HCB 103 Shipboard2023 Exam with Complete Solutions

NAVMED 6550/12 - ANSWER-PATIENT PROFILE Info such as Diagnosis, Orders of Meds, Diet, Bath, V/S, Intake/Output SF 508 - ANSWER-DOCTOR'S ORDERS Transcribed to Patient Profile SF 509 - ANSWER-PROGRESS NOTES Reflect any change in condition and results of treatment SF 510 - ANSWER-NURSING NOTES Document Inpatient Care *DO NOT DESTROY or OBLITERATE DOCUMENTATION SF 558 - ANSWER-EMERGENCY CARE & TREATMENT Alternate form from SF 600 (558 Never Late - it's an Emergency) DD Form 792 - ANSWER-24Hr INTAKE/OUTPUT Worksheet (792 Pee and Poo) Chart Review - ANSWER-Fact Sheet Physician's Orders Nurse's Notes Physician's Progress Notes Medication Administration Record (MAR) Physician's Patient Hx & Physical Surgery Operative Report Pathology Report Current Diagnostic Tests Nursing Admission Hx & Assessment Fall Risk Assessment Skin Assessment Nursing Care Plan or Problem List Page 15 NAVMED 6550/8 - ANSWER-MEDICATION ADMINISTRATION RECORD 7-day Period 3 Elements of Infectious Agents (Pg 29) - ANSWER-i. Reservoir ii. Susceptible Host iii. Mode of Transmision Blood-Borne Pathogens (Pg 30) - ANSWER-Microorganisms that are preen in human BLOOD, cause disease in humans ex.) HIV, Hep A, Hep B Airborne Pathogens - ANSWER-Microorganisms transported through AIR Tier 1 (Pg 31) - ANSWER-Standard Precautions Tier 2 - ANSWER-Isolation Precautions 3 Categories for ISO Precautions - ANSWER-i. Contact ii. Droplet iii. Airborne Airborne Precautions (Pg. 32) - ANSWER-Prevent Transmission of infectious agents that remain infectious over long distances when suspended in AIR ex.) Rubeola Virus (Measles), Varicella Virus (ChickenPox), M. TB, SARS Droplet Precautions - ANSWER-Prevent Transmission of Pathogens spread through close respiratory or mucous membrane contact w/ respiratory secretions Contact Precautions - ANSWER-Prevent Transmission of infectious agents, including microorganisms, which are spread by direct/indirect contact w/ patient or patient's environment 5 Steps Nursing Process (Pg. 38) - ANSWER-ANDPIE 1. Assessment - Collection/Verification of Data 2. Nursing Diagnosis (Medical Diagnosis) 3. Planning (Goals) 4. Implementation 5. Evaluation Pressure Ulcers (Pg. 45/49) - ANSWER--Localized Injury to Skin and other underlying tissue (Bony Prominence) as a result of pressure or pressure in combination w/ shear and/or friction ex.) Pressure Sore, Decubitus Ulcer, Bedsore Suspected Deep Tissue Injury (Pg. 49) - ANSWER-Discolored Intact Skin Maroon/Purple or Blood-Filled Blister -May be Painful, Firm, Mushy, Boggy, Warmer or Cooler when compared to adjacent tissue Stage 1 Pressure Ulcer - ANSWER-Red, Deep Pink/Mottled Skin (Not Blanchable w/ fingertip pressure) Stage 2 Pressure Ulcer - ANSWER-PARTIAL THICKNESS -Abrasion, Blister, Shallow Crater Stage 3 Pressure Ulcer - ANSWER-FULL THICKNESS SKIN LOSS deep crater extend to FASCIA Sub-Q Tissue Damaged or Necrotic Stage 4 Pressure Ulcer - ANSWER-FULL THICKNESS SKIN LOSS w/ extensive tissue necrosis or DAMAGE to MUSCLE, BONE, or SUPPORTING STRUCTURES SINUS TRACT Black in Color w/ necrotic tissue Wet/Oozing Unstageable Pressure Ulcer - ANSWER-LOSS OF FULL THICKNESS TISSUE Eschar - Tan, Brown, Black Slough - Yellow, Tan, Gray, Green, Brown 2 Types of Bedpans (Pg. 61) - ANSWER-Regular BedPan Fracture Pan (Raise Head 30 Degrees if able to assist) (c. iii. 1.) Regular Bedpan - ANSWER-Made of metal/Hard Plastic Fracture Pan - ANSWER-Designed