Patient care Flashcards
Which of the following blood pressure measurements might indicate shock?
- Systolic pressure lower than 60 mm Hg.
- Systolic pressure higher than 60 mm Hg.
- Diastolic pressure higher than 140 mm Hg.
- Diastolic pressure lower than 90 mm Hg.
Shock indicated by extremely low blood pressure.
Normal blood pressure is 110 to 140 mm Hg systolic and 60 to 80 diastolic.
Sterile technique is required when contrast agents are administered.
- Rectally
- Orally
- Intrathecally
- Through a nasogastric tube
3.
For medicolwegal reasons, radiographic images are required to include all the following information, except
- The patient’s name and/or identification
- The patient’s birth date
- A right-or-left side marker
- The date of the examination
2.
A radiographer who discloses confidential information to unauthorized individuals could be found guilty of
- Invasion of privacy
- Slander
- Libel
- Defamation
1.
Spoken defamation-Slander
Written defamation-Libel
If the disclosure is in some way detrimental or otherwise harmful to the patient, the radiographer may be accused of- Defamation
A diabetic patient who has prepared for a fasting radiographic examination is susceptible to a hypoglycemic reaction. This is characterized by
- Shaking and nervousness
- Cold, clammy skin
- Cyanosis
1 and 2
Hypoglycemic reactions can be very severe and should be treated with an immediate dose of sugar (e.g. in juice). Early symptoms of insulin reaction are shacking, nervousness, dizziness, cold, and clammy skin, blurred vision, and slurred speech.
Convulsion and coma may result if the patient is not treated.
Cyanosis is the lack of oxygenated blood, which is a symptom of shock
Which of the following instructions should be given to the patient following a barium sulfate examination?
- Increase fluid and fiber intake for several day
- Changes in stool color will occur until all barium has been evacuated
- Contact a physician if no bowel movement occurs in 24 hours.
1,2, and 3.
Logrolling is a method of moving patients with suspected
- Head injury
- Spinal injury
- Bowel obstruction
- Extremity fracture
2.
Patient arriving from the emergency department (ED) with suspected spinal injury should not be moved. AP and horizontal lateral projections of the suspected area should be evaluated and a decision made about the advisability of further images. For lateral projection, the patient should be moved along one plane, that is, rolled like a log. it is impressive that twisting motions be avoided.
A patient is usually required to drink a barium sulfate suspension in order to demonstrate which of following structures?
- Pylorus
- Sigmoid
- Ilium
1.
Oral administration of barium sulfate is used to demonstrate the upper digestive system-the esophagus, fundus, body, and pylorus of the stomach and the barium process through small bowel.
The normal average rate of respiration for a healthy adult patient is
- 5 to 7 breaths/min
- 8 to 12 breaths/min
- 12 to 20 breaths/min
- 20 to 30 breaths/min
3.
For children, the rate is higher averaging between 20 to 30 breath/min. In addition to monitor the depth ( shallow or labored) and pattern (regularity) of respiration. A respiration rate greater than 20 breaths/min in an adult would be considered tachypnea.
Example of COPD include
- Bronchitis
- Pulmonary emphysema
- Asthma
1,2, and 3.
COPD is irreversible and decreases the ability of the lungs to perform their ventilation functions. There is often less than half the normal expected maximal breathing capacity.
Administration of contrast agents for radiographic purposes is usually performed by which of the following parenteral routes?
- Subcutaneous
- Intravenous
- Intramuscular
- Intradermal
2.
A parental route of drug administration is one that bypasses the digestive system. In radiography, the IV method is most commonly used to administer contrast agents.
A patient developed hives several minutes after injection of an iodinated contrast agent. What type of drug should be readily available?
- Analgesic
- Antihistamine
- Anti-inflammatory
- Antibiotic
2.
When a contrast medium is injected, histamines are produced to protect the body from the foreign substance. An antihistamine (such as diphenhydramine (Benadryl)) blocks the action of the histamine and reduces the body’s inflammatory response to the contrast medium.
An-inflammatory drug (such as ibuprofen) suppresses the inflammation of tissue.
