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.