V1 - Patient Care Flashcards
What is required under the HIPAA? (3 answers)
- The patients are able to request amendments to their records
- Patients have the right to request restrictions on disclosures of their information
- The patient must receive written information on how the health information will be used.
A radiographer enters a room to take a portable foot series on a patient in her final trimester of pregnancy. The patient is just finishing her lunch and begins choking. How should the radiographer respond to this medical emergency?
Initiate a backward thrust in the center of the sternum.
Which actions should the radiographer take to help prevent acquired infections in hospitals or clinics? (4 answers)
- Washing hands frequently and using hand lotion afterward
- Placing biologically soiled linen in biohazard linen bags
- Placing used needles in sharps containers
- Wearing exam gloves and changing them in between each patient
How should a drug be administered to get the quickest response?
Intravenously
Identify the medical conditions in a patient’s history which should be cleared by the radiologist before injection of an ionic, water soluble, injectable contrast agent. (4 answers)
- Compromised renal function
- Pheochromocytoma
- Diabetes
- Sickle Cell Anemia.
Which procedure is an example of surgical asepsis?
Surgical hand scrub
A patient who complains of blurred vision and dizziness upon standing for an upright chest x-ray may be experiencing which condition?
Orthostatic Hypotension
A radiographer recieves request for a portable chest x-ray and then performs the x-ray on the incorrect patient. Which legal term best describes the actions of the radiographer?
Battery
Which rule is followed when examining unconscious patients?
Avoid saying things you would not say to a conscious patient
Which type of contrast agent is preferred for low risk and low cost for a patient diagnosed with a possible perforated bowel?
Ionic, water soluble, diluted with juice
Which is the most appropriate guideline to follow when radiographing patients in their late adult years?
Speak slowly and in a low tone voice
Which position should a patient be placed in immediately following a seizure?
Lateral Recumbent
Which nonverbal cue best demonstrates attentiveness and concern for a patient who is giving a medical history?
Consistent Eye Contact
What does “ventricular fibrillation” mean?
Erratically quivering ventricles
Which angle of insertion is recommended when performing venipuncture?
15 degrees
How should a radiographer increase the stability of the base of support?
Stand with feet a greater distance apart
Which action is best taught to the patient using the communication technique of demonstration?
The correct positioning for a particular projection
Which term best describes the process of cleaning the surfaces in a radiology department with 10% bleach solution in water?
Medical asepsis
A radiographer prepares to transfer a patient from a wheelchair to the x-ray table. The patient recently suffered a stroke, exhibits left-sided weakness, and is able to bear some weight. How should the radiographer move the patient to the table?
Position the right side of the wheelchair next to the table
A patient reports symptoms including itching, rash formation, and difficulty breathing immediately following the administration of IV contrast media. Assuming the patient has had no prior exposure to radiopaque contrast media, what is the most likely cause of these symptoms?
Anaphylactoid reaction
A patient received 100 ml of IV contrast media as a part of an abdominal computed tomography (CT) scan, as well as 500 ml of dilute, oral contrast, prior to coming to Radiology for a separate order, an intravenous urogram (IVU). The patient’s creatinine is 0.4 mg/dl and BUN is 36 mg/dl. Why should this IVU be rescheduled?
The presence of the previous oral contrast in the abdomen precludes an IVU
The radiographer is assisting a patient to move from a wheelchair to the x-ray table. Which represents the safest practice by the radiographer when moving this patient?
Maintain the center of gravity over the base of the support
The lead radiographer is planning a strategy to efficiently manage the morning workload. The department is short-staffed due to meetings, and four patients are now ready for their examinations. Assuming that none of the exams is emergent, which patient should be seen first?
A two-year old child for a barium swallow
Which steps are involved in legally obtaining informed consent to perform a radiographic procedure? (4 answers)
- The patient has been informed about the risks involved in the procedure
- The patient is legally competent
- The patient has been informed about alternatives to this particular procedure
- The patient has been informed about procedures in place to mitigate risks.
In which clinical situation has valid consent been obtained?
A 16-year-old mother provides consent to perform an x-ray her 6-month-old child
During preparation for a surgical procedure, an unopened sterile package becomes damp from an accidental spill of saline. Which response is most appropriate?
Consider the package contaminated and replace it with a sterile item.
A patient in the radiology department suddenly develops a nosebleed. The radiographer instructs the patient to lean forward and pinch the affected nostril against the midline of the nasal cartilage, but the bleeding does not stop. What should the radiographer do next?
Apply moist compress
Which legal concept is violated by a radiographer who performs an examination without an examination order?
Battery
Place the types of contrast media in order of decreasing opacity.
Thick Barium Sulfate > Thin Barium Sulfate > Ionic, water soluble > Carbon Dioxide
To ensure a reduction in irritation to the intestines, which temperature of water should be mixed with the barium on lower GI studies?
Cold
What should the radiographer do if the radiologist’s instructions are unclear?
Ask for clarification
What is the wide spread of MRSA mainly attributed to?
Over prescription of antibiotics and poor infection control practices
Which is the best approach for speaking to a patient with a hearing impairment?
Speak in a low register
