V3 - Patient Care Flashcards
A trauma patient arrives to the emergency department unconscious with tachycardia and hypotension. The patient has lost a significant volume of blood. The patient is experiencing which condition?
Hypovolemic shock
How much barium is administered on an AVG adult PT with a colostomy undergoing a single contrast barium enema?
250 mL
During a routine radiographic examination, a patient complains of dizziness and appears anxious and diaphoretic. While checking the patient’s vital signs, the radiographer notes a rapid heart rate, shaky hands, and clammy skin. Which is most likely explanation for this presentation?
Decreasing the number fo pathogens present
Washing the hands with soap and water disrupts the chain of infection by which process?
Decreasing the number of pathogens present
What precautions should a radiographer take when entering the room of a patient with varicella virus?
Wear a particulate respirator mask, gloves, and gown
Which example of nonverbal communication is most effective for helping a patient overcome anxiety and apprehension prior to an exam?
Maintain a direct but appropriate eye contact with patient
Which practices are considered violations of HIPAA (2)
- Looking up test results of a family member.
- Accessing medical images of a coworker.
Which is the best strategy for communicating health care info to a patient who is completely deaf?
Call for an interpreter certified in sign language
Which guideline is recommended for safely lifting a patient from a seated position?
Stand with feet apart to establish a wide base of support
When obtaining a BP reading, systolic and diastolic values are determined by monitoring which pulse point?
Brachial
Which is the most appropriate response to a patient who asks what the term “peritonitis” means?
“Peritonitis is the inflammation of the abdomen”
Which percentage of hospital patients receiving antibiotics develop C. dificile colitis infections?
20%
Which condition requires a patient to be placed in a negative pressure room, and the healthcare workers to wear a respiratory protection when entering?
TB
When a radiographer asks a patient to lie down on the imaging table and the patient complies, which type of consent has the patient given?
Simple Consent
Which type of shock is caused by a reaction to contrast media?
Vasogenic
According to the AHA guidelines, which is the correct rate of chest compressions when administering CPR to a 6 mo patient?
At least 100 per min
What are the six rights of drug admin that radiographers should follow?
Patient > drug > amount > route > documentation > time
image Place the cursor on the contrast media that should be administered for an IVU.
2nd bottle
Which item must be discarded in a biohazard bag?
Bed sheets saturated with blood
Which describes the proper technique for needle insertion during venipuncture?
Insert needle into vein at 15-degree angle with bevel facing upward
image Consider the contrast media label shown here. What does the “Not for parenteral use” warning mean?
It must be administered orally or rectally
Which history factor has an increased risk for aspiration during an upper GI study?
Dizziness
Which is the most appropriate response if a patient asks about the risk of radiation exposure from a CT exam?
“A CT results in a much higher dose than an x-ray, but your physician believes the benefits outweigh the risks”
image The image is a medical record entry lacking important information. Place the cursor on the portion of this entry that is incorrect and left click.
signature
What route of transmission is responsible for transmitting a disease to a patient through an improperly cleaned x-ray table?
Fomite
According to the ARRT Standards of Ethics, a radiographer may be subject to sanctions including revocation of certification for which actions? (3)
- Performing a medical procedure without appropriate training or supervision.
- Performing duties while under the influence of illegal drugs or alcohol.
- Failing to report a medical error because the patient was unharmed.
A patient is slumped over in his wheelchair and is non-responsive. After easing the patient to the floor, the radiographer finds no carotid impulse. This patient is experiencing which condition?
Cardiac Arrest
When transferring a patient with hemiparesis from a wheelchair be placed?
Parallel to the x-ray table, with the patient’s strong side closest to the table.
Identify the proper medical record documentation of medication administration.
5 mcg/min, Epinephrine, IV, 11/12/2007, 0940.
Which general guideline is the most appropriate for determining when to use standard precautions?
When performing exams on all patients
Which is considered a major contraindication for intravenous urography?
Hypersensitivity to contrast media
Which value represents a normal respiratory rate for a pediatric patient?
25 breaths per minute
Which is the best way to control severe bleeding from a deep laceration of the upper arm?
Apply direct pressure to the wound and raise the patient’s arm above the level of the heart
