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Module 3

Patient Intake And Vitals

TermDefinition
Patient Identification Ask patient to state their FULL name and date of birth
The medical assistant greets them and verifies the patient’s name, address, telephone number, insurance information, and emergency contact. Demographics
Rooming Patients/ Patient screening process. Find out chief complaint and medication history, allergies
A patient states they smoke two packs of cigarettes per day. This finding should be recorded in which of the following sections? Social history
Which of the following is objective information? BP, HR, Weight
Which of the following is an example of what the medical assistant may be responsible for documenting? Medical history, Social History, Chief complaint, Family History
Common Anxiety Symptoms Avoiding white coat anxiety Heightened ability to observe or make connections, Difficulty focusing on details, A sense of panic, Irritability, Feeling cold, sweaty, heart palpitations, shortness of breath.
sphygmomanometer BP cuff
Systolic upper number, first swish of blood through the artery after constriction
Diastolic Last ticking sound, as blood flows freely
Korotkoff sounds Korotkoff sounds are heard throughout the cardiac cycle
orthostatic vital signs patient lie down for 5 minutes and then measure blood pressure and pulse rate. Repeat after standing for 1 and 3 minutes
Respiration rate 12-20
Pulse oximeter Nail polish and artificial nails block the infared light of the oximeter and interfere with the results. An alternate site is an earlobe, which can be used if a finger is not an option.
(T) (AU) tympanic or aural
(Ax) axillary
(R) rectal rectal
(TA) for temporal artery temporal artery
Which of the following Korotkoff phases is indicative of the diastolic recording? phase V
Which of the following can occur if the wrong size blood pressure cuff is used? The systolic and diastolic can be impacted by up to 6.9 mm Hg.
Orthastatic BP test greater than 10/min increase in heart rate and greater than 20 mm Hg drop in blood pressure, which indicates a positive test.
commonly used to check a pulse in children? Brachial
Which of the following are assessed when taking a pulse? Rate Rhythm Pulse
which of the following characteristics of the patient’s pain need to be documented? Location, Duration, characteristics, onset
Which of the following indicates last menstrual period? First day of the last menstrual period
The circumference of a child’s head should be measured at a well-child visit until which of the following ages? 3 years
Created by: user-2001930
 

 



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