for Patients w/ Lower Extremity Fractures Enema (Pg. 63) - ANSWER-Introduction of Fluid into RECTUM & COLON by means of a tube Volume of Cleansing enema depends on PATIENT'S AGE (7. d.) Make Horizontal Toe Pleat xvii. (Pg 65) - ANSWER-Fanfold Sheet 5-10 cm (2-4 in) Make fold ~15 cm (6 in) from bottom edge of mattress Top Edge of sheet 15-20 cm (6-8 in) What Angle do you want to position Wheelchair to Bed? (Pg. 70) - ANSWER-45 Degrees Canes (Pg 72) - ANSWER-15-30 Degrees 15-25% Patient's Body Weight 12 Inches in front of foot and slightly outside 4 inches in front of Patient then move affected leg forward Fitting - Axillary Crutches (Pg. 74) - ANSWER-6 Inches Lateral 6 Inches in front of foot 20-30 Degrees 2-3 Finger space between crutch and armpit Carrier (Pg. 96) - ANSWER-Person/Animal HARBORS infectious agent in ABSENCE of Discernible clinical disease Communicable Disease - ANSWER-ILLNESS due to infectious agent or toxic products that arises transmission of agent Incubation Period - ANSWER-TIME INTERVAL between initial contact and first symptom appearance Incubation Period of HEP A (Pg. 99) - ANSWER-15-50 Days AKA: EPIDEMIC JAUNDICE 50% of all reported acute viral hepatitis in US M.O.T of Hep A - ANSWER-Fecal/Oral Route Incubation Period of HEP B (Pg. 100) - ANSWER-60-150 Days (~90 days) How many People in US have Chronic Hepatitis C? (pg. 102) - ANSWER-~2.7-3.9 Million People Incubation Period of Strep Throat (Pg. 103) - ANSWER-2-5 Days Tuberculosis (Pg. 104) - ANSWER--Mycobacterium Tuberculosis Usually attacks lungs but can also attack kidney, spine & brain S/S of TB (Pg. 104/105) - ANSWER--Bad cough lasts 3 wks or longer -Chest Pain -Coughing Blood or Sputum -Chills/Fever Incubation Period of (Viral) Meningitis (Pg. 106) - ANSWER-3-7 Days Gonorrhea (Pg. 107) - ANSWER-STD caused by NEISSERIA _______ BACTERIUM Infects Mucous Membranes of Reproductive Tract 1-14 Days Azithromycin or Cephalosporin Chlamydia (Pg. 108) - ANSWER-STD caused by _______ TRACHOMATIS Can Cause Cervicitis, Urethritis & Proctitis PID, Infertility, Ectopic Pregnancy Abnormal Discharge from vagina/penis Burning Urination Chlamydial Conjunctivitis (Pg. 109) - ANSWER-Identified in 18-44% Chlamydial Pneumonia - ANSWER-3-16% of Infants born to women w/ untreated chlamydia cervical infection Syphilis (Pg. 110) - ANSWER-STD caused by bacterium TREPONEMA PALLIDUM "The Great Pretender" Syphilitic Sore=CHANCRE Primary Syphilis - ANSWER-Chancre - Firm, Painless rounded Ulcers Secondary Syphilis - ANSWER-Skin Lesions mimicking other disorders Genital Herpes (Pg. 111) - ANSWER-STD caused by Herpes Simplex Viruses type 1 (HSV-1) or type 2 (HSV-2) ~776,000 People 15.5% Age 14-49 HSV-2 87.4% Unaware they have Infection Incubation Period of Genital Herpes - ANSWER-2-12 Days (Avg. 4 days) Vesicles take ~2-4 weeks to heal ACYCLOVIR What is the most common storage error of handling vaccines? (Pg 116) - ANSWER-Placing in Freezing Temperature 32*F (0*C or Colder 7 Rights of Med Admin (Pg. 116) - ANSWER-DDDPRT+Site Drug Dose Doc Patient Route Time Site NAVMED 6230/4 (Pg. 117/125) - ANSWER-Adult Immunization Record From used to Screen Patients Tuberculosis Sensitivity Test You want to inject most painful vaccine...(Pg. 118) - ANSWER-Last SF 601 (Pg. 123) - ANSWER-Health Record-Immunization Record DD Form 2766C - ANSWER-Adult Preventive & Chronic Care Flowsheet Prepare SF 601 in accordance w/.... - ANSWER-BUMEDINST 6230.15 Ch. 16 of NAVMED P-117