Review

Question 1

V1 right side of sternum

Answer 1

4th intercostal space

Question 2

V2 left side of sternum

Answer 2

4th intercostal space

Question 3

V4 midclavicle lines up with nipple

Answer 3

5th intercostal space

Question 4

V6 mid axillary

Answer 4

5th intercostal space

Question 5

V3 halfway between v2 and v4

Answer 5

5th intercostal space

Question 6

V5 halfway between v4 and v6

Answer 6

5th intercostal space

Question 7

4R Arms

Answer 7

Arm fleshy part tabs facing down

Question 8

4R legs

Answer 8

fleshy part tabs facing up

Question 9

What’s evaluated in UA?

Answer 9

Chemical dipstick is placed in urine
Physical odor can be aromatic or fetid
Appearance clear or cloudy
Color yellow to amber
Microscopic lab

Question 10

3 terms for elimination
Urination
Void
Micturition

Question 11

Clean catch/med

Answer 11

Patient wipes opening of urethra
Then begins to urinate and catches urine midstream

Question 12

24hr void

Answer 12

Patient will flush first mornings void and continue to collect urine for the rest of the day including next morning void will be kept on ice or refrigerated

Question 13

Catherization

Answer 13

Catheter is placed through urethra into the bladder only DA’s, nurses and the doctors can do this only sterile collection

Question 14

IM

Answer 14

Intermuscular
20-25g needle
90 degree needle
Aspirate yes
Massage yes
Deltoid,gluteus,vastus lateralis
Antibiotics,analgesics,steroids,vitamin B12
Immunizations

Question 15

SC

Answer 15

Subcutaneous
25-27g needle
45 degree needle
Aspirate yes/no
Massage no
Fatty upper arm and fatty abdomen
Insulin,heparin and allergy meds

Question 16

ID

Answer 16

Interdermal
27g needle
10-15 angle
Aspirate no
Massage no
Volar or ventral
Allergie,skin test,TB skin test
Follow up 48-72hrs
Positive skin test do chest x-ray
If x-ray positive
Notify
Staff
Coworkers
Family

Question 17

6 rights of drug administration

PRMDTD

Answer 17

1 right patient
2 right route administration
3 right medication/drug
4 right dose
5 right time
6 right documentation

Question 18

Anuria

Answer 18

Absence of urine

Question 19

Hematuria

Answer 19

Blood in urine

Question 20

Glycosuria

Answer 20

Glucose/sugar in urine

Question 21

Proteinuria

Answer 21

Protein in urine

Question 22

Blood pressure

Answer 22

Fluxating pressure exerted from artery walls
Low end range 90/60
High end range 130/80 or 140/90
Average range 120/20
Higher than 130/80 or 140/90 is hypertension
Lower than 90/60 is hypotension
Top # systolic contractions
Bottom # diastolic relaxation

Question 23

Resperations

Answer 23

Number of breaths per minute
Low end is 12 high is 20
Average 14-16
Higher than 20 is tachypnea
Lower than 12 is bradypnea
Respiratory cycle
1 inhalation + 1 exhalation
inspiration + 1 expiration

Question 24

Pulse

Answer 24

Number of heart beats per minute
Low end 60 high end 100
Normal 60-100
Higher than 100 tachycardia
Lower than 60 bradycardia
Brachial elbow
Radial wrist
Dorsalis pedis top of foot
Popiteal behind knee
Carotid neck
Apical chest
Femoral groin
Axillary armpits

Question 25

Temperature

Answer 25

Heat gain/loss in body Oral 98.6 Tympanic 98.6 Rectal 99.6 (most accurate) Axillary 97.6 High temp febrile Normal to low afebrile

Question 26

Minor wound tray

Answer 26

Exam gloves Sterile gloves 4x4 2x towel clamps Suture Syringe and extra needle Measuring tape Lidocaine Tissue forceps Irish scissors Scalpel blade holder Scalpel blade Specimen cup Wound prep 2x curved hemostats Needle drivers short and long

Question 27

OBGYN TRAY

Answer 27

Sterile gloves KOH stool guaiac card surgical lubricant 4x4 Developer Specimen cup Cervical spatula Cervical brush Punch biopsy Ring forceps with gauze Vaginal specula Exam gloves Measuring tape Dilator Slides

Question 28

Legs facing up

Answer 28

Avqmented

Question 29

Arms facing down

Answer 29

Precorclia