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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

25
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
Informed Consent
26
Informed Consent | required in:
- Invasive procedures - Procedures requiring sedation - Procedures that may carry risk - Procedures that involve radiation
27
Elememts of Informed Consent
-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
is a clear and direct statement of agreement
Expressed consent
29
is communicated either verbally or in | written form
Expressed consent
30
The patient’s actions imply consent without a verbal or written expression of consent
Implied Consent
31
May be necessary in emergency procedures such as CPR | to save person’s life
Implied Consent
32
The radiographer should be ready to assist the patient | in _______
undressing/dressing
33
For _____, it may be necessary to cut away garments, consent must first be obtained before cutting
trauma patients
34
If the patient has a ______, ask them for assistance
companion
35
Dressing / Undressing
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
Dressing / | Undressing
-For trauma patients or patients with an IV Infusion - Wet or soiled linen should be changed
37
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
unaffected (undressing), | affected (dressing)
38
Care of Patient Valuables
- Provide appropriate area for changing - Provide storage for clothing and valuables - Do not place value on a patient's belongings
39
For patients who are unable to get to the | restroom, a ______ should be offered
bedpan or urinal
40
Bedpan/Urinal
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
How did it start? What happened? When did it first trouble you? Was it sudden or a complaint that gradually got worse?
Onset
42
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?
Duration/chronology
43
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?
Specific location
44
What does it feel like? Sharp, | stabbing pain? Dull ache? Throbbing pain?
Quality of symptoms
45
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?
Severity of pain
46
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?
What aggravates/alleviates
47
Are there any other symptoms that you are experiencing that may be related to your chief complaint?
Associated Manifestations
48
How did the injury occur? When? Can you show me | exactly where it hurts?
Orthopedic, acute injury
49
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?
Neck
50
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?
Spine
51
Were you injured? When? How? Do you have pain? Where? Did you lose consciousness? For how long? Speech, orientation, gait normal?
Head
52
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?
Chest
53
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?
Abdomen, gastrointestinal | examinations
54
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?
Urology

RT 207 (9 decks)

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