Antibiotics (such as penicillin) help fight bacterial infections.
The mechanical device used to correct an ineffectual cardiac rhythm is a
- Defibrillator
- Cardiac monitor
- Cash cart
- Resuscitation bag
1.
A cardiac monitor is used to display, and sometime record, ECG readings and some pressure reading.
The cash cart is a supply cart with various medications and equipment necessary for treating a patient who is suffering from a myocardial infraction to some other serious medical emergency.
A resuscitation bag is used for ventilation, as during cardiopulmonary resuscitation.
which of the following sites are commonly used for an intravenous injection?
- Antecubital vein
- Basilic vein
- Popliteal vein
1 and 2.
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 reuse breathing giving two full breath
- Proceed with the Heimlich maneuver
- Begin external chest compression at a rate of 80 to 100/min
- Begin external chest compression at a rate of a lease 100/ min
1.
The victim’s airway should first be opened. This is accomplished by tilting back the head and lifting the chin. However, if the victim may have suffered a spinal cord injury, the spine should not be moved and the airway should be opened using the jaw thrust method. The rescuer nest listens to breathing sounds and watches for the rise and fall of the chest to indicate breathing. If there is no breathing, the rescuer pinches the victim’s nose and delivers two full breaths via mouth- to- mouth rescue breathing.
In classifying intravenous (IV) contrast agents, the Total number of dissolved particles in solution per kilogram of water defines
- Osmolality
- Toxicity
- Viscosity
- Miscibility
1.
Toxicity- how noxious or harmful a contrast agent is. Contrast agents with low osmolality have been found to cause less tissue toxicity than the ionic IV contrast agent.
Viscosity- the thickness or concentration of the contrast agent
Miscibility- a contrast agent refers to its ability to mix with body fluids, such as blood. An important consideration in preventing thrombus formation.
which of the following procedures requires that the patient be placed in the lithotomy position?
- Myelography
- Venography
- T-tube cholangiography
- Hysterosalpingography
4.
A nosocomial infection is a(n)
- Infection acquired from frequent hand shaking
- Upper respiratory tract infection
- Infection acquired in a hospital
- Type of rhinitis
3.
The legal doctrine res ipsa loquitur means
- Let the master answer
- The thing speaks for itself
- A thing or matter settled by justice
- A matter settled by precedent
2.
The usual patient preparation for an upper gastrointestinal (GI) examination is
- NPO 8 hrs before the examination
- Light breakfast only on the morning of the examination
- Clear fluids only on the morning of the examination
- 2-ounce castor oil and enemas until clear
1.
Conditions in which there is a lack of normal bone calcification include
- Rickets
- Osteomalacia
- Osteoarthritis
1 and 2
Rickets and osteomalacia are disorders in which there is softening of bone. Rickets results from a deficiency of vitamin D and usually is found affecting the growing bones of young children.
Osteomalacia is an adult condition in which new bone fails to calcify.
Osteoarthritis- often seen in the elderly and is characterized by degeneration of articular cartilage in adjacent bones.
Abnormal accumulation of air in pulmonary tissues, resulting in over distention of the alveolar spaces, is
- Emphysema
- Empyema
- Pneumothorax
- Pneumoconiosis
1.
Empyema- pus in the thoracic
Pneumothorax- is air or gas in the pleural cavity
Pneumoconiosis- a condition of the lungs characterized by particulate matter having been deposited in lung tissue
Anaphylactic shock manifest early symptoms that include
- Dysphagia
- Itching of palms and soles
- Constrictions of the throat
1,2, and 3.
Dysphagia- difficult to swallow
Anaphylaxis is term used to describe
- An inflammatory reaction
- Bronchial asthma
- Acute chest pain
- Allergic shock
4.
Of the four stages of infection, which is the stage during which the infection is most communicable
- Latent period
- Incubation period
- Disease phase
- Convalescent phase
3.
In the initial phase, the latent period, the infection is introduced and lies dormant. As soon as the microbes begin to shed, the infection becomes communicable. The microbes reproduce ( during the incubation period), and during the actual disease period signs and symptoms of the infection may begin. The infection is most active and communicable at this point. As the patient fights off the infection, and the symptoms regress, the convalescent (recovery) phase occurs.
