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Exam (elaborations)

QMA State test

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Exam of 13 pages for the course QMA at QMA (QMA State test)

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QMA State test
ccms - correct answer-clean catch midstream

QMA scope of practice - correct answer-may perform hemoccult testing on stool specimens
as ordered by a physician

hemoccult testing - correct answer-A screen for fecal occult blood

Hemoccult test slide (quaiac paper) - correct answer-assess for expiration date

hypovalemia - correct answer-state of decreased blood volume. May cause a high false
oximetry reading.

QMA's may not apply oxygen to a resident in an emergency without a physicians order. -
correct answer-However there is often a PRN order for oxygen when the resident falls short
of breath/oxygen saturation levels are low.

QMA's may initiate a nasal cannula only in an emergency situation. - correct answer-QMA's
may initiate non-sealing mask per emergency or PRN situation.

oxygen dries out the mucous membranes of the mouth and respiratory system. - correct
answer-The physician may order humidity to be placed on the oxygen source.

Physician ordered humidity along w/ oxygen. (distilled water) - correct answer-This means
gas passes through the water and water vapor is picked up before going to the resident.

When applying sterile/distilled water to residents oxygen remember to. - correct
answer-discard the sterile/distilled water after 2 weeks.

Portable oxygen tanks - correct answer-have a few lbs of oxygen, they can last up to 8 hrs.

Oxygen concentrator weighs approximately 35 lbs. It must be plugged in to an electrical
outlet. - correct answer-Concentrator's extract oxygen from the room air and circulates it
back to the resident.

Do not use petroleum (vasoline) to resident's nares during administration of oxygen. - correct
answer-Example: dry lips, chap-stick should not be applied if it has vasoline in it.

Signs/symptoms of respiratory distress - correct answer-rapid pulse, rapid,shallow, flaring
nostrils, restlessness respirations, cyanosis.

Position the resident in a Semi-Fowler's or Fowler's to maintain an open airway. - correct
answer-Apply ordered oxygen administration device.

Nasal cannula 1/2 inch prongs should be placed? - correct answer-in a downward direction.

, A reading on the oximetry of 90% may indicate? - correct answer-Resident need to be given
oxygen'

Instilling a Commercially Prepared Disposable Enema. - correct answer-Solution into the
rectum and sigmoid colon. Removes feces/flatus.

QMA's may only instill a commercially prepared enema which contains approximately -
correct answer-120ml (4oz.) of fluid.

Commercially Prepared Disposable Enema's increases water absorption in the small
intestine by osmotic action. - correct answer-A laxative effect that occurs due to increased
peristalsis and water retention.

Sodium bi-phosphate (fleet enema) - correct answer-is a saline laxative commonly ordered
to be administered.

Record color, consistency and amount after resident has had a - correct answer-bowl
movement from a prepared disposable enema

A localized collection of puss in any part of the body which is the result of disintegration or
displacement of tissue. - correct answer-Abscess

Chemical present in many organs and tissues of the body that has important physiological
functions, ex: transmission of a nerve impulse across a synapse i.e. neurotransmitters. -
correct answer-Acetylcholine

Naturally acquired immunity obtained by contracting a disease or by the injection the
infectious organism. - correct answer-Active Immunity

An undesired side effect of a medication or toxicity - correct answer-Adverse effect

Psychotic reaction in which a person exhibits wide swing in emotional feeling. - correct
answer-Affective psychosis

Acquired immune deficiency syndrome effect the body's ability to fight infections - correct
answer-(AIDS) Spread through body fluids

Motor restlessness continuous movement of mouth, hands, picking at self and rocking in a
chair - correct answer-Akathisia

Complete or partial loss of muscle movement - correct answer-Akinesia

A substance that causes a hypersensitive reaction (an allegy) - correct answer-Allergen

Sensitivity to any substance contacted by touch, inhalation, ingestion or injections ( such as
poison ivy, pollen, insect bites, foods or meds); causes sneezing, itching, swelling, difficulty
in breathing - correct answer-Allergic Effect

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