Patient Care Flashcards by Ivan Barragan

Which blood vessels are best suited for determination of pulse rate?

A) Superficial Arteries
B) Deep Arteries
C) Superficial Veins
D) Deep Veins

A) Superficial Arteries

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Diseases that require contact precautions include
1) MRSA 2) C-Diff 3) TB

A) 1 only
B) 1 and 2 only
C) 2 and 3 only
D) 1,2, and 3

B) 1 and 2 only

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Circumstances that could prevent an X-ray student from meeting ARRT cert requirements include..

1) Failing one or more courses in the X Ray program
2) Being suspended from an X-ray program
3) Being dismissed/expelled from an X-ray program

A) 1 only
B) 1 & 2 only
C) 2 & 3 only
D) 1, 2, & 3

C) 2 and 3 Only

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For medical legal reasons, radiographic images are required to include all the following information except:

A) The patients name and/or Id number
B) The patients DOB
C) A right or left side marker
D) The date of the exam

B) A patients DOB

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A radiographer who discloses confidential patient information to unauthorized individuals can be found guilty of:

A) Libel
B) Invasion of Privacy
C) Slander
D) Defamation

B) Invasion of Privacy

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An iatrogenic infection is one caused by:

A) Physician Intervention
B) Blood-borne pathogens
C) Chemotherapy
D) Infected Droplets

A) Physician Intervention

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Which of the below is the first step to be taken in the performance of a radiographic examination?

A) Obtain clinical history
B) Provide appropriate patient assistance
C) Verify patient identity
D) Use appropriate infection control

C) Verify patient identity

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Which of the following drugs is used to treat dysrhythmias?

A) Epinephrine
B) Lidocaine
C) Nitroglycerin
D) Verapamil

B) Lidocaine

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Examples of a portal of entry in the cycle of infection include..
1. A break in the skin. 2. Nasal mucous 3. Urinary Tract

A) 1 only
B) 1 and 2 only
C) 2 and 3 only
D) 1, 2, and 3

D) 1, 2, and 3

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The radiographer can help to alleviate patient anxiety in the following ways ..

Careful explanation of the procedure
Avoiding use of complex medical terms
Listening carefully

A) 1 only
B) 1 and 2 only
C) 2 and 3 only
D) 1, 2, and 3

D) 1, 2, and 3

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Which of the following can be transmitted via infected blood?

HBV 2. AIDS 3. TB

A) 1 only
B) 1 and 2 only
C) 2 and 3 only
D) 1, 2, and 3

B) 1 and 2 only

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Mechanical device used to correct an ineffectual cardiac rhythm is a …?

A) Defibrillator
B) Cardiac monitor
C) Crash cart
D) Resuscitation bag

A) Defibrillator

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A small container holding several doses of medication is termed:

A) An ampoule
B) A vial
C) A bolus
D) A carafe

B) A vial

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You have encountered a person who is apparently unconscious and unresponsive. There is no rise and fall of the chest, and you can hear no breath sounds. First you should:

A) Begin mouth to mouth rescue breathing giving two full breaths
B) Proceed with Heimlich maneuver
C) Begin with 30 external chest compressions at a rate of 100 compressions/ min
D) Begin with 5 external chest compressions at a rate of 50 compression/ min

C) begin with 30 external chest compressions at a rate of 100 compressions/ min

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A patient who is warm flushed or feverish is said to be

A) diaphoretic
B) Febrile
C) Cyanotic
D) Anxious

B) Febrile

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The legal doctrine res ipsa loquitur means which of the following?

A) A matter settled by a precedent
B) A thing of matter settled by justice
C) The thing speaks for itself
D) Let the master answer

C) The thing speaks for itself

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The incoming x-ray photons upon encountering a loosely bound outer shell electron, dislodge the electron from its orbit?

Compton scattering

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The high speed electron ejected from its orbit is called a …?

Compton scattered electron

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Acute Radiation syndrome

A) Hematopoetic syndrome ( ____ rem)
B) Gastrointestinal Syndrome ( ___ rem)
C) Central nervous symptom syndrome (____ rem)

A) 100 rem
B) 600 rem
C) 1000+ rem

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Lethal dose = 50/30 ( ____ rad)

300 rad (which = 600 rem)

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Short term effects…

A) ________ effects
B) ________ effects
C) ________ effects

Latent Effects
Manifest Effects
Recovery Effects

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Latent effects means …

Effects not seen

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Manifest effects means …

Where effects are seen

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Recovery effects means …

Death :o

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Most protective lead apron should be _____ min and _____ max.

.25 minimum or .5 maximum

How to find out Retrospectic Dose ...?

5 ( N -18) N= age

How much percent covered by lead apron ?

90 percent

Main 4 primary factors are?

Kvp, mA, distance and time

Embryonic tissue is very radiosensitive because cells are _____ and ________ dividing

Immature, rapidly dividing

Organogenesis stage is ____ thru _____ week of pregnancy

2nd and 6th week

The limit of rems thru the whole length of pregnancy is ..?

.5 rems is the limit

Which cells are most sensitive ?

Leukocytes are most sensitive

Somatic effects: short term as in _____ and long term as in ______?

Errythmia, and cancer

Embryonic and fetal risks: which trimester is most sensitive?