When performing cardiopulmonary resuscitation (CPR) on an infant, it is required that the number of compressions per minute, compared to that for an adult,
- Remain the same
- Double
- Decrease
- Increase
The heart rate of an infant is much faster than that of an adult; therefore, the number of compressions per minute is also greater. Infant CPR requires 5 compressions to 1 breath. There should be at least 100 compression per minute.
All of the following statements regarding hand washing and skin care are correct except
- Hands should be washed after each patient examination
- Faucets should be opened and closed with paper towels
- Hands should be smooth and free from chapping
- Any cracks or abrasion should be left uncovered to facilitate healing.
4.
A patient whose systolic blood pressure is less than 90 mm Hg is usually considered
- Hypertensive
- Hypotensive
- Average/ normal
- Baseline
2.
A patient is considered hypertensive when systolic pressure is consistently above 140 mm Hg, and hypotensive when the systolic pressure is lower than 90 mmHg
When a patient arrives in the radiology department with a urinary Foley catheter bag, it is important to
- Place the drainage bag above the level of the bladder
- Place the drainage bag the same level as the bladder
- Place the drainage bad below the level as the bladder
- Clamp the Foley catheter
3.
Placement of the tubing or bag above or level with bladder will allow back floe of urine into bladder. This reflux of urine can increase the chance of UTI.
Instruments required to asses vital signs include
- A thermometer
- A tougue blade
- A watch with a second hand
1 and 3
The four vital signs are temperature, pulse, respiration, and blood pressure.
A watch with a second hand is required to measure the patient’s pulse and respiratory.
Lyme disease is caused by bacteria carried by deer tick. The tick bite may cause fever, fatigue, and other associated symptoms. This is an example of transmission of an transmission of an infection by
- Droplet contact
- A vehicle
- The airborne route
- A vector
4.
Vectors are insects and animals carrying disease.
Droplet contact, involves contact with secretions (from the nose, mouth, and eye) that travel via a sneeze or cough
The airborne route involves evaporated droplets in the air that transfer disease.
A vehicle can transmit infection via contaminated water, food, blood, or drug
Possible side effects of an iodinated contrast medium that is administered intravenously include all of the following except
- A warm feeling
- Altered taste
- Nausea
- Hypotension
4.
Nonionic, low-osmolality iodinated contrast agents are associated with far fewer side effects and reactions than ionic, higher osmolality contrast agents.
Possible side effects of iodinated contrast agents include a warm, flushed feeling, a metallic taste in the mouth, nausea, headache, and pain at the injection site.
Adverse reactions include itching anxiety, rash or hives, vomiting, sneezing, dyspnea, and hypotension.
Blood pressure may be expressed as 120/95. What dose 95 represent?
- The phase of relaxation of the cardiac muscle tissue
- The phase of contraction of the cardiac muscle tissue
- A higher-than-average diastolic pressure.
1 and 3.
All drug packages must provide certain information required by the U.S. Food and Drug Administration. Some of the information that must be provided includes
- The generic name
- Contraindications
- The usual dose
1, 2, and 3
Forms of intentional misconduct include
- Slander
- Invasion of privacy
- Negligence
1 and 2
However, if a radiographer leaves a weak patient standing along to check images or get supplies, and that patient falls and sustains an injury, that would be considered unintentional misconduct or negligence.
When a patient with an arm injury needs help in undressing, the radiography should
- Remove clothing from the injured arm first
- Remove clothing from the uninjured arm first
- Always remove clothing from the left arm first
- Always cut clothing away from the injured extremity
2.
Which of the following conditions describes a patient who is unable to breathe easily while in the recumbent position?
- Dyspraxia
- Apnea
- Orthopnea
- Oligopnea
3.
A patient with orthopnea is unable to breath while lying down. When the body is recumbent, the diaphragm and abdominal viscera move to a move superior position. It is therefore more difficult to breath deeply. Patients with orthopnea must be examined in an erect or semi erect position.
