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Processing Diagnostic Orders > Quiz 3 > Flashcards

Quiz 3 Flashcards

1
Q

Define nuclear medicine

A

type of medical imaging that uses radioactive isotopes, cameras and computers to view the body

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2
Q

how are nuclear medicine images produced?

A

through the detection of energy emitted from radioactive substances given to the patient

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3
Q

different radioactive isotopes are absorbed differently by various parts of the body, what does this allow?

A

doctors to isolate specific organs and body functions

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4
Q

Nuclear medicine tests allow?

A

doctors to look at the physiological function for the body -including blood flow and organ function

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5
Q

radioactive material may be given what ways?

A
  1. injection
  2. orally
  3. inhalation in form of gas
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6
Q

the type of radioactive material given is determined by the organ the doctor wants to see. T/F

A

true

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7
Q

after the NM has been given and enough time has passed pictures are taken of what?

A

gamma rays emitted by the radioactive material by a machine

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8
Q

the picture produced in NM is called?

A

scan or image

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9
Q

what instrument does NM use to take scans/images?

A

gamma camera

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10
Q

radioactive material is given how much time prior to the procedure?

A

1/2 hour to 2 hours

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11
Q

nuclear medicine would phone your floor to let your nurse know what time the apt is and best time to give the medicine. T/F

A

true

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12
Q

a patient may be asked to return to the nuclear medicine department, how many hours after the initial test has been done do they need to go back?

A

1-2 hours

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13
Q

why does the patient go back to the nuclear medicine department after the initial test?

A

to have more scans done as a concentration of the radioactive changes

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14
Q

is the weight of the patient usually required to determine the amount of radioactive material is to be given?

A

yes

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15
Q

why is the weight of the patient given to NM department?

A

to determine how much radioactive material to give

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16
Q

what are the 5 different types of radioactive isotopes?

A
  1. Gallium
  2. Thallium
  3. Technetium 99cm (Tc-99m)
  4. Radioactive Iodine
  5. Strontium
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17
Q

why is a gallium scan done?

A

to diagnose inflammation, disease or tutors in the body

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18
Q

why is a PET scan done?

A

to visualize biochemical changes taking place in the body/diagnose conditions such as cancer

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19
Q

why is a bone scan done?

A

to detect any abnormalities - eg. tumors in the bone

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20
Q

why is a MUGA scan done?

A

check how well the heart is pumping

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21
Q

why is a MIBG scan done?

A

diagnose certain types of cancer

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22
Q

different isotopes are used depending no the type of test and tissue or organ being studied. T/F

A

true

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23
Q

what is a radioisotope?

A

unstable isotope that decays to a stable state by emitting or giving off characteristic radiation

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24
Q

what are the 5 common nuclear medicine tests?

A
  1. bone scan
  2. gallium scan
  3. MUGA scan
  4. MIBG scan
  5. PET scan
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25
Q

NM hours of operation?

A

Monday - Friday 8-4

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26
Q

NUA duties for processing a nuclear medicine order

A
  1. Enter into computer
  2. Kardex under procedues - indicate date and time
  3. symbolize EC and K
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27
Q

NUA duties upon receiving confirmation of the booked nuclear medicine appointment

A
  1. nuclear medicine books their own porters
  2. inform RN of apt time and date
  3. write apt date and time on kardex and pt. prep
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28
Q

NUA duties on the day of NM procedure

A
  1. NM will call and say they are ready for pt.
  2. inform RN that NM is ready for pt
  3. grab patient chart and place on your desk
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29
Q

define the cardiology department

A

diagnostic department that performs procedures on the heart that measure electrical activity at rest and when the patient places stress on the heart by exercising

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30
Q

what are the 5 tests that the cardiology department performs?

A
  1. electrocardiogram (ECG)
  2. Holter and telemetry monitoring
  3. echocardiogram (Echo)
  4. phonocardiogram
  5. cardiac stress test
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31
Q

what is a ECG test?

A

lab tech places electrodes, with paste onto patient legs, arms, and chest while the ECG is recorded

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32
Q

what is a holter monitor test?

A

3 electrodes are connected to the chest and attached to an ambulatory monitor. patient keeps it on to record activity

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33
Q

what is a echo test?

A

transducer is moved over the heart area (ultrasound)

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34
Q

what is a stress test?

A

patient is connected to an ECG monitor and asked to walk/run while their heart is being monitored

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35
Q

what is a phonocardiogram test?

A

patient lies on table - microphone is placed on their chest and records the sounds

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36
Q

NUA duties for cardiology tests

A
  1. enter into computer
  2. kardex under procedures
  3. symbolize EC and K
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37
Q

who reads cardiology tests?

A

cardiologist

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38
Q

do we need to phone the cardiology department after entering the order?

A

no

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39
Q

where do we kardex the cardiology tests after we’ve entered them?

