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MRI Review Part A > Patient assessment monitoring and management > Flashcards

Patient assessment monitoring and management Flashcards

1
Q

which of the folloiwng may cause a patient to experience a syncopal episode

A

anxiety

hunger

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2
Q

all claustrophobic patients who are scheduled for MRI exams should be

A

handled delicately so as not to comploud their anxiety

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3
Q

patients who should be monitored (with pulse oximetry) during MRI procedures are

A

unresponsive and uncommunicative

sedated, psychiatric and pediatric

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4
Q

patients who have been sedated with diazepam should be monitored with

A

pulse oximetry

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5
Q

it is good practice for all patients who undergo MRI to be monitored

A

visually

verbally

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6
Q

BEFORE the publication of the “Contrast media Update” by the ACR in 2010, contraindications for using gadolinium included

A

none

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7
Q

AFTER the publication of the “Contrast media Update” by the ACR in 2010, contraindications for using gadolinium included

A

low GFR

renal insufficiency and or scute renal injury

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8
Q

precaustions for the use of gadolinium include

A

sickle cell crisis and hypertension

pregnance

low GFR

hemolytic anomalies and lactating mothers

prior contrast reactions and patients with a history of asthma or allergies

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9
Q

the approved gadolinium contrast agents are currently indicated for

A

intravenous injection for pediatric imaging

intravenous injection for abdominal imaging

intravenous injection for central nervous (CNS) imaging

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10
Q

the patient who has too much insulin in their body is experiencing

A

hypoglycemia

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11
Q

what is the correct order for administering basic life support

A

airway, breathing, circulation

ABC

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12
Q

if a patient while recumbent on the MR couch says that he or she feels faint, what action should the technologist take

A

place the patient in the trendelenburg position

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13
Q

the proper method of treating contrast media extravasation is to

A

remove needle

hold pressure on the vein until bleeding stops

apply ice

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14
Q

what may cause a loss of patency in an IV line

A

improper height of the IV solution

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15
Q

deep veins are not used in venipuncture because

A

they are close to major arteries and nerves

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16
Q

which of the following can be used for multiple doses of the same drug

A

vial

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17
Q

reducing viscosity of contrast media can be accomplished by

A

warming the contrast prior to administration

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18
Q

the stated guage of the IV needle or cather refers to its

A

diameter

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19
Q

which blood test for renal function is used in the calculatoin of eGFR (estimated glomular filtration rate)

A

serum creatinine

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20
Q

which of the folloing blood tests would be used to assess the patients risk of hemorrhaging during an invasive procedure (biopsy)

A

prothrombin time (PT)

international normalized ratio (INR)

platelet count

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21
Q

which blood vessel has the thickest tunica media

A

artery

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22
Q

a normal serum creatinine range is

A

0.6-1.5 mg/dL

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23
Q

an eGFR below 15 is indicative of

A

a patient in need of dialysis

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24
Q

although ALL patients must be evaluated on a case by case basis, the ACR recommends that gadolinium should not be administered in patients with an eGFR of

A

30 and below

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25
Q

which type of circulation is responsible for reoxygenation of the blood

A

pulmonary

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26
Q

which of the laters of a blood vessel is made of fibrous, connective tissue

A

tunica adventitia

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27
Q

a normal range for blood urea nitrogen (BUN) is

A

8.0-20.0 mg/100dL

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28
Q

which type of blood cells carries oxygenated hemoglobin

A

erythrocyte

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29
Q

which lab test can be used as an indicator of dehydration

A

hematocrit

30
Q

a _______can be used to administer nutrition or long term chemotherapy

A

venous catheter

31
Q

the administration of IV injection gadolinium contrast media is indicated for MRI during

A

pediatric imaging

abdominal imaging

brain and spine imaging

32
Q

the percent of patients who have been “reported” to have had reactions to contrast agents (gadolinium) in MRI is

A

less than 2%

33
Q

patients who are at an increased risk of reactions to gadolinium include

A

history of asthma or allergies

prior contrast reactions

34
Q

patients who have been reported to have had reactions to gadolinium include

A

history of asthma or allergies

prior contrast reasctions

hemolytic anomalies

35
Q

contrast agent reactions such as flushing, hives and nausea are called

A

nonsystemic

36
Q

if you determine that an adult patient needs CPR what should your first response be

A

call for help

37
Q

when performing one rescueer CPR on an adult, the rate of compressino to ventilatoin should be

A

30:2

38
Q

what is the most severe form of convulsive seizures

A

grand mal

39
Q

if CPR is not started with in ______minutes of cardiac arrest, there will be brain damage due to lack of oxygen

A

1-3 minutes

40
Q

which type of shock is caused by failure of the heart to pump enough blood to the vital organs

A

cardiogenic

41
Q

when lifting a patient what must one remember

A

keep your back straight

keep your knees slightly bent

42
Q

log rolling is a method of moving patients with a suspected

A

vertebral column injury

43
Q

the most common site injured by technologists while caring for patients is the

A

lumbrosacral spine

44
Q

during the movement and transfer of patients urinary catheter bags should be placed

A

below the level of the urinary bladder

45
Q

when venipuncture is performed

A

the contrast agent must ALWAYS be flushed through the syringe, and tubing used and needle before injection to avoid the administration of air into the vein

46
Q

which of the following may cause a patient to experience a syncopial episode

A

anxiety

hunger

47
Q

the diabetic patient who has excessive insulin in their body is said to have

A

hypoglycemia

48
Q

if a patient has a cardiac arrest during MR imaging the technologist should

A

begin CPR while transferring the patient out of the scan room

49
Q

during an emergency that occurs during MR imaging the technologist should

A

remove the patient from the MR scan room

50
Q

a patient experiencing tachycardia will have a

A

rapid pulse rate

51
Q

what is the average pulse rate for an infant

A

115-130 bpm

52
Q

a normal blood pressure for an adult is

A

120/80 mmHg

53
Q

which of the following blood pressure readings would indicate shock

A

diastolic pressure of 40 mmHg

54
Q

a patient receiving oxygen should NOT have temperature measured via the _____route

A

oral

55
Q

a patient with epistaxis has a

A

nose bleed

56
Q

shock resulting from large loss of body fluid or blood is called

A

hypovolemic

57
Q

for an unconscious patient who has sustained a head injury the main concern is

A

keeping a patent airway

58
Q

geriatric patients likely exhibit which of the following

A

changes in anatomic landmarks

fragile skin

difficulty with balance

59
Q

a technologist may administer oxygen in an emergency situation the most frequent rate is

A

2 L/min

60
Q

the artery that is typically used to check an adults pulse rate is the

A

radial

61
Q

the pulse used to check for circulation during CPR in an adult is the

A

carotid

62
Q

which of the following conditions is common in a patient with COPD

A

orthopnea

63
Q

in order to reduce the possibility of orthostatic hypotension the technologist should

A

sit the patient up slowly from the recumbent position and allow sufficient time sitting before proceeding to standing up

64
Q

where would a central line catheter be located

A

subclavian vein

65
Q

a patient with apraxia will have difficulty

A

dressing

66
Q

a patient with aphasia will have difficulty with

A

speaking

reading

swallowing

67
Q

severe hypoxia has a pulse oximetry reading of

A

85% and below

68
Q

an adverse reaction or event caused by treatment by a healthcare professional is called

A

iatrogenic

69
Q

a normal pulse rare range for an adult is

A

60-90 bpm

70
Q

another term for fever is

A

febrile

71
Q

a patient recovering from a seizure should be

A

placed in the recovery position (sim’s)

MRI Review Part A (5 decks)

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