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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
cold problems
shivering can cause numbness freezing/frostbite
26
moist compress
warm cloth or gauze keep covered to reduce evaporation
27
type of heat therapies
moist compress soaks aquathermia dry heat
28
types of soaks
whirlpools --> 105-110F paraffin --> not to exceed 130
29
types of cold therapy
cold compress ice bags/collars
30
cold compress
place a thin towel between skin and compress approx 20 mins at 59
31
wound
injury involving a break in the skin a type of portal of entry
32
wound healing phases
hemostasis inflammation reconstruction maturation
33
hemostasis
clot formation
34
inflammation
erythema, heat, edema, leukocytes
35
reconstruction
collagen formation
36
maturation
keloid (scar) formation
37
wound appearances
serous (watery and mostly clear) purulent (thick and not red colors, infectious) serosanguineous (watery and red) sanguineous (bright red, active bleeding)
38
if you notice a wound
tech should report concerns
39
drainage
removal of fluids from a body cavity or wound
40
types of drainage
exudate close drainage open drainage
41
exudate
fluid, cells, or other substances from cells or blood
42
closed drainage
airtight tubing ex. jackson-pratt, hemovac
43
open drainage
open ended tubing ex. penrose
44
pressure ulcers
pressure causes blood vessels to collapse delay blood flow causing ischemia then necrosis
45
stages of pressure ulcers
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
pain
5th vital sign influences patient behavior
47
is pain subjective?
yes, believe the patient by actively listening
48
noninvasive techniques
decrease the patient's perception of pain table 8.1 p.117
49
invasive techniques
Anything that enters the body nerve blocks, epidurals drugs
50
simple interventions
page 119
51
sleep cycle
non-rapid eye movement rapid eye movement average 4-6 cycles per night
52
non rapid eye movement
4 stages body tissue restoration and healthy cardiac function
53
rapid eye movement
brain and cognitive restoration
54
sleep importance
gives time for body repair and recovery
55
sleep disruptions in hospital
other factors affect sleep age considerations
56
if tech needs to disrupt sleep
be empathetic be polite be efficient be aware (report anything unusual)
57
rules for emergency
stay calm assess the situation obtain as much info as possible and determine what to do tell/get someone
58
how to stay calm in emergency situations
reassure the patient and provide comfort (physical and emotional)
59
syncope
sudden drop in BP = temporary LOC
60
what to do if syncope occurs
call for help loosen tight clothes measure vitals ask questions to measure cognition when consciousness is regained (where, who) DOCUMENT
61
when does syncope occur
during/after procedure when standing
62
unresponsive
could be seen when performing a portable determine level of consciousness if no response --> call for help, assess breathing and pulse DOCUMENT
63
if no breathing and pulse
if absent --> start CPR --> unless it is DNR get AED and apply
64
seizures
call for help protection patient from hurting themselves DOCUMENT
65
what not to do during seizures
do not hold patient put something in their mouth
66
once seizure ends
Assess LOC roll patient to recovery position
67
legal and ethical issues
stay within scope of practice do something minimally --> call for help good samaritan laws
68
how a tech stays within scope of practice
tech cannot administer medication tech can do CPR
69
good samaritan laws
vary by state applies to emergencies outside workplace
70
curative treatment
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
aggressive care
gaol and intent is curing the disease and prolonging life at all cost
72
palliative care
active, complete care of a patient whose disease has not responded to curative therapy
73
goal of palliative care
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
point of palliative care
bridge between curative care and hospice
75
terminal illness
disease in an advanced stage with no known cure and poor prognosis
76
conditions of terminal illness
pt has less than 6 months to live no life support measures will be performed
77
goals for pt with terminal illness
maximize the quality of life and keep the patient as comfortable as possible
78
primary hospice team
volunteer coordinator bereavement coordinator
79
first hospice in US
1971
80
medicare hospice benefit
1983 services are reimbursable
81
history of hospice
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
3 needs of dying pt
love and affection control of pain preservation of dignity and self worth
83
dying patient symptoms
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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