A

under procedures

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40
Q

name 3 different x-rays that require contrast medium?

A
  1. barium meal
  2. upper GI
  3. S&D SBFT
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41
Q

what are 4 different types of arteriograms that can be performed?

A
  1. renal
  2. cerebral
  3. femoral
  4. carotoid
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42
Q

where are angiography’s performed?

A

KGH

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43
Q

what does barium enema look at?

A

large intestine

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44
Q

what does a myelogram look at?

A

spinal cord

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45
Q

define supine view

A

patient lies on their back

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46
Q

define the anterior posterior view

A

machine is placed in front of the patient while they are standing or lying supine

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47
Q

who is in change of the radiology department?

A

radiologist

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48
Q

where is an echocardiogram performed?

A

cardiology department

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49
Q

on the day of an cardiology test what are the 4 steps we need to take?

A
  1. imaging will send porter
  2. inform RN
  3. give porter patient chart
  4. inform RN when patient returns
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50
Q

define lateral view

A

side view of patient

51
Q

define decubitus view

A

patient lies on their side and x-ray beam is pointed horizontally

52
Q

what does a t-tube cholangiogram look at?

A

size and pantency of biliary ducts

53
Q

why is an upper GI study done?

A

to helo diagnose tumors, varices and lesions to the upper GI tract

54
Q

what does the nurse need to do with a patient before their EEG is performed (on the same day as procedure)

A

wash and dry their hair before going

55
Q

what does a cardiac catherization look at?

A

heart and coronary arteries

56
Q

define venogram

A

exam of veins after injected with contrast medium

57
Q

define EMG department (electromyogram)

A

performs tests to diagnose and evaluate neurological disorders

58
Q

EMG’s are performed by?

A

neurologist

59
Q

are EMG’s done at VJH?

A

no, at KGH

60
Q

NUA duties for processing EMG orders?

A
  1. phone KGH to make appointment - fax them pt. info
  2. kardex
  3. symbolize
61
Q

NUA duties for EMG when KGH has an appt conformation

A
  1. book transport online
  2. inform RN of date and time of appt
  3. photocopy pt. info for their transfer package
62
Q

NUA duties on day of EMG test

A
  1. inform RN when PTO arrives

2. give PTO transfer package

63
Q

what tests are performed by the EMG department

A
  1. electromyogram (EMG)
  2. Evoked potentials (EP)
  3. stomatosensory evoked potentials (SSEP)
64
Q

who performs a PFT?

A

pulmonologist

65
Q

which department is a PFT performed?

A

pulmonary department

66
Q

NUA duties for processing PFT orders

A
  1. enter into computer
  2. kardex under procedures
  3. symbolize EC and K
67
Q

NUA duties for for PFT on day of appt

A
  1. porter is pre-booked
  2. inform RN when porter calls for pt
  3. grab pt chart and put on desk
  4. inform RN when pt returns
68
Q

why is a nerve conduction study performed?

A

help diagnose diseases and injuries of the peripheral nervous system

69
Q

what are 5 x-rays that do not require contrast

A
  1. cervical x-ray
  2. bone x-ray
  3. chest x-ray
  4. KUB
  5. abdomial x-ray
70
Q

explain what an ultrasound is

A

machine that uses high frequency sound waves to produce images

71
Q

what is a MRI

A

machine that uses magnets, radio waves and a computer to produce images of the body

72
Q

what is a CT?

A

uses special x-ray techniques to produce multiple images of the body

73
Q

define fluoroscopy

A

imaging technique where real time images showing movements are produced through a constant input of x-rays using a special machine - fluoroscope

74
Q

what is barium enema

A

filling of the large intestine with barium

75
Q

what is an angiography/arteriography ?

A

MI test to visualize inside blood vessels and organs of the body

76
Q

consideration for special procedural x-rays

A
  1. consent
  2. NPO
  3. pre-meds
  4. Chart
  5. shave prep
  6. IV started
77
Q

what is oblique view?

A

projection taken with the central ray at an angle to any of the body planes. described by the angle obliquity and the portion of the body, x-ray beam exits; right or left and posterior or anterior

78
Q

what organs can be imaged with an ultrasound?

A
  1. stomach
  2. brain
  3. heart vessels
  4. spleen
  5. liver
  6. gallbladder
  7. kidneys
  8. pancreas
79
Q

what does EEG stand for?

A

electroencephalogram

80
Q

define EEG department

A

responsible for performing procedures that measure the electoral activity of the brain

81
Q

why is an EEG done?

A

diagnose conditions like epilepsy, tumor and brain damage

82
Q

are EEGs performed at VHJ?

A

no, KGH

83
Q

who are EEGs results interpreted by?

A

neurologist

84
Q

is a req needed to make an apt fir an EEG?

