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Kinn's The Medical Assistant - Study Guide and Procedure Checklist Manual

Skills and Concepts

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Rena Rena
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© © All Rights Reserved
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301 views

Kinn's The Medical Assistant - Study Guide and Procedure Checklist Manual

Skills and Concepts

Uploaded by

Rena Rena
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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A) Temperature

1. Vital signs can be influenced by physical and emotional factors.

2. A medical assistant should be aware of nonverbal signs that could indicate discomfort or
pain.

3. A(n) continuous fever rises and falls only slightly during a 24-hour period. It remains above
the patient's average normal range.

4. A(n) intermittent fever comes and goes, or it spikes and then returns to the average range.

5. A(n) remittent fever fluctuates greatly (more than 3

F) but does not return to the average range.

6. A and TA temperatures are approximately 1

F lower than accurate oral readings.

7. Tympanic thermometers are an accurate means of taking temperatures in adults and older
children because of the closeness to the hypothalamus.

8. Temporal Artery temperatures are an easy, noninvasive, and accurate alternative to taking
rectal temperatures in infants.

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9. Medication to reduce a fever is called a(n) antipyretic.

10. Tympanic thermometers should not be used if the patient has otitis externa or cerumen.

11. Temperatures considered febrile include the following:

a. Aural (ear) temperatures higher than 100.4

F (38

C)

b. Oral Temperatures higher than 100

F (37.8

C)

c. Axillary temperatures higher than 99

F (37.2

C)

12. a. 98.6

F = 37

b. 39.5

2
C = 102.74

c. 97.6

F = 36.4

d. 99.4

F = 37.4

e. 40

C = 104

f. 36

C = 96.8

g. 38.5

C = 101.3

h. 41

3
C = 105.8

i. 102

F = 39.8

j. 37.5

C = 99.5

13. E

14. D

15. A(n) blue probe is used to take an oral temperature and a(n) red probe is used to take a
rectal temperature.

16. To expose the tympanic membrane in a child younger than 3 years, the earlobe should be
pulled down and back; for patients older than age 3, the pinna should be pulled up and back.

17. D

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B) Pulse

1.a. Temporal

b. Carotid

c. Apical

d. Brachial

e. Radial

f. Femoral

g. Popliteal

h. Dorsalis Pedis

2. D

3. A patient with a significant difference between the apical and brachial pulse counts has a(n)

pulse deficit.

4. A patient who is anxious or in pain may have an increase in the pulse rate, which is called
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bounding.

5. The brachial pulse which is palpated before pressure is taken, is located in the antecubital of
the elbow.

6. Sinus arrhythmia is when the heart rate varies with respirations.

7. The apical pulse is the most accurate method of taking the pulse of infants and of patients
with an arrhythmia.

8. (B) 1+ - Weak, thready; pulsation is not easily felt and disappears with slight pressure

9. (C) 2+ - Normal; pulsation is the most easily felt but disappears with moderate pressure

10. (A) 3+ - Full, bounding; pulsation is very strong and does not disappear with moderate
pressure

11. A(n) apical pulse should be done when irregularities are noted when taking a(n) radial pulse.

12. C

C) Respiration

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1. One full respiration includes both inhalation and exhalation.

2. The exchange of oxygen and carbon dioxide in the lungs is called external respiration.

3. Carlos counts eight respirations for 30 seconds. The rate is 16 respirations per minute.

4. Breathing rates are controlled by the respiratory center, which is located in the medulla
oblongata of the brain. number),

5. D

D) Blood Pressure

1. Blood pressure reflects the pressure of the blood against the walls of the arteries.

2. Blood pressure is recorded as a fraction; the systolic reading is the numerator (top number),
and the diastolic reading is the denominator (bottom number).

3. When you subtract the diastolic pressure from the systolic pressure, you get the pulse
pressure.

4. Arteriosclerosis is the contraction of the heart.

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5. Myocardium reflects the relaxation of the heart.

6. The most common type of hypertension is essential hypertension. It is idiopathic but can be
associated with obesity, high blood level of sodium, elevated cholesterol levels, family history,
and race.

7. Hypertension that develops from another condition such as kidney disease is secondary
hypertension.

8. (D) Phase 1 - First sound heard as the cuff deflates. The blood is resurging into the patient's
artery and can be heard clearly as a sharp, tapping sound. Note the gauge reading when the first
sound is heard.

9. (B) Phase 2 - Movement of the blood makes a swishing sound as the blood rushes through
the artery.

10. (E) Phase 3 - Distinct, sharp tapping sounds return and continue rhythmically; the beginning
of phase III may be incorrectly interpreted as the systolic blood pressure.

11. (A) Phase 4 - Blood is flowing easily, and the sound changes toa soft taping, which becomes
muffled and begins to grow fainter.

12. (C) Phase 5 - All sounds disappear. Note the gauge reading when the last sound is heard.

13. When a blood pressure cuff is too large, the blood pressure reading may be lower. If the
blood pressure cuff is too small, the blood pressure reading may be higher.

14. E

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E) Oxygen Saturation

1. Conditions for which a pulse oximetry may be used: pneumonia, bronchitis, emphysema, or
asthma

2. A normal pulse oximetry reading would be 95% or higher.

F) Anthropometric Measurements

1.a. 145 lb = 65.77 kg

b. 54 kg = 119.05 lb

c. 60 kg = 132.28 lb

d. 112 lb = 50.8 kg

e. 50 lb = 22.68 kg

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