Patient Care Flashcards
When a patient with one strong side and one weak side is being assisted onto an xray table, the radiographer should
position the stronger side closer to the table
A radiographer who discloses confidential patient information to unauthorized individuals can be found guilty of
invasion of privacy
An iatrogenic infection is one caused by
physician intervention
A vasomotor effect experienced after injection of a contrast agent is characterized by all of the following symptoms except
hypotension
* nausea * syncope * anxiety
The higher the gauge number of an intravenous (IV) needle
the smaller is it’s diameter
Which of the following drugs is used to treat dysrhythmias?
lidocaine
Examples of COPD
bronchits, emphysema, asthma and brochiectasis
Accidental injection of medication or contrast medium into tissues around a vein is termed
Extravasation
Can be transmitted via infected blood
HBV and AIDS
The mechanical device used to correct an ineffectual cardiac rhythm is a
defibrillator
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
begin mouth-to-mouth rescue breathing, giving two full breaths
In classifying IV contrast agents, the total number of dissolved particles in solution per kg of water defines
osmolality
Is a violation of correct sterile technique
Persons in sterile dress should pass each other face to face
Misunderstandings between cultures can happen as a result of
looking directly into someone’s face
the use of certain gestures
standing too close while speaking to another
The legal doctrine respondeat superior means
“let the master answer” or “the one ruling is responsible”
Some proteins in latex can produce mild to severe allergic reactions. Medical equipment that could contain latex includes
tourniquets
enema tips
catheters
Conditions in which there is a lack of normal bone calcification include
Rickets and Osteomalacia
A quantity of medication ntroduced itravenously over a period of time is termed
An infusion
Anaphylactic shock manifests early symptoms that include
dysphagia
itching of palms and soles
constriction of the throat
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
advance health care directive
living will
health care proxy
In which stage of infection do the infective microbes begin to multiply
Incubation Period
When performing CPR on an infant, it is recommended that the number of compressions per minute, compared for an adult,
increase
A patient is suffering from orthopnea would experience the least discomfort in which body position
erect
When a patient arrives in the radiology department with a urinary Foley catheter bag, it is important to
place the drainage bag below the level of bladder
Instruments required to asses vital signs
stetoscope
sphygmomanometer
a watch with a second hand
Hirschsprung disease, or congenital megacolon, is related to which age group
Neonate
Possible side effects of contrast medium that is administered intravenously
a warm, flushed feeling
altered taste
Medical equipment used t determine blood pressure
Stethoscope, Sphygmomanometer
Diseases whose mode of transmission is through the air include
TB, Mumps, Rubella
A small container holding several doses of medication is termed
vial
Tracheostomy is indicated in cases of tracheal obstruction when the obstruction is located
above the level of larynx
In the blood pressure reading 145/75 mmHg, what does 145 represent?
The phase of contraction of the cardiac muscle tissue
Facsimile transmission of health information is
permitted for urgently needed patient care
permitted for third-party payer hospitalization certification
Forms of intentional misconduct include
slander and invasion of privacy
Is correct with regard to assisting a patient from a wheelchair to an xray table
The patient’s strongest side should be closer to the xray table
In her studies on death and dying Dr. Elizabeh Kubler-Ross described the first stage of the grieving process as
denial
You and fellow radiographer have received an unconscious patient from a motor vehicle accident. As you perform the examination, it is important that you
refer to the patient by name
make only those statements that you would make with a conscious patient
A cathartic is used to
stimulate defecation
When radiographing the elderly, it is helpful to
address them by their full name
give straightforward instructions
What is the needle angle usually recommended for intramuscular injections?
90 degress
How should the wheelchair footrests be positioned as a patient is assisted into or out of a wheelchair?
moved aside
An esophagram would most likely be requested for patients with which esophageal disorders/symptoms
varices and achalasia
The type of shock often associated with pulmonary embolism or myocardial infarction is classified as
cardiogenic
Which of the following must be included in a patient’s medical record or chart?
Diagnostic and therapeutic orders
Medical History
Informed Consent
What type of precautions prevent the spread of infectious agentsin droplet from?
Airborne precautions
Which of the following conditions must be met in order for patient consent to be valid?
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
The Heimlich maneuver is used if a patient is
choking
Example of fomite except
tick
- doorknob
- spoon
- x-ray table
Which legal phrases defines a circumstance in which both the health care provider’s and the patient’s actions contributed to an injurious outcome?
Contributory Negligence
What is the first statement for extravasation of contrast media during an IV injection?
Apply pressure to the vein until bleeding stops
Which diastolic pressure reading might indicate hypertension?
100mmHg
To reduce the back strain that can result from moving heavy objects, the radiographer should
push the object
If an emergency trauma patient experiences hemorrhaging from a leg injury, the radiographer should
apply pressure to the bleeding site
call the emergency department for assistance
True regarding oxygen delivery
- 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
When disposing of contaminated needles, they are placed in a special container using what procedure?
Do not recap the needle and dispose of the entire syringe
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?
Check with the referring physician
According to the CDC, all the following precaution guidelines are false
gloves are indicated when caring for a patient on droplet precautions
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
IV catheter
Which examinations require(s) restriction pf patient’s diet?
Barium enema and pyelogram
The radiographer must perform which procedures prior to entering a contact isolation room with a mobile x-ray unit?
Put on gown and gloves only.