First trimester

Compton effect means _________ radiation | Photoelectric effects means ________ radiation

- Scattered radiation (only portion of it is absorbed by atom) - Total absorption of X-ray photon

Rads= _____ (radiation absorbed dose)

Gray

Rem (radiation equivalent man) = ______ (unit of biological effect)

Seivert

Roentgen = ______ (unit of exposure in the air)

Cuolomb/kg

Focal spot mainly controls the _______ of the radiograph

Detail

Exposure is made at 100 mAs with 40" sid. To keep same density at 50" how much mAs should be done? 100 mAs = 40(2) 100 x 1600 ------------------ ? x 2500 (cross multiply then divide) ? mAs = 50 (2)

156.2 (150)

Why is mA cut in half when time is doubled.!

To maintain same density

Distortion = ______ and _______

True and magnification

Atomic # means...?

of protons in a nucleus of an atom

Purpose of developing solution ?

To turn latent image into a visible Image

Film emulsion consists of gelatin and _______ ________ crystals

Silver bromide

Occupational worker yearly dose is ____ rem and quarterly dose is ______ rem

Yearly dose is 5 rem | Quarterly dose is 1.25 rem

Filters are used to remove ______ energy photons (reduce skin dosage)

Low energy photons

Protective barriers protect you from ?

Radiation of useful beam

State law =

Title 17

Federal law =

10CFR20

____ is the dose for an occupational worker under the age of 18

1/10th

Greatest source of scattered radiation is ____

The patient

Eye problems caused by 100 rems of radiation are called ?

Cataracts

How much percent does protective barrier protect you?

99.87 %

Minimum amount of lead of shielding ____? And _____ for gonad shielding?

.25 lead | .5 lead for gonad shielding

Coles fracture mainly found in distal ______

Radius

Flexion and extension takes place on ___ and ___ on your neck

C1 and C2

Ionization occurs when electrons are removed from ____

Atoms

Current means ______ of electrons

Flow

Intensifying screens are either ______ ______ or ______ _______

Rare earth or calcium tunstate

Useful beam (primary beam) is ?

Beam which passes through the housing

Scattered radiation means ____?

Radiation passes through matter deviated in direction

Stray radiation means ___?

Radiation not serving any useful purpose

Remnant radiation means ___?

Passes thru the patient and tube the rest reaches the film

Grids are meant to reduce ________ radiation produced in the pt before it reaches x ray film

Scattered radiation

Filtration means filters made of ______ located in the useful X-ray beam to eliminate the less penetrating X-rays before reaching the pt

Aluminum

The heel effect is the result of the line focus principle that distributes radiation intensity more on the ______ side then on the ____ side.

Cathode then on the anode

Lead aprons = ___mm (97% dose reduction)

.25mm lead

Gonad shielding = ____mm (92% dose reduction)

0.5mm lead

Primary barriers = _____ inch lead and ____" high (99.87 dose reduction)

1/16th and 80" high

Annual occupational dose is _____ rem ?

5 rem

Annual dose limit for general public ____rem?

0.1 rem

Occupational dose for pregnant tech ______ rem?

0.5 rem

ALARA means?

As low as reasonably achievable

The requests for imaging services for hospital patients generally includes the following info.? 1. Pt name and/or identification # 2. Mode of travel to imaging department 3. Name of referring physician A. 1 only B. 1 and 2 only C. 2 and 3 only D. 1,2, and 3

D. 1, 2, and 3

A large volume of medication introduced intravenously over a period of time is termed .. A) an IV B) an infusion C) a bolus D) a hypodermic

B) an infusion

A legal document or individual authorized to make an individual's health care decisions, should the individual be unable to make them for himself or herself, is the....? 1. Advance healthcare directive 2. Living will 3. Healthcare proxy A) 1 only B) 1 and 2 only C) 2 and 3 only D) 1, 2, and 3

D) 1, 2, and 3

In which stage of infection do the infective microbes begin to multiply? A) latent period B) incubation period C) disease phase D) convalescent phase

B) Incubation period

A partially obstructed airway is clinically manifested in the following ways 1. Dysphasia 2. Noisy, labored breathing 3. Nailbed and lip cyanosis A) 1 only B) 1 and 2 only C) 2 and 3 only D) 1, 2, and 3

C) 2 and 3 only

All the following statements regarding hand hygiene and skin care are correct, except....? A) hands should be cleansed before and after each patient exam B) faucets should be opened and closed with paper towels C) hands should be smooth and free from shaking D) any cracks or abrasions should be left

D) any cracks or abrasions should be left uncovered to facilitate healing

All of the following are correct concepts of good body mechanics during patient lifting/moving, except...? A) The xray tech should stand with feet approximately 12 inches apart and with one foot slightly forward B) the body's center of gravity should be positioned over its base of support C) the back should be kept straight, avoid twisting D) when carrying a heavy object, hold it away from the body

D) when carrying a heavy object, hold it away from the body

When a patient arrives in the radiology department with a urinary catheter bag, it's important to..? A) place the drainage bag above the level of the bladder B) place the drainage bag at the same level as the bladder C) place the drainage bag below the level of the bladder D) clamp the Foley catheter

C) place be drainage bag below the level of the bladder

When a patient having one strong side and one weak side is being assisted onto an X-ray table, the radiographer should ...? A) start with the weaker side closer to the table B) start with the stronger side closer to the table C) always use a two person lift D) lift the patient carefully onto the table

B) start with the stronger side closer to the table