A

no

85
Q

what are the NUA’s duties for EEG tests

A
  1. phone KGH to book apt
  2. kardex
  3. symbolize
86
Q

NUA duties when appt for EEG is confirmed

A
  1. make transport arrangements
  2. inform RN of time/date of apt
  3. photocopy pts. important info
  4. label the transfer checklist
87
Q

prior to an EEG what are a NUA’s duties?

A
  1. inform RN when PTO arrives

2. give PTO envelope

88
Q

why must we inform the RN if an EEG is to be done on the same day?

A

patients hair needs to be washed and dried before going

89
Q

what pertinent info do we need to copy from the patient chart? (6)

A
  1. record of admission
  2. history
  3. progess
  4. consults
  5. labs
  6. x-ray results
90
Q

what is endoscopies

A

exam of the body cavity or organ using an endoscope

91
Q

how may a endoscopies procedure be done? (2)

A
  1. natural body open

2. small incision

92
Q

what is esophageal motility?

A

views the esophagus

93
Q

why is a esophageal motility done?

A

determine the motor function of the esophagus

94
Q

what is a gastroscopy/esophagoscopy?

A

views the esophagus, stomach and duodenum

95
Q

why is a gastroscopy/esophagosopy done?

A

detect tumors, ulcers, polyps, hiatal hernias, or to locate a site of bleeding. biopsies may be obtained for analysis

96
Q

what is a sigmoidoscopy/colonoscopy ?

A

views the rectum, sigmoid colon and large intestine

97
Q

why is a sigmoidoscopy/colonoscopy done?

A

detect tumors, polyps and ulcers - biopsies may be taken for analysis

98
Q

what is a bronchoscopy ?

A

views the larynx, trachea and bronchi

99
Q

why is a bronchoscopy done?

A

detect tumors, inflammation and structures. biopsies may be taken for analysis/sputum taken for cytology or C&S

100
Q

what is a cystoscopy and pyelogram?

A

views of urethra and kidneys

101
Q

why is a cystoscopy and pyelogram done?

A

detect tumors and measure the bladder capacity and dilation of a narrowed urethra and ureters

102
Q

where are endoscopies procedures performed?.

A
  1. GI lab
  2. ambulatory care
  3. OR
103
Q

are consent forms required for endoscopies procedures?

A

yes

104
Q

name the endoscopies procedures?

A
  1. esophageal motility
  2. gastroscopy/esophagoscopy
  3. sigmoidoscopy/colonoscopy
  4. bronchoscopy
  5. cystoscopy and pyelogram
105
Q

who performs a esophageal motility?

A

gastroenterologist

106
Q

who performs a gastroscopy/esophagoscopy ?

A

gastroenterologist

107
Q

who performs and sigmoidoscopy/colonoscopy ?

A

gastroenterologist or proctologist

108
Q

who performs a bronchoscopy ?

A

pulmonologist or respirologist

109
Q

who performs and cystoscopy and pyelogram?

A

urologist

110
Q

NUA duties for Endoscopies procedures:

A
  1. consent is filled out
  2. kardex under x-ray/procedures section
  3. symbolize
111
Q

NUA duties on day of endoscopies procedures:

A
  1. check dr. orders for pt prep
  2. surgical consent is filled out
  3. porter should be pre-booked
  4. inform nurse when porter is coming
  5. have chart and MAR on desk
  6. inform nurse when pt returns
112
Q

a diagnostic department that performs tests to diagnose and evaluate neurological disorders such as multiple sclerosis or parkinson’s disease

A

electromyogram

113
Q

done to determine the motor function of the esophagus

A

esophageal motility

114
Q

done to decide tutors, to measure the bladder capacity and the dilatation of a narrowed urethra and ureters

A

cystoscopy and pyelogram

115
Q

a diagnostic test that uses ultrasound waves to create an image of the heart muscles

A

echocardiogram

116
Q

a test in which the patient is connected to an EEG monitor and their heart is monitored as they exercise on a treadmill

A

cardiac stress test

117
Q

done to detect tutors, polyps and ulcers. Biopsies may be taken for analysis

A

sigmoidoscopy/colonoscopy

118
Q

this test aids in the diagnosis of conditions such as epilepsy, tumors, and brain damage

A

electroencphalogram

119
Q

type of medical imaging that used radioactive isotopes, cameras and computers to view the body

A

nuclear medicine

120
Q

done to detect tumors, ulcers, polyps, hiatal hernias or to locate a site of bleeding

A

gastroscopy/esophagoscopy

121
Q

what is technetium-99m (Tc-99m)

A

radioactive isotope

122
Q

done to detect tumors, inflammation and structures. Biopsies of suspected tumors may be obtained - as well as sputum for cytology and C&S tests

A

bronchoscopy

123
Q

contrast medium us objected into a needle that is passed through the skin and liver into the bile ducts. X-ray pics are taken of the biliary ducts and sometimes the gallbladder

A

percutaneous transhepatic cholangiogram

Processing Diagnostic Orders (4 decks)

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