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RAD 117 > Test 2 > Flashcards

Test 2 Flashcards

1
Q

is ignoring the patient proper patient care?

A

no

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2
Q

urination assistance for patients that can stand/walk

A

assist pt to bathroom
provide privacy
remain nearby

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3
Q

patients who think they can stand but are a fall risk who is responsible for that patient

A

technologist who is caring for pt

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4
Q

what device do we use for pt who cannot walk/stand for urinary assistance

A

bed pan
(types: regular and fracture)
male or female urinals

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5
Q

does a technologist insert a catheter

A

unlikely most of the time pt comes with it in already

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6
Q

which radiology exams use a catheter

A

cystograms and VCUG

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7
Q

types of catheter

A

figure 22.4

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8
Q

what level to keep urinary bag

A

below level of waist

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9
Q

care at catheter insertion

A

inspect area for irritations then contact nurse

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10
Q

technologist procedures if urinary bag is full

A

notify the nurse
document amount in bag
drain and dispose
close the tube

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11
Q

defecation

A

elimination of bowel waste

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12
Q

do we monitor/document bowel elimination

A

yes

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13
Q

devices to use for bowel elimination

A

bed pan –> patient who cannot move at all
try for bedside toilet

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14
Q

ostomy

A

Artificial opening

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15
Q

stoma

A

site of opening

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16
Q

ileostomy

A

opening in ileum

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17
Q

colostomy

A

opening in the colon

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18
Q

technologist responsibility during:
ostomy enema

A

remove bad and insert catheter into the stoma

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19
Q

technologist responsibility during
bag care in department

A

basic clean up but contact nurse

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20
Q

when would we encounter a patient having a heat or cold treatment

A

emergency
post op
inpatient
walk in (urgent care, outpatient)

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21
Q

what happens if a patient ask what they should do

A

be careful not to give medical advice contrary to their physician

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22
Q

heat benefits

A

vasodilation (increases blood flow)
increases metabolism, antibodies, and white blood cells

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23
Q

heat problems

A

reduces blood flow in other areas –> watch for increased pulse, dizziness, sob
left on too long can restrict blood flow
erythema, tenderness, blistering

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24
Q

cold benefits

A

vasoconstriction (decrease blood flow)
reduces swelling if placed shortly after injury
numbs pain

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25
Q

cold problems

A

shivering
can cause numbness
freezing/frostbite

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26
Q

moist compress

A

warm cloth or gauze
keep covered to reduce evaporation

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27
Q

type of heat therapies

A

moist compress
soaks
aquathermia
dry heat

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28
Q

types of soaks

A

whirlpools –> 105-110F
paraffin –> not to exceed 130

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29
Q

types of cold therapy

A

cold compress
ice bags/collars

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30
Q

cold compress

A

place a thin towel between skin and compress
approx 20 mins at 59

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31
Q

wound

A

injury involving a break in the skin
a type of portal of entry

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32
Q

wound healing phases

A

hemostasis
inflammation
reconstruction
maturation

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33
Q

hemostasis

A

clot formation

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34
Q

inflammation

A

erythema, heat, edema, leukocytes

35
Q

reconstruction

A

collagen formation

36
Q

maturation

A

keloid (scar) formation

37
Q

wound appearances

A

serous (watery and mostly clear)
purulent (thick and not red colors, infectious)
serosanguineous (watery and red)
sanguineous (bright red, active bleeding)

38
Q

if you notice a wound

A

tech should report concerns

39
Q

drainage

A

removal of fluids from a body cavity or wound

40
Q

types of drainage

A

exudate
close drainage
open drainage

41
Q

exudate

A

fluid, cells, or other substances from cells or blood

42
Q

closed drainage

A

airtight tubing
ex. jackson-pratt, hemovac

43
Q

open drainage

A

open ended tubing
ex. penrose

44
Q

pressure ulcers

A

pressure causes blood vessels to collapse
delay blood flow causing ischemia then necrosis

45
Q

stages of pressure ulcers

A

stage 1: in tact skin without blanching
stage 2: shallow open ulcer
stage 3: open ulcer with possible visualization of subcutaneous fat
stage 4: open ulcer with visualization of bone, tendon, or muscle

46
Q

pain

A

5th vital sign
influences patient behavior

47
Q

is pain subjective?