Dyspnea refers to difficulty breathing in any body position.
Apnea describes cessation of breathing for short intervals.
Oligopnea is infrequent breathing as slow as 6 to 10 respirations per minute.
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
- Reassure the patient about what you are doing
1,2, and 3
A diuretic is used to
- Induce vomiting
- Stimulate defecation
- Promote elimination of urine
- Inhibit coughing
3.
When radiographing the elderly, it is helpful to
- Move quickly
- Address them by their full name
- Give straightforward instructions
2 and 3
The complete killing all microorganisms is termed
- Surgical aseptic
- Medical aseptic
- Sterilization
- Disinfection
3.
The complete killing of all microorganisms is termed sterilization.
Surgical aseptic refers to the technique used to prevent contamination when performing procedures.
Medical asepsis refers to practices that reduce the spread if microbes, and therefore the chance of spreading disease or infection. Hand washing is an example of medical asepsis. It reduces the spread of infection, but dose not eliminate all microorganisms. disinfection involves the use of chemicals to either inactive or inhibit the growth of microbes.
Involuntary patient motion can be caused by
- Post traumatic shock
- Medication
- Low room temperature
1,2, and 3
When caring for A patient with an IV, the radiographer should keep the medication
- 18 to 20 inches above the level of the vein
- 18 to 20 inches below the level of the vein
- 28 to 30 inches above the level of the vein
- 28 to 30 inches below the level of the vein
1.
Which of the following may be used to affectively reduce the viscosity of contrast media
- Warming
- Refrigeration
- Storage at normal room temperature
- Storage in a cool, dry place
1.
The type of shock associated with pooling of blood in peripheral vessels in classified as
- Neurogenic
- Carcinogenic
- Hypovolemic
- Septic
1.
This occurs in cases of trauma to the central nervous system that results on decreased arterial resistance and pooling of blood in peripheral vessels.
Cardiogenic shock is related to cardia failure and results from interference who heart function. it can occur in case of cardiac tamponade, pulmonary embolus, to myocardial infraction.
Hypovolemic shock is related to loss of large amounts of blood, either from internal bleeding or from hemorrhage associated with trauma
Which of the following must be included in patient’s medical record or chart?
- Diagnostic and therapeutic orders
- Medical history
- Informed consent
1,2, and 3
What type of precautions prevents the spray of infectious agents in aerosol form?
- Strict isolation
- Protective isolation
- Airborne precautions
- Contact precautions
3.
Airborne precautions are employe with a patients suspects or known to be infected with tubercle bacillus (TB), chicken pox (varicella), or measles (rubeola). Airborne precautions require that the patient wear a mask to avoid the spread of bronchial secretions or there pathogens during coughing. Patients under airborne precautions require a private, specially ventilated ( negative pressure) room.
Rubella (German measles), mumps, and influenza are among the diseases spread by droplet contact; a private room is required for the patient, and health care practitioners should use gown and gloves.
Any diseases spread by direct or close contact, such as MRSA, conjunctivitis, and hepatitis. A require contact precautions. Contact precautions require a private patient room and the gloves, mask, and gown for anyone coming in direct contact with the infected individual to his or her environment.
Which of the following conditions must be meet in order for patient consent to be valid?
- The patient must signed the consent form before receiving sedation
- The physician named on the consent form must perform the procedure
- All the blanks on the consent form must be filled in before the patient signed the form
1,2, and 3
The Heimlich maneuver is used if a patient is
- In cardiac arrest
- Choking
- Having a seizure
- Suffering from hiccups
2.
Which of the following is a violation of correct sterile techniques?
- Goes are considered sterile in the front down to the waist, including the arms
- Sterile gloves must be kept above the waist
- Persons in sterile dress should pass each other face to face
- A sterile filed should not be left unattended
3.
Which of the following legal phrases defines a circumstance in which both the health-care provider’s and the patient’s actions contributed to an injurious outcome?
- Intentional misconduct
- Contributory negligence
- Gross negligence
- None of the above
2.
Gross negligence occurs when there is willful or deliberate neglect of the patient.
