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Lange Exam Review > Patient Care > Flashcards

Patient Care Flashcards

1
Q

When a patient with one strong side and one weak side is being assisted onto an xray table, the radiographer should

A

position the stronger side closer to the table

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2
Q

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

A

invasion of privacy

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3
Q

An iatrogenic infection is one caused by

A

physician intervention

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4
Q

A vasomotor effect experienced after injection of a contrast agent is characterized by all of the following symptoms except

A

hypotension

 * nausea
 * syncope
 * anxiety
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5
Q

The higher the gauge number of an intravenous (IV) needle

A

the smaller is it’s diameter

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6
Q

Which of the following drugs is used to treat dysrhythmias?

A

lidocaine

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7
Q

Examples of COPD

A

bronchits, emphysema, asthma and brochiectasis

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8
Q

Accidental injection of medication or contrast medium into tissues around a vein is termed

A

Extravasation

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9
Q

Can be transmitted via infected blood

A

HBV and AIDS

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10
Q

The mechanical device used to correct an ineffectual cardiac rhythm is a

A

defibrillator

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11
Q

You have encountered a person who is apparently unconscious. Although you open his airway, there is no rise and fall of the chest, and you can hear no breath sounds. You should

A

begin mouth-to-mouth rescue breathing, giving two full breaths

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12
Q

In classifying IV contrast agents, the total number of dissolved particles in solution per kg of water defines

A

osmolality

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13
Q

Is a violation of correct sterile technique

A

Persons in sterile dress should pass each other face to face

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14
Q

Misunderstandings between cultures can happen as a result of

A

looking directly into someone’s face
the use of certain gestures
standing too close while speaking to another

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15
Q

The legal doctrine respondeat superior means

A

“let the master answer” or “the one ruling is responsible”

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16
Q

Some proteins in latex can produce mild to severe allergic reactions. Medical equipment that could contain latex includes

A

tourniquets
enema tips
catheters

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17
Q

Conditions in which there is a lack of normal bone calcification include

A

Rickets and Osteomalacia

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18
Q

A quantity of medication ntroduced itravenously over a period of time is termed

A

An infusion

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19
Q

Anaphylactic shock manifests early symptoms that include

A

dysphagia
itching of palms and soles
constriction of the throat

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20
Q

The legal document or individual authorized to make an individual’s health care decisions, should the individual be unable to make them for himself for herself, is the

A

advance health care directive
living will
health care proxy

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21
Q

In which stage of infection do the infective microbes begin to multiply

A

Incubation Period

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22
Q

When performing CPR on an infant, it is recommended that the number of compressions per minute, compared for an adult,

A

increase

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23
Q

A patient is suffering from orthopnea would experience the least discomfort in which body position

A

erect

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24
Q

When a patient arrives in the radiology department with a urinary Foley catheter bag, it is important to

A

place the drainage bag below the level of bladder

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25
Q

Instruments required to asses vital signs

A

stetoscope
sphygmomanometer
a watch with a second hand

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26
Q

Hirschsprung disease, or congenital megacolon, is related to which age group

A

Neonate

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27
Q

Possible side effects of contrast medium that is administered intravenously

A

a warm, flushed feeling

altered taste

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28
Q

Medical equipment used t determine blood pressure

A

Stethoscope, Sphygmomanometer

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29
Q

Diseases whose mode of transmission is through the air include

A

TB, Mumps, Rubella

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30
Q

A small container holding several doses of medication is termed

A

vial

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31
Q

Tracheostomy is indicated in cases of tracheal obstruction when the obstruction is located

A

above the level of larynx

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32
Q

In the blood pressure reading 145/75 mmHg, what does 145 represent?

A

The phase of contraction of the cardiac muscle tissue

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33
Q

Facsimile transmission of health information is

A

permitted for urgently needed patient care

permitted for third-party payer hospitalization certification

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34
Q

Forms of intentional misconduct include

A

slander and invasion of privacy

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35
Q

Is correct with regard to assisting a patient from a wheelchair to an xray table

A

The patient’s strongest side should be closer to the xray table

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36
Q

In her studies on death and dying Dr. Elizabeh Kubler-Ross described the first stage of the grieving process as

A

denial

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37
Q

You and fellow radiographer have received an unconscious patient from a motor vehicle accident. As you perform the examination, it is important that you

A

refer to the patient by name

make only those statements that you would make with a conscious patient

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38
Q

A cathartic is used to

A

stimulate defecation

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39
Q

When radiographing the elderly, it is helpful to

A

address them by their full name

give straightforward instructions

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40
Q

What is the needle angle usually recommended for intramuscular injections?

A

90 degress

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41
Q

How should the wheelchair footrests be positioned as a patient is assisted into or out of a wheelchair?

A

moved aside

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42
Q

An esophagram would most likely be requested for patients with which esophageal disorders/symptoms

A

varices and achalasia

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43
Q

The type of shock often associated with pulmonary embolism or myocardial infarction is classified as

A

cardiogenic

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44
Q

Which of the following must be included in a patient’s medical record or chart?

