URR General Info

Question 1

with CPR guidelines its how many compressions per breaths for adults and how many for children/inflants

Answer 1

30:2 for adults
15:2 for infants/kids

(compressions:breaths)

Question 2

If the patient is unconscious without a wristband, you must confirm pt identity how?

Answer 2

contact nurse… if you can’t verify the pt then do NOT perform the exam and reschedule until verification can be accomplished. DO NOT CANCEL NOT YOUR ROLE

Question 3

absolute contraindications for stress test

Answer 3

unstable angina, acute MI, serious arrhythmias, significant HTN or hypotension, severe valvular heart dz, significant LVOT gradient at rest with hypertrophic CM

Question 4

examples of critical findings where the reading physician should be notified prior to the pt leaving the echo lab

Answer 4

aortic dissection, ventricular aneurysm, papillary muscle rupture, pseudo aneurysm, thrombus formation in cardiac chambers, IVC or hepatic vein thrombus, cardiac tamponade, suspected veggie

Question 5

HIPAA rules require facilities to retain required documentation for how long

Answer 5

6 years

Question 6

proper order for putting on PPE

Answer 6

just remember the gown is first and the gloves are last

but its gown, mask, goggles, gloves

Question 7

for removing PPE what is the order

Answer 7

Gloves, goggles, gown, mask
“The three G’s” Got to Go first

Question 8

MRSA, VRE, Scabies, Impetigo… what precaution

Answer 8

Contact precautions… gloves and potentially gown too if substantial contact with pt

Question 9

Pneumonia, influenze, adenovirus, mumps, rubella, meningitis, bordetella… what precaution

Answer 9

Droplet… facemask, gloves, gown and/or goggles if excessive spraying of fluids

Question 10

Tuberculosis, measles, chickenpox, shingles… what precaution

Answer 10

Airborne… strict isolation for pt, wear fit tested N-95, gown and/or goggles if spraying of respiratory fluids anticipated

Question 11

Before an invasive procedure (ex pericardiocentesis) , what lab values must be reviewed?

Answer 11

PT and INR levels

Question 12

At the start of an echo exam, the sonographer should always obtain the _________ and _______ with the patient either: standing/squatting/lying in LLD position/supine???

Answer 12

systemic bp and EKG with patient STANDING

Question 13

when performing a contrast echo exam, a saline flush is performed when?

Answer 13

when the IV setup is complete and AFTER a contrast injection