Intentional misconduct- assault, battery, invasion of privacy, false imprisonment, and defamation of character all fall under the category.
If extravasation occurs during an IV injection of contrast media, correct treatment includes which of the following?
- Remove the needle and locate a studier vein immediately
- Apply pressure to the vein until bleeding stops
- Apply warm, moist heat
2 and 3.
Which of the following diastolic pressure reading might indicate hypertension?
- 40 mm Hg
- 60 mm Hg
- 80 mm Hg
- 100 mm Hg
4.
Diastolic normal range is 60 to 80 mm Hg.
To reduce the back strain associated with transferring patients from stretcher to x-ray table, the radiographer should
- Pull the patient
- Push the patient
- Hold the patient away from his or her body and lift
- Bend at the waist and pull
1.
Pull, do not push, the patient; pushing increases friction and makes the transfer more difficult. Do not bend at the waist and pull; use your biceps for pulling the patient. Draw the patient as close to you as possible and then lift if necessary.
A small bottle containing a single dose of medication is termed
- An ampule
- A vial
- A bolus
- A carafe
1.
A carafe is a narrow- mouthed container; it is not likely to be used for medical purpose.
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
- Apply a pressure bandage and complete the examination
1 and 2.
Ingestion of a gas-producing powder or crystals is usually preliminary to which of the following examinations?
- Double-contrast GI
- Oral cholecystogram
- IV urogram
1.
A double-contrast GI examination requires that the patient ingest gas-producing power, crystals , pills, or beverage followed by a small amount of high-density barium.
Which ethical principle is related to the the theory that’s patients have the right to decide what will or will not be done to them?
- Autonomy
- Beneficence
- Fidelity
- Veracity
1.
Beneficence is related to the idea of doing good and being kind.
Fidelity is faithfulness and loyalty
veracity is not only telling truth, but also not practicing deception
When disposing of contaminated needles, they are placed in a special contained using what procedure?
- Recap the needle, remove the syringe, and dispose of the needle
- Do not recap the needle, remove the syringe, and dispose of the needle
- Recap the needle and dispose of the entire syringe
- Do not recap the needle and dispose of the entire syringe
4.
You receive a patient who is complaining of pain in the area of the left fourth and fifth metatarsals; however, the requisition asks for a left ankle examination. what should you do?
- Perform a left foot examination
- Perform a left ankle examination
- Perform both a left foot and a left ankle examination
- Check with the referring physician
4.
You receive an ambulatory patient for GI series. As the patient is seated on the x-ray table, he feels faint. you should
- Lay the patient down on the x-ray table
- Elevate the patient’s legs or place the table
- Leave quickly and call for help
1 and 2.
A patient who feels faint should never be left alone
Which of the following examinations requires restriction of the patient’s diet?
- GI series
- Abdominal survey
- Pyelogram
1 and 3.
The radiographer must perform which of the following procedures prior to entering a contact isolation room with a mobile x-ray unit
- Put on gown and gloves only
- Put on gown, gloves, mask, and cap
- Clean the mobile x-ray unit
1.
Examples of nasogastric tubes include
- Swan-Ganz
- Salem-sump
- Levin
2 and 3.
The levin and Salem-sump tubes are NG tubes used for gastric decompression. The Salem-sump tube is radiopaque and has a double lumen. One lumen is for gastric compression, and the other is for removal of fluid. The levin tube is a single-lumen tube that is used to prevent accumulation of intestinal liquids and gas during and following intestinal surgery.
The Swan-Ganz IV catheter is advanced to the pulmonary artery and used to measure various heart pressures
Rapid onset of severe respiration or cardiovascular symptoms after ingestion or injection of a drug, vaccine, contrast agent, or food, or after an insect bite, best describes
- Asthma
- Anaphylaxis
- Myocardial infraction
- Rhinitis
2.
Anaphylaxis is an acute reaction characterized by the sudden onset urticaria, respiratory distress, vascular collapse, or systemic shock, sometimes leading to death. It is caused by ingestion or injection of a sensitizing agent such as a drug, vaccine, contrast agent, or food, or by an insect bite.
