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RT 207 > 3. Patient Admission > Flashcards

3. Patient Admission Flashcards

1
Q

Data Collection, Sacred Seven, Principle of Justification

A

History Taking

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2
Q

Consent

A

Informed Consent, Expressed Consent,

Implied Consent

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3
Q

Undressing/Dressing, Care of Valuables, Bedpan/Urinal

A

Patient Care

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4
Q

Information available regarding a patient’s
condition; traditionally comprises data on
localization, quality, quantity, chronology,
setting, aggravating or alleviating factors, and
associated manifestations

A

Clinical History

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5
Q

Data Collection

A
  • Objective data

- Subjective data

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6
Q

are perceptible to the senses,
such as signs that can be seen, heard, or felt
and such things as laboratory reports

A

Objective data

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7
Q

pertain to or are perceived

only by the affected individual

A

Subjective data

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8
Q

Effective Questioning techniques include:

A
  • Open-ended questions
  • Facilitation
  • Silence
  • Probing questions
  • Repetition
  • Summarization
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9
Q

Elements of the Clinical

History

A

Sacred 7:

  • Localization
  • Chronology
  • Quality
  • Severity
  • Onset
  • Aggravating or alleviating factors
  • Associated manifestations
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10
Q

defining as exact and precise an area as

possible for the patient’s complaint

A

Localization

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11
Q

Localization

A
  1. Touching for Emphasis

2. Palpation

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12
Q

involves using touch to highlight or
specify instructions or specify
locations

A

Touching for Emphasis

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13
Q

is the time element of the history

A

Chronology

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14
Q

This refers to the duration since onset,

frequency, and course of the symptoms

A

Chronology

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15
Q

described in seconds, minutes, hours, days,

weeks, or months

A

Chronology

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16
Q

describes the character of the symptoms

A

Quality

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17
Q

Includes color and consistency of fluids, the presence of
clots or sores, the size of the lumps or lesions, the type of
cough, and the character of pain (acute or chronic,
burning, throbbing, dull, sharp, cutting, aching, prickling,
radiating, pressure, and crushing

A

Quality

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18
Q

describes the intensity,

quantity, or extent of the problem

A

Severity of a condition

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19
Q

can help to determine
whether predictable events preceded the
recurrence of a symptom

A

A review of the onset

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20
Q

The circumstances that produce the problem
or intensify it including anything that
aggravates, alleviates, or otherwise modifies it

A

Aggravating or Alleviating

Factors

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21
Q

Any other symptoms that accompany the

chief complaint

A

Associated Manifestions

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22
Q

requires that any decision
that alters the radiation exposure situation should do more good than harm; in other words, the introduction of
a radiation source should result in sufficient individual or
societal benefit to offset the detriment it causes.

A

Principle of Justification

23
Q

does not have a fixed threshold, therefore, no safe dose levels exist for radiation-induced malignancies

A

Radiation-induced cancer

24
Q

is a contract wherein the patient

voluntarily gives permission for someone to perform a procedure or service

A

Consent

25
Q

is the process by which the health care
provider discloses appropriate information so that the
patient may make a voluntary choice to accept or refuse
treatment

A

Informed Consent

26
Q

Informed Consent

required in:

A
  • Invasive procedures
  • Procedures requiring sedation
  • Procedures that may carry risk
  • Procedures that involve radiation
27
Q

Elememts of Informed Consent

A

-The nature of the decision/procedure
-Reasonable alternatives to the proposed intervention
-The relevant risks, benefits, and uncertainties related
to each alternative
-Assessment of patient understanding
-The acceptance of the intervention by the patient

28
Q

is a clear and direct statement of agreement

A

Expressed consent

29
Q

is communicated either verbally or in

written form

A

Expressed consent

30
Q

The patient’s actions imply consent without a verbal or written expression of consent

A

Implied Consent

31
Q

May be necessary in emergency procedures such as CPR

to save person’s life

A

Implied Consent

32
Q

The radiographer should be ready to assist the patient

in _______

A

undressing/dressing

33
Q

For _____, it may be necessary to cut away garments, consent must first be obtained before
cutting