Examples of nasogastric (NG) tubes include
Salem-sump
Levin
Are Central Venous Lines
Port-a-Cath
PICC
Swan-Ganz Catheter
The most effective method of sterilization is
moist heat
The condition in which pulmonary alveoli lose their elasticity and become permanently inflated, causing the patient to consciously exhale, is
Emphysema
Chest drainage systems should always be kept
below the level of the patient’s chest
What venous device can be used for patient requiring IV injections at frequent or regular intervals
Heparin Lock
Which statement is (are) true regarding the proper care of a patient with tracheostomy?
- 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
The usual patient preparation for an upper GI examination is
NPO - 8 hrs before the examination
In which situations should a radiographer wear protective eye gear (googles)?
When assisting the radiologist during an angiogram
When assisting the radiologist in a biopsy/aspiration procedure
In reviewing a patient’s blood chemistry, which of the following blood urea nitrogen (BUN) ranges is considered normal?
8-25mg/ 100 mL
Particulate matter entering the respiratory bronchi can cause
pneumoconiosis
All the following are forms of mechanical obstruction seen in neonates or infants except
paralytic ileus
The pain experienced by an individual whose coronary arteries are not conveying sufficient blood to the heart is called
angina pectoris
A MRI procedure is contraindicated for a patient who has
aneurysm clips
An inanimate object that has been in contact with an infectious microorganism is termed a
fomite
The advantages of using nonionic, water-soluble contrast media include
low toxicity and fewer adverse reactions
A radiographer should recognize the geronto-logic patients should often have undergone physical changes that include loss of
muscle mass and bone calcium
Is true regarding a two-member team performing mobile radiography on a patient with MRSA precautions
- 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
Symptoms associated with a respiratory reaction to contrast media include
sneezing
hoarseness
wheezing
While in ypur care for a radiologic procedure, a patient asks to see his chart. Which is the appropriate response
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
Skin discoloration owing to cyanosis may be observed in the
gums and earlobes
Diseases spread by direct or close contact include
MRSA
Conjunctivitis
Hepatitis A
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
lay the patient down on the xray table
elevate the patients leg or place the table slightly Trendelenberg
The medical term for hives
Urticaria
Blood pressure is measured in units of
milimeters of Mercury (mm Hg)
Which blood vessels are best suited for determination of pulse rate
Superficial arteries
Which ethical principle is related to sincerity and truthfulness?
Veracity
The medical term for congenital clubfoot is
talipes
In what order should the examinations be performed?
Upper GI Series
IVU
BE
IVU
BE
Upper GI Series
Hypochlorite bleach (Clorox) and Lysol are examples of
Disinfectants
The condition that allows blood to shunt between the right and left ventricles is called
Ventricular Septal Defect
Logrolling is a method of moving patients having suspected
spinal injury
The cycle of infection includes what components?
Reservoir of infection
Susceptible host
Means of transmisssion
The act of inspiration will cause elevation of the
Sternum and ribs
A radiologic technologist can be found guilty of a tort in which of the following situations
- 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
Guidelines for cleaning contaminated objects or surfaces include
*Clean from the least contaminated to the most contaminated areas
Clean from top down.
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?
Battery
Types of inflammatory bowel disease include
ulcerative colitis and Crohn’s disease
Which statements would be true regarding tracheostomy patients?
- Tracheostomy patients have difficulty speaking.
* Audible rattling sounds indicate a nedd for sunction
When caring for a patient with an IV line, the radiographer should keep the medication
18 to 20 inches above the level of the vein
Diseases that require the droplet precautions are
rubella
mumps
influenza
Protective or “reverse” isolation is required in which conditions
Burns
Leukemia
When a GI Series has been requested on a patient with suspected perforated ulcer, the type of contrast medium that should be used is
water-soluble iodinated media
Nitroglycerin is used to
to relieve pain from angina pectoris
A patient experiencing an episode of syncope should be placed in which position
Dorsal recumbent with feet elevated
The diameter of a needle’s lumen is referred to as the
gauge
A patient in a recumbent position with the head lower than the feet is said to be in which position
trendelenburg
The normal average rate of the respiration for a healthy adult patient is
12-20 breaths per minute
Is a vasopressor and may be used for an anaphylactic reaction or a cardiac arrest
Epinephrine
Examples of means by which infections microorganisms can be transmitted via indirect contact include
fomite and vector
Rules regarding proper hand washing technique are correct except
avoid using hand lotions whenever possible
instructions that be given to a patient following a barium sulfate contrast examination
- 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
The medical abbreviation meaning “after meal” is
pc
Symptoms of inadequate oxygen supply include
dyspnea
cyanosis
retraction of intercostal spaces
A patient whose systolic blood pressure is consistently greater than 140mm Hg is usually considered
hypertensive
In what conditions is a double-contrast BE is essential for demonstration of the condition?
polyps and colitis
When a radiographer is obtaining a patient history, both subjective and objective data should be obtained. An example of subjective data is that
the patient states that she experiences extreme pain in the upright position
Symptoms of impending diabetic coma include
increased irritation
sweet-smelling breath
extreme thirst
Diseases that require contact precautions include
MRSA Clostridium Difficile (C-diff)
Are symptoms of shock
pallor and weakness
increase pulse rte
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
Geriatric patients
The practice that is used to retard the growth of pathogenic bacteria is termed
antisepsis
