M/S Labs & Diagnostic Tests Flashcards
What angle gives a one-dimensional view on a standard X-RAY?
Anterior-Posterior
What angle gives a two-dimensional view on a standard X-Ray?
Lateral
What are the 2 nursing responsibilities of standard X-Ray procedures
Removal of radiopaque objects
avoiding excessive exposure ( Wear Your Lead Apron!)
What dimensional picture do we get with a CT Scan
3 dimensional
What 3 categories do we use CT scans for?
soft tissue
bone abnormalities
some types of trauma
what 3 responsibilities do nurses have when explaining CT scans to patients before procedure?
procedure painless
Patient needs to remain still
If contrast, confirm no shellfish allergies
What do we need to do post CT Scan if contrast is used?
Force Fluids because of risk for nephrotoxicity
magnetic resonance Imaging uses ____ & _____ waves to view ______ tissue
radio; magnetic ; soft
During an MRI patients are placed inside a _____ _____, and we would want to ask the patient about _________ before procedure.
scanner chamber; claustrophobia
What 3 things would we want to inform patient before an MRI?
Procedure is painless
Loud ticking noises are normal
Ensure patient has no metal on or in their body
What may we administer prophylactic to help with MRI claustrophobia
anti-anxiety meds
What does Rheumatoid factor (RF) assess for
presence of autoantibody (RF) in serum
T/F Rheumatoid factor (RF) is NOT specific to RA
True, can be seen in other tissues
What is the Normal level for Rheumatoid factor (RF)
Negative
What is an erythrocyte sedimentation rate (ESR)
non-specific indication of inflammation
What is the normal rate for ESR
<30 mm/hr
Is ESR more of an acute or chronic inflammation indicator
Chronic
What 2 conditions are related to ESR in regards to musculoskeletal content?
rheumatoid arthritis and osteomyelitis
What is C-reactive protein (CRP) used to diagnose
inflammatory diseases, infections and active widespread malignancies
What is uric acid
End-product of protein metabolism
how is uric acid normally excreted
in the kidneys through the urine
although not specific, we can see increased levels of uric acid with _____
gout
Anti-citrullinated protein antibody (ACPA) or Anti-CCP is an important diagnostic for what
Rheumatoid Arthritis
In RA, which is more specific RF or ACPA?
ACPA as it may allow for earlier and more accurate diagnosis
Antinuclear antibody (ANA) assesses for antibodies capable of what
destroying nucleus of body’s tissue cells
ANA is 98% positive in what patients
Lupus or SLE
who else may show a positive RF?
Patients with RA and a Small percentage of normal population
Normal levels of antinuclear antibody (ANA) =
Negative