
    A. 36"-40"
    B. 18"-20"
    C. 6"-8"
    D. 8"-12"
    B. 18" - 20"
    (this multiple choice question has been scrambled)
  40. The most important consideration in the care of an unconscious patient is to ensure that:
    A. fluids are maintained
    B. airways remain clear
    C. no meds are given
    D. dehydration is avoided
    B. airways remain open
    (this multiple choice question has been scrambled)
  41. Due to the mobility of the _______ and ______ spines, injuries in the areas are most common.
    Cervical and Lumbar spines
  42. The smallest disease produsing organism that has been discovered as of this time is called a:
    A. fungus
    B. yeast
    C. prion
    D. bacteria
    C. prion
    (this multiple choice question has been scrambled)
  43. A sterile package is considered to be unsterile or contaminated if it has been exposed to:
    1. excessive heat 2. excessive cold 3. water or moisture
    a. 1 only
    b. 2 only
    c. 3 only
    d. all of the above
    • c. 3 only
    • Water or moisture