NHA PCT Exam Study Guide, Questions with answers. Graded A

NHA PCT Exam Study Guide, Questions with answers. Graded A - General Patient Care - - Provide basic patient care under the direction of nursing staff - -ex: bathing, bed making, catheter care, transfer, assisting with ALDs Provide emotional support for patients and their families while performing patient care - - Support the coping mechanisms of patients and their families who are dealing with grief, death, or are dying. - - Set up equipment to be used by the patient - -ex: oxygen, alternating pressure mattresses Provide patient care for a patient with a feeding tube - -ex: aspiration precautions, observe tubing for kinks or problems Perform care related to the special needs patient - -ex: physically, sensory, cognitively, or mentally impaired Report any new changes in a patients' condition - -ex: level of consciousness, shortness of breath Monitor and record functions related to digestion - -ex: bowel movements, percentage of meal eaten Monitor, record, and accurately measure intake/ output - -ex: urine, emesis, wound drainage Assist in admission, discharge, and/or transfer of the patient to another unit or facility - - Follow the established restorative plan of care ordered for the patient - - Perform passive Range of Motion (ROM) for the patient - - Assist with restorative rehabilitation activities - -ex: bowel and bladder retraining Use adaptive devices for activities of daily living - -ex: feeding and dressing devices Keep patient area clean - - Remove peripheral IVs - - Perform dressing changes - -a) sterile b)aseptic Transfer the patient using a mechanical lift - - Manually lift and transfer the patient - - Apply immobility splints to patients - - Provide one-on-one care for patients who are at risk for suicide - - Provide skin care - -ex: repositioning, creams, moisture barrier Identify and report any changes in skin integrity - - Utilize devices to prevent skin breakdown - -ex: air mattress, draw sheets Apply sequential compression boots - - Apply anti-embolitic stockings - -ex: TED hose Assist the patient with coughing, deep-breathing exercises - - Perform first aid, CPR, and rapid response procedures - - Report critical values to the appropriate nurse in charge of the patient - - Assist the patient with incentive spirometry - - Check dressings for increased saturation and changes - - Follow the 5 Rights of Delegation - - Prioritize patient care based on patient needs - - Recognize visual abnormalities in patient specimen - -ex: stool, sputum, urine, emesis Monitor vital signs and patient status during blood transfusions - - Assist the patient with taking self-administered prescribed medications - - Apply oxygen therapy - -ex: nasal cannula, mask Assist with patient-administered nebulizer treatments - - Weigh a patient - -ex: standing, wheel chair, or bed scaled Assist patients with orthotic or prosthetic devices - -ex: hearing aids, dentures, artificial eyes, or extremities Perform home health aid services - - Perform hospital/ palliative aid care services - - Perform ostomy care (excluding irrigation) - - Assist with ostomy care - - Perform postmortem care - - Observe for and report edema - - Observe and report patient pain using pain scale - - Monitor and Record the listed vital signs - -a) Blood Pressure (manually and electronically) b) Pulse (manually and electronically) c) Apical Pulse d) Apical-radial deficit e) Respirations (manually and electronically) f) Pulse oximetry - Patient Care and Preparation Related to Phlebotomy and EKG - - Conduct appropriate introduction to the patient - -ex: introduce yourself, name, credentials Explain the phlebotomy procedure to be performed to the patient - -ex: ask if they have any questions after you explain to them what you are going to be doing, make sure they are aware and comfortable Review the requisition for testing requirements and patient identity - -ex: look at the doctors orders, be sure you conduct the tests as told on lab orders Receive implied or informed consent from patient - - Determine venipuncture site accessibility based on patient age and condition - - Verify patient compliance with testing requirements - -ex: fasting, medication, basal state Prepare the patient - -a) EKG monitoring (ex: patient history, cardiac medications, patient positioning) b) Holter monitoring c) Stress testing d) Telemetry monitoring Apply electrodes on patients - -a) EKG monitoring b) Holter monitoring c) Stress testing d) Telemetry monitoring e) Pediatric patients f) Patients with special considerations (ex: right-sided heart, posterior chest, amputations) Respond to signs and symptoms of cardiopulmonary compromise - - Monitor patient condition during stress testing - - Respond to complications during stress testing - - Verify patient understanding of Holter monitor procedures - -ex: explain to them the procedure, any restrictions, why they are having that procedure performed, ask if they have any questions - Safety - - Identify and Report - -a) Abuse or neglect of patients b) Sexual harassment involving patients or staff c) Substance abuse involving patients or staff d) Domestic violence/ intimate partner abuse involving patients or staff Transport patients using proper body mechanics - - Transfer patients using proper body mechanics - - Monitor patients' environmental safety - -ex: fall precautions, faulty equipment Prevent workplace injuries by following OSHA guidelines - - Recognize and respond to emergency situations - -ex: fire, hostage, biological hazard Follow the proper procedures for identifying