Asthma and rhinitis are examples of allergic reactions.
Myocardial infraction (MI) is caused by partial to complete occlusion of a coronary artery
The most effective method of sterilization is
- Dry heat
- Moist heat
- Pasteurization
- Freezing
2.
The most effective method of sterilization is moist heat, using steam under pressure. This is known as autoclaving.
The condition in which pulmonary alveoli lose their elasticity and become permanently inflated, causing the patient to consciously exhale, is
- Bronchial asthma
- Bronchitis
- Emphysema
- Tuberculosis
3.
Chest drainage system should always be kept
- Below the level of the patients chest
- Above the patient’s chest
- At the level of the patient’s diaphragm
1.
Which of the following patient rights is violated by discussing privileged patient information with an individual who is not involved with the patient’s care?
- The right to considerate and respect care
- The right to privacy
- The right to continuity of care
2.
Nitroglycerin is used
- To relieve pain from angina pectoris
- To relieve pain a heart attack
- As a vasoconstrictor
- To increase blood pressure
1.
Angina pectoris is a crushing chest pain caused by a circulatory disturbance of the coronary arteries. Nitroglycerin is used to dilate (vasodilation) and decrease blood pressure in the treatment of pain from angina pectoris. Nitroglycerin is usually given sublingually, and thus is absorbed directly into the bloodstream
In which of the following situations should a radiographer wear protective eye gear (goggles)
- When performing an upper GI radiography examination
- When assisting the radiologist during an angiogram
- When assisting the radiologist in a biopsy/ aspiration procedure
2 and 3.
In reviewing a patient’s blood chemistry, which of the following blood urea nitrogen BUN ranges is considered normal
- 0.6 to 1.5 mg/100
- 4.5 to 6 mg/ 100
- 8 to 25 mg/100
- up to 50 mg/100
3.
A quantity of medication introduced intravenously over a period of time is termed
- An IV push
- An infusion
- A bolus
- Hypodermic
2.
A patient who is diaphoretic has
- Pale, cool, clammy skin
- Hot, dry skin
- Dilated pupils
- Warm, moist skin
1.
Observation is an important part of the evaluation of acutely ill patients. The patient who is diaphoretic is “ in a cold swear” with pale, cool, moist skin.
Hot, dry skin accompanies fever.
Warm. moist skin may be a result of anxiety or simply of being in a warm room.
The pupils dilate in dimly illuminated places in order to allow more light into the eyes.
In what order should the following examinations be performed?
- Upper GI
- IV urogram
- Barium enema
2,3, and 1
When scheduling patient examinations, it is important to avoid the possibility of residual contrast medium covering areas that will be of interest on later examinations. the IV urogram (also refereed to as intravenous Pyelogram/IVP) should be scheduled first because the contrast medium used is excreted rapidly. the barium enema should be schedule next. Finally, the upper GI is scheduled. there should not be enough barium remaining from the previous BE to interfere with the examination of the stomach or duodenum, although a preliminary scout image should be taken in each case.
An MRI procedure is contraindicated for a patient who has
- Herniated disc
- Aneurysm clip
- Dental fillings
- Subdural bleeding
2
An inanimate object that has bee in contact with an infectious microorganism is termed a
- Vector
- Fomite
- Host
- Reservoir
2
The advantages of using nonionic, water-soluble contrast media include
- Cost-containment benefits
- Low toxicity
- Fewer adverse reaction
2.
The relatively low-osmolality and nonionic, water-soluble contrast medium available to radiology departments have outstanding advantages, especially for patients with a history of allergic reaction. They were originally used for intracathecal injections (pyelography), but they were quickly accepted for intravascular injections as well. Side effects and allergic reactions are less likely and less severe with these media. Their one very significant disadvantage is they high cost compared to ionic contrast media.
A vasodilator would most likely be used for
- Angina
- Cardiac arrest
- Bradycardia
- Antihistamine
1.
Which of following statements are 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 who positions the mobile unit also makes the exposure
- The radiographier who positions the cassette also retrieves the cassette and removes it from its plastic protective cover.
1 and 2.