A

yes, believe the patient by actively listening

48
Q

noninvasive techniques

A

decrease the patient’s perception of pain
table 8.1 p.117

49
Q

invasive techniques

A

Anything that enters the body
nerve blocks, epidurals
drugs

50
Q

simple interventions

A

page 119

51
Q

sleep cycle

A

non-rapid eye movement
rapid eye movement
average 4-6 cycles per night

52
Q

non rapid eye movement

A

4 stages
body tissue restoration and healthy cardiac function

53
Q

rapid eye movement

A

brain and cognitive restoration

54
Q

sleep importance

A

gives time for body repair and recovery

55
Q

sleep disruptions in hospital

A

other factors affect sleep
age considerations

56
Q

if tech needs to disrupt sleep

A

be empathetic
be polite
be efficient
be aware (report anything unusual)

57
Q

rules for emergency

A

stay calm
assess the situation
obtain as much info as possible and determine what to do
tell/get someone

58
Q

how to stay calm in emergency situations

A

reassure the patient and provide comfort (physical and emotional)

59
Q

syncope

A

sudden drop in BP = temporary LOC

60
Q

what to do if syncope occurs

A

call for help
loosen tight clothes
measure vitals
ask questions to measure cognition when consciousness is regained (where, who)
DOCUMENT

61
Q

when does syncope occur

A

during/after procedure when standing

62
Q

unresponsive

A

could be seen when performing a portable
determine level of consciousness
if no response –> call for help, assess breathing and pulse
DOCUMENT

63
Q

if no breathing and pulse

A

if absent –> start CPR –> unless it is DNR
get AED and apply

64
Q

seizures

A

call for help
protection patient from hurting themselves
DOCUMENT

65
Q

what not to do during seizures

A

do not hold patient
put something in their mouth

66
Q

once seizure ends

A

Assess LOC
roll patient to recovery position

67
Q

legal and ethical issues

A

stay within scope of practice
do something minimally –> call for help
good samaritan laws

68
Q

how a tech stays within scope of practice

A

tech cannot administer medication
tech can do CPR

69
Q

good samaritan laws

A

vary by state
applies to emergencies outside workplace

70
Q

curative treatment

A

patient is in good physical health and main intent is to fully resolve the illness and bring patient back to their status of health before the illness presented

71
Q

aggressive care

A

gaol and intent is curing the disease and prolonging life at all cost

72
Q

palliative care

A

active, complete care of a patient whose disease has not responded to curative therapy

73
Q

goal of palliative care

A

emphasizes control of pain, relief of symptoms and provision of psychologic social and spiritual assistance
relieve pain and distress and control symptoms of the disease

74
Q

point of palliative care

A

bridge between curative care and hospice

75
Q

terminal illness

A

disease in an advanced stage with no known cure and poor prognosis

76
Q

conditions of terminal illness

A

pt has less than 6 months to live
no life support measures will be performed

77
Q

goals for pt with terminal illness

A

maximize the quality of life and keep the patient as comfortable as possible

78
Q

primary hospice team

A

volunteer coordinator
bereavement coordinator

79
Q

first hospice in US

A

1971

80
Q

medicare hospice benefit

A

1983
services are reimbursable

81
Q

history of hospice

A

dame cicely saunders in 1960s
devoted her life to improving pain management and symptom control for people who were dying
opened in london in 1968

82
Q

3 needs of dying pt

A

love and affection
control of pain
preservation of dignity and self worth

83
Q

dying patient symptoms

A

slow weak thready pulse
lowered blood pressure
rapid shallow irregular or slow respirations
touch sensation diminishes
pupils are dilated and fixed
skin is cool and clammy

RAD 117 (2 decks)

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