A

Diagnostic and therapeutic orders
Medical History
Informed Consent

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45
Q

What type of precautions prevent the spread of infectious agentsin droplet from?

A

Airborne precautions

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46
Q

Which of the following conditions must be met in order for patient consent to be valid?

A

Patient must sign the consent form before receiving sedation
The physician named on the consent must perform the procedure
All the blanks on the consent form must be filled in before the patient signs the form

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47
Q

The Heimlich maneuver is used if a patient is

A

choking

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48
Q

Example of fomite except

A

tick

  • doorknob
  • spoon
  • x-ray table
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49
Q

Which legal phrases defines a circumstance in which both the health care provider’s and the patient’s actions contributed to an injurious outcome?

A

Contributory Negligence

50
Q

What is the first statement for extravasation of contrast media during an IV injection?

A

Apply pressure to the vein until bleeding stops

51
Q

Which diastolic pressure reading might indicate hypertension?

A

100mmHg

52
Q

To reduce the back strain that can result from moving heavy objects, the radiographer should

A

push the object

53
Q

If an emergency trauma patient experiences hemorrhaging from a leg injury, the radiographer should

A

apply pressure to the bleeding site

call the emergency department for assistance

54
Q

True regarding oxygen delivery

A
  • oxygen is classified as a drug and must be prescribed by a physician
  • the rate of delivery and mode of delivery must be part of physician order for oxygen
  • oxygen may be ordered continuously or as needed by the patient
55
Q

When disposing of contaminated needles, they are placed in a special container using what procedure?

A

Do not recap the needle and dispose of the entire syringe

56
Q

You are working in the outpatient department and receive a patient who is complaining of pain in the right hip joint; however, the requisition asks for a left femur examination. What should you do?

A

Check with the referring physician

57
Q

According to the CDC, all the following precaution guidelines are false

A

gloves are indicated when caring for a patient on droplet precautions

58
Q

While performing mobile radiography on a patient, you note that the requisition is for chest image to check placement of a Swan-Ganz catheter. A swan-Ganz catheter is a

A

IV catheter

59
Q

Which examinations require(s) restriction pf patient’s diet?

A

Barium enema and pyelogram

60
Q

The radiographer must perform which procedures prior to entering a contact isolation room with a mobile x-ray unit?

A

Put on gown and gloves only.

61
Q

Examples of nasogastric (NG) tubes include

A

Salem-sump

Levin

62
Q

Are Central Venous Lines

A

Port-a-Cath
PICC
Swan-Ganz Catheter

63
Q

The most effective method of sterilization is

A

moist heat

64
Q

The condition in which pulmonary alveoli lose their elasticity and become permanently inflated, causing the patient to consciously exhale, is

A

Emphysema

65
Q

Chest drainage systems should always be kept

A

below the level of the patient’s chest

66
Q

What venous device can be used for patient requiring IV injections at frequent or regular intervals

A

Heparin Lock

67
Q

Which statement is (are) true regarding the proper care of a patient with tracheostomy?

A
  • Employ sterile technique if you must touch a tracheostomy for any reason
  • Before you sunction a tracheostomy, the patient should be well aerated
  • Never sunction for longer than 15 sections, permitting the patient to rest in between
68
Q

The usual patient preparation for an upper GI examination is

A

NPO - 8 hrs before the examination

69
Q

In which situations should a radiographer wear protective eye gear (googles)?

A

When assisting the radiologist during an angiogram

When assisting the radiologist in a biopsy/aspiration procedure

70
Q

In reviewing a patient’s blood chemistry, which of the following blood urea nitrogen (BUN) ranges is considered normal?

A

8-25mg/ 100 mL

71
Q

Particulate matter entering the respiratory bronchi can cause

A

pneumoconiosis

72
Q

All the following are forms of mechanical obstruction seen in neonates or infants except

A

paralytic ileus

73
Q

The pain experienced by an individual whose coronary arteries are not conveying sufficient blood to the heart is called

A

angina pectoris

74
Q

A MRI procedure is contraindicated for a patient who has

A

aneurysm clips

75
Q

An inanimate object that has been in contact with an infectious microorganism is termed a

A

fomite

76
Q

The advantages of using nonionic, water-soluble contrast media include

A

low toxicity and fewer adverse reactions

77
Q

A radiographer should recognize the geronto-logic patients should often have undergone physical changes that include loss of

A

muscle mass and bone calcium

78
Q

Is true regarding a two-member team performing mobile radiography on a patient with MRSA precautions

A
  • one radiographer remains clean - that is, he or she has no physical contact with the patient
  • The radiographer remains who positions the mobile unit also makes the exposure
79
Q

Symptoms associated with a respiratory reaction to contrast media include

A

sneezing
hoarseness
wheezing

80
Q

While in ypur care for a radiologic procedure, a patient asks to see his chart. Which is the appropriate response

