Answers.
Comes - clean catch midstream
QMA scope of practice - may perform hem occult testing on stool specimens as ordered
by a physician
Hem occult testing - A screen for fecal occult blood
Hem occult test slide (guaiac paper) - assess for expiration date
Hypovolemia - 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 physician’s order.
- 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. - QMA's may initiate
non-sealing mask per emergency or PRN situation.
Oxygen dries out the mucous membranes of the mouth and respiratory system. - The
physician may order humidity to be placed on the oxygen source.
Physician ordered humidity along w/ oxygen. (Distilled water) - This means gas passes
through the water and water vapor is picked up before going to the resident.
When applying sterile/distilled water to resident’s oxygen remember to. - discard the
sterile/distilled water after 2 weeks.
Portable oxygen tanks - 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. - Concentrator's extract oxygen from the room air and circulates it back to the
resident.
Do not use petroleum (gasoline) to resident's nares during administration of oxygen. -
Example: dry lips, chap-stick should not be applied if it has gasoline in it.
Signs/symptoms of respiratory distress - rapid pulse, rapid, shallow, flaring nostrils,
restlessness respirations, and cyanosis.
Position the resident in a Semi-Fowler's or Fowler's to maintain an open airway. - Apply
ordered oxygen administration device.
Nasal cannula 1/2 inch prongs should be placed? - In a downward direction.
A reading on the oximetry of 90% may indicate? - Resident need to be given oxygen'
Instilling a Commercially Prepared Disposable Enema. - Solution into the rectum and
sigmoid colon. Removes feces/flatus.
QMA's may only instill a commercially prepared enema which contains approximately -
120ml (4oz.) of fluid.
Commercially Prepared Disposable Enema's increases water absorption in the small
intestine by osmotic action. - A laxative effect that occurs due to increased peristalsis
and water retention.
, A localized collection of puss in any part of the body which is the result of disintegration
or displacement of tissue. - 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. - Acetylcholine
Naturally acquired immunity obtained by contracting a disease or by the injection the
infectious organism. - Active Immunity
An undesired side effect of a medication or toxicity - Adverse effect
Psychotic reaction in which a person exhibits wide swing in emotional feeling. - Affective
psychosis
Acquired immune deficiency syndrome effect the body's ability to fight infections - (AIDS)
Spread through body fluids
Motor restlessness continuous movement of mouth, hands, picking at self and rocking in
a chair - Akathisia
Complete or partial loss of muscle movement - Kinesis
A substance that causes a hypersensitive reaction (an allergy) - 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 - Allergic Effect
Medications that relieve muscle, joint and bone pain - Analgesics
Life threatening allergic reaction caused by an allergen. Characterized by respiratory
difficulty, fainting, itching, and welts on the skin. - Anaphylactic Reaction
Substance producing or stimulating the development of male characteristics
(masculinization) such as hormones and testosterone and aldosterone. - Androgens
A reduction in the number of circulating red blood cells. - Anemia
Detoxes or metabolizes meds - Liver
Excretes most meds - Kidneys
16 oz. - 1 Lb.
Annual in-service education requirement period begins March 1st and concludes the last
day of - February on the next year. Recertification cost $10.
The Qualified Medication Aide program was established in - 1977 (p4)
The annual in-service education period begins on March 1st. - And concludes on the last
day of February the following year.
$10 fee is required for an annual recertification -
Medications shall be administered by the person who has set up the doses, - except
under a single unit dose package system.
A facility must ensure that it is free of med errors - 5% or less errors maintained.
All unused portions of med's including controlled substances - shall be released to the