Kettering TMC Workbook (Patient Assessment) Questions and Answers Latest Version | 2024/2025 | Already Passed

Kettering TMC Workbook (Patient Assessment) Questions and Answers Latest Version | 2024/2025 | Already Passed - List 4 critical life functions Ventilation, Oxygenation, Circulation, Perfusion - What life function is of highest priority? Ventilation - How would you assess a patient's ventilation? Look at respiratory rate, tidal volume, chest movement, breath sounds, PaCO2, EtCO2. - How would you determine if a patient is having oxygenation issues? Check heart rate, color, sensorium, and measure PaO2 or SpO2. - What indicators would help assess a patient's circulation? Consider heart rate, strength of pulse, and cardiac output. - What signs may indicate inadequate perfusion? Watch for changes in heart rate, blood pressure, sensorium, temperature, urine output, and hemodynamics. - Signs are observable, measurable indicators such as color, pulse, edema, and vital signs. - Symptoms are subjective experiences reported by the patient, like dyspnea, pain level, nausea, and muscle weakness. - 5 important items to review in a patient's medical record Allergies, signs and symptoms, medical history, advanced directives, and history of present illness (HPI). - Define advanced directive A set of instructions detailing a patient's preferences for medical treatment if they are unable to communicate. - What are 4 types of advanced directives? Living will, DNI order (do not intubate), DNR order (do not resuscitate), and durable power of attorney for healthcare. - What should a properly written respiratory care order include? Type of treatment, frequency, medication/dosage, and physician signature. - What should be documented after administering an aerosol treatment with albuterol? Document date, time, any reactions, and details in the respiratory notes. - What is the normal value for urine output? Approximately 40 mL/hour (1 liter/day). - What findings suggest fluid intake has exceeded urine output? These include weight gain, electrolyte imbalance, increased hemodynamic pressures, and decreased lung compliance. - Changes in what value can indicate hypovolemia? Central venous pressure (CVP) less than 2, indicating a need for IV fluid therapy. - Define medication reconciliation Ensuring a patient's medication list is accurate and up-to- date, typically within 24 hours of admission. - Semicomatose Responds only to painful stimuli. - Lethargic/somnolent Appearing sleepy, often seen in conditions like sleep apnea or excessive oxygen therapy in COPD patients. - Obtunded Drowsy with a decreased cough/gag reflex, at risk for aspiration. - Factors affecting a patient's ability to cooperate in orientation assessment Language barriers, medication effects, hearing impairment, and emotional factors like fear or depression. - Define activities of daily living (ADL) Basic tasks necessary for self-care and independence. - 6 criteria for ADL Include bathing, eating, dressing, toileting, transferring, and urine/bowel continence. - ADL are evaluated using the Katz