A

Inform the patient that he has the right to see his chart but that he should request to view it with his physician so that it is interpreted properly

81
Q

Skin discoloration owing to cyanosis may be observed in the

A

gums and earlobes

82
Q

Diseases spread by direct or close contact include

A

MRSA
Conjunctivitis
Hepatitis A

83
Q

You receive an ambulatory patient for GI series. As the patient is being seated on the x-ray table, he tells you he feels faint. You should

A

lay the patient down on the xray table

elevate the patients leg or place the table slightly Trendelenberg

84
Q

The medical term for hives

A

Urticaria

85
Q

Blood pressure is measured in units of

A

milimeters of Mercury (mm Hg)

86
Q

Which blood vessels are best suited for determination of pulse rate

A

Superficial arteries

87
Q

Which ethical principle is related to sincerity and truthfulness?

A

Veracity

88
Q

The medical term for congenital clubfoot is

A

talipes

89
Q

In what order should the examinations be performed?
Upper GI Series
IVU
BE

A

IVU
BE
Upper GI Series

90
Q

Hypochlorite bleach (Clorox) and Lysol are examples of

A

Disinfectants

91
Q

The condition that allows blood to shunt between the right and left ventricles is called

A

Ventricular Septal Defect

92
Q

Logrolling is a method of moving patients having suspected

A

spinal injury

93
Q

The cycle of infection includes what components?

A

Reservoir of infection
Susceptible host
Means of transmisssion

94
Q

The act of inspiration will cause elevation of the

A

Sternum and ribs

95
Q

A radiologic technologist can be found guilty of a tort in which of the following situations

A
  • Failure to shield a patient of childbearing age from unnecessary radiation
  • Performing an examination on a patient who has refused the examination
  • Discussing a patient’s conditio with a third party
96
Q

Guidelines for cleaning contaminated objects or surfaces include

A

*Clean from the least contaminated to the most contaminated areas
Clean from top down.

97
Q

If a radiographer performed a lumbar spine examination on a patient who was supposed to have an elbow examination, which of the following charges may be brought against the radiographer?

A

Battery

98
Q

Types of inflammatory bowel disease include

A

ulcerative colitis and Crohn’s disease

99
Q

Which statements would be true regarding tracheostomy patients?

A
  • Tracheostomy patients have difficulty speaking.

* Audible rattling sounds indicate a nedd for sunction

100
Q

When caring for a patient with an IV line, the radiographer should keep the medication

A

18 to 20 inches above the level of the vein

101
Q

Diseases that require the droplet precautions are

A

rubella
mumps
influenza

102
Q

Protective or “reverse” isolation is required in which conditions

A

Burns

Leukemia

103
Q

When a GI Series has been requested on a patient with suspected perforated ulcer, the type of contrast medium that should be used is

A

water-soluble iodinated media

104
Q

Nitroglycerin is used to

A

to relieve pain from angina pectoris

105
Q

A patient experiencing an episode of syncope should be placed in which position

A

Dorsal recumbent with feet elevated

106
Q

The diameter of a needle’s lumen is referred to as the

A

gauge

107
Q

A patient in a recumbent position with the head lower than the feet is said to be in which position

A

trendelenburg

108
Q

The normal average rate of the respiration for a healthy adult patient is

A

12-20 breaths per minute

109
Q

Is a vasopressor and may be used for an anaphylactic reaction or a cardiac arrest

A

Epinephrine

110
Q

Examples of means by which infections microorganisms can be transmitted via indirect contact include

A

fomite and vector

111
Q

Rules regarding proper hand washing technique are correct except

A

avoid using hand lotions whenever possible

112
Q

instructions that be given to a patient following a barium sulfate contrast examination

A
  • increase fluid and fiber intake for several days
  • Changes in stool color will occur until all barium has been evacuated
  • Contact a physician if no bowel movement occurs in 24 hours
113
Q

The medical abbreviation meaning “after meal” is

A

pc

114
Q

Symptoms of inadequate oxygen supply include

A

dyspnea
cyanosis
retraction of intercostal spaces

115
Q

A patient whose systolic blood pressure is consistently greater than 140mm Hg is usually considered

A

hypertensive

116
Q

In what conditions is a double-contrast BE is essential for demonstration of the condition?

A

polyps and colitis

117
Q

When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that

A

the patient states that she experiences extreme pain in the upright position

118
Q

Symptoms of impending diabetic coma include

A

increased irritation
sweet-smelling breath
extreme thirst

119
Q

Diseases that require contact precautions include

A 
MRSA
Clostridium Difficile (C-diff)
120
Q

Are symptoms of shock

A

pallor and weakness

increase pulse rte

121
Q

Increased pain threshold, breakdown of skin, and atrophy of fat pads and sweat glands are all important considerations when working with which of groups of patients

A

Geriatric patients

122
Q

The practice that is used to retard the growth of pathogenic bacteria is termed

A

antisepsis

Lange Exam Review (8 decks)

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