PATIENT ASSESSMENT KETTERING QUESTIONS AND CORRECT VERIFIED ANSWERS

PATIENT ASSESSMENT KETTERING
QUESTIONS AND CORRECT VERIFIED
ANSWERS
FourA2criticalA2lifeA2functionsA2-A2Ans--1.A2Ventilation
2.A2Oxygenation
3.A2Circulation
4.A2Perfusion

WhichA2ofA2theseA2lifeA2functionsA2isA2theA2firstA2priority?A2-A2Ans--Ventilation

WhatA2assessmentsA2wouldA2determineA2howA2wellA2aA2patientA2isA2ventilating?A2-A2Ans--
RR,A2VT,A2ChestA2auscultation,A2breathA2sounds,A2PCO2,A2ETCO2

HowA2wouldA2theA2therapistA2determineA2ifA2aA2patientA2asA2aA2problemA2withA2oxygenatio
n?A2-A2Ans--Color,A2sensorium,A2PaO2,A2SpO2

WhatA2informationA2wouldA2helpA2theA2therapistA2determineA2ifA2theA2patient'sA2circulation
A2isA2adequate?A2-A2Ans--HR,A2strength,A2cardiacA2output


WhatA2changesA2wouldA2indicateA2thatA2aA2patientA2mayA2notA2haveA2adequateA2perfusion
?A2-A2Ans--BP,A2urineA2output

SignsA2-A2Ans--WhatA2youA2areA2ableA2toA2see

Color,A2sensorium,A2HR

SymptomsA2-A2Ans--WhatA2theA2patientA2isA2tellingA2you

Dyspnea,A2nausea

FiveA2thingsA2thatA2areA2importantA2toA2examineA2whenA2reviewingA2aA2patient'sA2medical
A2record?A2-A2Ans--
MedicalA2history,A2pastA2surgeries,A2chiefA2compliant,A2currentA2meds,A2reasonA2admitted
.

WhatA2isA2advanceA2directive?A2-A2Ans--
LegalA2documentationA2ofA2whatA2careA2youA2wantA2doneA2ifA2youA2areA2notA2ableA2toA2sp
eakA2forA2yourself.

FourA2typesA2ofA2advanceA2directives?A2-A2Ans--
DNR,A2DNI,A2livingA2will,A2powerA2ofA2attorney

, AA2properlyA2writtenA2orderA2forA2respiratoryA2careA2shouldA2includeA2whatA2fourA2factors?
A2-A2Ans--
TXA2type,A2Dr.A2signature,A2frequency,A2medA2dosageA2routeA2ofA2administration.

TheA2respiratoryA2therapistA2hasA2justA2finishedA2administeringA2anA2aerosolA2treatmentA2
withA2albuterolA2toA2aA2childA2withA2asthma.A2WhatA2shouldA2beA2includedA2inA2theA2docum
entationA2ofA2theA2treatment?A2-A2Ans--RouteA2ofA2administrationA2
ToleratedA2med.

NormalA2valueA2forA2urineA2output?A2-A2Ans--40A2ml/day

WhatA2findingsA2mightA2indicateA2thatA2theA2patient'sA2fluidA2intakeA2hasA2exceededA2hisA2
urineA2output?A2-A2Ans--WeightA2gain
ElectrolyteA2imbalance
IncreaseA2hemodynamicA2pressuresA2(>A2CVP)
decreaseA2lungA2complianceA2(effectsA2O2A2andA2ventilation)

ChangesA2inA2whatA2valueA2canA2indicateA2hypovolemia?A2-A2Ans--CVPA2<2

DescribeA2medicationA2reconciliation?A2-A2Ans--FluidA2therapyA2(furosemideA2diuretics)

StateA2theA2properA2periodA2forA2medicationA2reconciliationA2onceA2aA2patientA2isA2admitte
dA2toA2theA2hospital?A2-A2Ans--24A2hours

SemicomatoseA2-A2Ans--respondsA2onlyA2toA2painfulA2stimuli

Lethargic/A2somnolentA2-A2Ans--
notA2fullyA2alert,A2driftsA2offA2toA2sleepA2whenA2notA2stimulated,A2canA2beA2arousedA2toA2na
meA2whenA2calledA2inA2normalA2voiceA2butA2looksA2drowsy,A2respondsA2appropriatelyA2toA
2questionsA2orA2commandsA2butA2thinkingA2seemsA2slowA2andA2fuzzy,A2inattentive,A2loses
A2trainA2ofA2thought,A2spontaneousA2movementsA2areA2decreasedA2(COPD)


ObtundedA2-A2Ans--DrowsyA2state

WhenA2assessingA2aA2patient'sA2orientationA2toA2time,A2placeA2andA2person,A2whatA2areA2s
omeA2ofA2theA2factorsA2thatA2couldA2affectA2theA2patientsA2abilityA2toA2cooperate?A2-A2Ans--
LanguageA2difficulties
InfluenceA2ofA2meds
HearingA2loss
FearA2depression

ADLA2areA2evaluatedA2usingA2whatA2scoringA2system?A2-A2Ans--Katz

OrthopneaA2-A2Ans--HavingA2aA2hardA2timeA2breathingA2exceptA2whenA2sittingA2upright

GeneralA2malaiseA2-A2Ans--Weakness,A2fatigue,A2nausea,A2(electrolyteA2imbalance)