A

trauma patients

34
Q

If the patient has a ______, ask them for assistance

A

companion

35
Q

Dressing / Undressing

A
  1. Place a gown/sheet over the patient
  2. Have the patient unbuckle belt or unbutton/loosen pants (If
    patient is unable to, offer to pull down pants for him) or have
    the patient pull up shirt/dress (if unable to, offer assistance)
  3. Help the patient put on an examining gown and then remove
    draw sheet
36
Q

Dressing /

Undressing

A

-For trauma patients or
patients with an IV Infusion
- Wet or soiled linen should be changed

37
Q

For trauma patients or
patients with an IV Infusion:
In undressing, _____ side must go first, then the affected side. In dressing, _____ side must go first, then the unaffected side

A

unaffected (undressing),

affected (dressing)

38
Q

Care of Patient Valuables

A
  • Provide appropriate area for changing
  • Provide storage for clothing and valuables
  • Do not place value on a patient’s belongings
39
Q

For patients who are unable to get to the

restroom, a ______ should be offered

A

bedpan or urinal

40
Q

Bedpan/Urinal

A
  1. Prepare the bedpan/urinal and tissue. Close the door to provide the patient some privacy. Put on a clean pair of gloves
  2. If the patient is able, have the patient lift her
    hips, then place the bedpan under the hips
  3. Place the tissue where the patient can
    reach. Do not leave the patient alone. Turn
    away to provide privacy.
  4. When the patient is done, help the patient
    off the bedpan and dump the water on the
    toilet.
  5. Wash hands properly
41
Q

How did it start? What happened? When did
it first trouble you? Was it sudden or a complaint that
gradually got worse?

A

Onset

42
Q

Have you ever had it before?
Has it been continuous? Does it bother you all the
time? How long has this attack been bothering you?

A

Duration/chronology

43
Q

Where does it hurt (or where is the
problem)? Can you put your finger on where it hurts
the most? Does it hurt anywhere else?

A

Specific location

44
Q

What does it feel like? Sharp,

stabbing pain? Dull ache? Throbbing pain?

A

Quality of symptoms

45
Q

How severe is it? Mild, moderate,
or severe? (Some like to use a pain scale of 0 to 5 or 0 to 10, with 0 being no pain at all and the highest number representing the worst pain the patient can imagine.) Does it wake you up at night?

A

Severity of pain

46
Q

What seems to make it
worse? When is it worst? Is it worse after meals? At night? When you walk? What has helped in the past? Does that still help? What seems to help now? Does the time of day (amount of rest, change in position, and so on) make a difference?

A

What aggravates/alleviates

47
Q

Are there any other symptoms that you are experiencing that may be related to your chief
complaint?

A

Associated Manifestations

48
Q

How did the injury occur? When? Can you show me

exactly where it hurts?

A

Orthopedic, acute injury

49
Q

Did you injure your neck? How? When? Where does it
hurt? Do you have any pain, numbness, or tingling of
the shoulder or arm? On which side?

A

Neck

50
Q

Did you injure your back? How? When? Do you have
pain, numbness, tingling, or weakness of the hip or
leg? On which side? Any bowel or bladder problems?

A

Spine

51
Q

Were you injured? When? How? Do you have pain?
Where? Did you lose consciousness? For how long?
Speech, orientation, gait normal?

A

Head

52
Q

Do you know why your doctor ordered this examination? Are you short of breath? Do you have a
cough? Do you cough anything up? Do you cough
up blood? Have you had a fever? Do you have any
heart problems?

A

Chest

53
Q

Do you know why your doctor ordered this examination? Do you have pain? Where? Do you have any
nausea? Diarrhea? Have you had any other tests for
this problem? (Lab tests? Ultrasound?) Do you know
the results? Have you ever had abdominal surgery?
When? Why?

A

Abdomen, gastrointestinal

examinations

54
Q

Do you know why your doctor ordered this examination? Do you have pain? Where? For how long?
Do you have trouble passing urine? Pain? Urgency?
Frequency? Have you ever had this problem before?
Do you have high blood pressure?

A

Urology

RT 207 (9 decks)

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