Correct Answers With Verified Solutions Latest Updated
Exam.
HIPPA
(Health Insurance Portability and Accountability Act) - ANSWER: - Outlines strict
privacy agreements for the patient information.
- Provides civil penalties and criminal sanctions for releasing a patient's private medical
information in an unauthorized manner.
- Protects a patient's Protected Health Information (PHI) which is any identifiable
information created, disclosed, used, maintained, stored, or transmitted that is related to
providing a health care service.
Consent - ANSWER: Decisional Capacity: The capacity to make appropriate medical care
decisions for themselves.
Informed Consent: Patient's voluntary agreement to be treated after being told about the
nature of the disease, risks, and benefits to the proposed treatment, alternative treatment, or
no treatment
Expressed Consent: Form of informed consent that occurs when the patient does something,
either by telling you or by taking action that demonstrates permission to provide care.
Implied Consent: Assumed consent to be given by unconscious adults or by adults who are
too ill or injured to imply consent verbally. Also applies to minors without a present parent/
guardian.
Involuntary Consent: Law enforcement officer or legal guardian grants someone to be treated
who is undr arrest, incapacitated, minor, or other reasons.
Advanced Directives - ANSWER: - Written statement that expresses the wants, needs, and
desires of a patient about future medical care.
DNR:
- Describes which life-sustaining procedures should be performed if the patient's medical
condition suddenly deteriorates.
- Different states have different criteria on whats considered a valid DNR. Ie. written
document, jewelry, etc.
- Generally, DNR orders must meet these requirements: Clearly state the patient's medical
condition, signature of patient/ legal guardian, signature of a physician, expiration date dated
in the preceding 12 months.
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,- You are still obligated to provide supportive measures: Oxygen, pain relief, and comfort.
Medical Orders for Life-Sustaining Treatment (MOLST)
Physician Orders for Life-Sustaining Treatment (POLST):
- Applied only when patient has lost decision making capacity.
- May apply to patient's with impending pulmonary failure who are not in cardiac arrest.
- Contains provisions such as addressing initiation of CPR, intubation, feeding tubes,
antibiotics, and palliative care.
Living Will and Health Care Power of Attorney:
- Designates another person to to make health care decisions for the patient when the patient
is unable to.
Organ Donation
Radio Etiquette - ANSWER: - Know what you want to say before beginning your
transmission
- Make sure the channel is clear
- Keep microphone 2-3 inches away from mouth
- Start the transmission with the identifier of unit being called, then your own identifier. "Hey
you, it's me"
- Speak slowly, clearly, and distinctly.
- Use plain language. Use radio codes only approved by your system
- Lot of information: Break transmission into 30 second chunks using "Break" to indicate a
pause in transmission.
- Speaking a word or name that may be misunderstood, use the phonetic alphabet
- Speaking numbers that may be misunderstood, say number as a whole and then digit by
digit. (16, one-six)
- Confirm receipt of all replies by repeating back information.
Anatomical Locations - ANSWER: - Coronal (Frontal): Front and Back
- Transverse (Axial): Top and Bottom
- Sagittal (Lateral): Left and Right
- Midsagittal (Midline): Left and Right
- Superior: Top
- Inferior: Bottom
- Medial: Middle
- Lateral: Side
- Proximal: Closest
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, - Distal: Farthest
- Anterior: Front
- Posterior: Back
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- Bilateral: On both sides of the body
- Unilateral: On one side of the body
- **Ipsilateral: Same side of the body
- Contralateral: Opposite side of the body
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Pulse Oximetry - ANSWER: Measures the percentage of hemoglobin saturation.
False readings can be caused by:
- hypotension, hypothermia, carbon monoxide, sickle cell, anemia, vascular dyes, patient
motion, incorrect placement, and certain types of nail polish.
Hemoglobin ** - ANSWER: Iron-containing pigment found in red blood cells.
Function:
- Carries oxygen to the cells from the lungs
- Carries carbon dioxide away from the cells to the lungs
Cardiac Preload - ANSWER: - End-diastolic volume
- Volume of blood in the ventricles at the end of diastole and primarily reflects venous return
(Amount of blood returned to the heart)
Cardiac Afterload ** - ANSWER: Force against which the ventricles must contract to
eject blood.
Cardiac Cycle and Cardiac Output - ANSWER: Systole: Period which during the chamber
is contracting and blood is being ejected.
Diastole: Period of relaxation during which the chambers are allowed to fill.
Cardiac Output: Amount of blood pumped by the ventricles in 1 minute.
Stroke Volume: Amount of blood pumped OUT by either ventricle in a single heartbeat.
Ejection Fraction: Percentage of blood that leaves the heart each time it contracts.
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