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Patient Care lange q
Radiology
| Question | Answer |
|---|---|
| When assisting pt to xray table, radtech should: | position stronger side closer to table |
| Honor Code violations that prevent radstudent from ARRT certifacation | 1. being suspended from rt program 2. being dismissed/expelled from rt program |
| for medicolegal reasons, xrays require | pt name or id #, Rt/Lt side marker, date of exam (dob not necessary |
| radtech who discloses confidential pt info to unauthorized people can be found guilty of | invasion of privacy |
| iatrogenic infection is caused by | physician intervention |
| vasomotor effect after injection of contrast are: | nausea, syncope, anxiety (not hypotension) |
| higher the gauge # of IV needle, | the smaller the diameter |
| anatomical structures of ingestion of barium sulfate | esophagus, fundus, body, pylorus of stomach to small bowel duodenum, jejunum, ileum |
| drug to treat dysrhythmias | lidocaine |
| COPD | bronchitis, PE, asthma, emphysema, bronchiectasis |
| spinal canal parenteral route | intrathecal (subarachnoid space) |
| accidental injection of med or contrast into tissues around a vein | extravasation |
| transmitted via infected blood | HBV, AIDS (not TB) |
| mechanical device to correct an infectual cardiac rhythm | defibrillator |
| u see unconscious person w/ no rise & fall of chest or breath sounds, u should | begin mouth to mouth rescue breathing, giving 2 full breaths |
| in classifying IV contrast agents, the total # of dissolved particles in sol'n per kg of water is | osmolality |
| violation of sterile technique | pass each other face to face (sterile field u pass back to back) |
| respondeat superior | let the master answer |
| some medical equip. that include latex | tourniquets, enema tips, catheters |
| conditions in which there is a lack of normal bone calcification | rickets, osteomalacia |
| qty of med introduced intravenously over a period of time | an infusion |
| anaphylactic shock manifests early symptoms | dysphagia, itching of palms & soles, constriction of throat |
| legal document for individual's health care decisions if unable to make them on their own | advance health care directive, living will, health care proxy |
| stage of infection when infective microbes begin to multiply | incubation period |
| when CPR on infant is performed, #of compressions/min compared for an adult is | increased |
| hand hygiene & skin care | hand washed before each pt, open/close faucets w/ paper towels, hands smooth & free of chapping |
| pt suffering from orthopnea would experience the least discomfort in which body position | Erect (Orthopnea is respiratory condition pt has difficulty breathing-erect, standing or seated is good) |
| urinary Foley catheter bag should be | below level of bladder |
| instruments to assess vital signs | stethoscope, sphygmomanometer, a watch w/ second hand |
| Hirschsprung disease or congenital megacolon, is related to which age group | Neonate |
| Possible side effects of an iodinated contrast medium thru IV | warm flush feeling, metallic taste, nausea, HA, pain in injection site. Adverse effects-itching, anxiety, rash or hives, vomiting, sneezing, dyspnea, hypotention |
| BP 145/75 mmHg, what is the 145? | phase of contraction of the cardiac muscle tissue; systole |
| fax of health info is | permitted for urgent pt care & 3rd party payer hospitalization certification |
| forms of intentional misconduct | slander & invasion of privacy |
| In her studies on death & dying, Dr. Elizabeth Kubler-Ross described the 1st stage of grieving process as | denial |
| When dealing w/ unconscious pt, u still | refer pt by name, make only statements that u would make w/ conscious pt, reassure pt about what u are doing |
| a cathartic is used to | stimulate defecation |
| when x-raying elderly | address by full name, give straightforward instructions |
| what is the needle angle for intramuscular injections | 90 degrees |
| how should the wheelchair footrests be when assisting pt off/on it | moved aside |
| an esophagram would most likely be requested for pt w/ which disorders/symptoms? 1.varices 2.achalasia 3.dysphasia | varices & achalasia |
| what helps to reduce the viscosity of contrast media | warming |
| type of shock assoc. w/ PE or MI | cardiogenic |
| what must be included in pt's medical record or chart? 1.diagnostic & therapeutic orders 2. medical history 3. informed consent | all |
| what type of precautions prevent the spread of infectious agents in droplet form | airborne precautions |
| pt's consent is valid when: 1. pt sign consent form before sedation 2. physician named on consent form must perform the procedure 3. all the blanks on the consent form must be filled in before the pt signs the form | all |
| Heimlich maneuver is used if pt is | choking |
| Fomite examples | doorknob, spoon, x-ray table (not mouse) |
| legal phrase in which both the health care provider's & pt's actions contributed to an injurious outcome | contributory negligence |
| 1st treatment for extravasation of contrast media during IV injection | apply pressure to the vein until bleeding stops |
| which diastolic pressure readings might be hypertention? a.40mmHg b.60mmHg c.80mmHg d.100mmHg | 100mmHg |
| to reduce back strain from moving heavy objects, radtech should | pull object |
| Oxygen is classified as | a drug & be prescribed by md |
| If an emergency trauma pt experiences hemorrhaging from a leg injury, the RT should | apply pressure to bleeding site & call ED for assistance |
| Gas-producing powder or crystals usually are ingested prelimanary to which of the following exams? a. IVU b. BE c. cholecsytogram d.UGI | UGI -double-contrast GI series |
| Airborne precautions require | patient wear a mask |
| MRSA precautions requires | RT to wear masks |
| Droplet precautions requires | gloves |
| contaminated needles disposed | sharps container- do not recap needle & dispose entire syringe |
| Swan-Ganz catheter is | an IV catheter |
| which exams require restriction of pt's diet? a.BE b.pyelogram c. metastatic survey | BE & pyelogram |
| RT must do what before entering a contact isolation room w/ mobile xray unit? | put on gown & gloves |
| NG tube | Salem-sump, Levin |
| Central venous lines: | Port-a-Cath, PICC, Swan-Ganz catheter |
| Most effective method of sterilization | moist heat |
| condition which pulmonary alveoli lose their elasticity and become permanently inflated, causing the pt to consciously exhale is | emphysema |
| Chest drainage systems should always be kept | below the level of the pt's chest |
| Venous device used for pt requiring IV injection at frequent or regular intervals | Heparin lock |
| proper care of pt w/ tracheostomy: a.employ sterile technique if u must touch a trach b.before suction trach, pt should be well aerated c. never suction longer than 15 seconds-pt rest in between | all |
| Eye gear to be worn | assisting Radiologist w/ angiogram or biopsy/aspiration procedure |
| BUN ranges normal | 8 to 25 mg/100mL |
| Particulate matter entering the respiratory bronchi can cause | pneumoconiosis |
| forms of mechanical obstruction seen in neonates or infants | meconium ileus, volvulus, intussusception (not paralytic ileus) |
| pain whose coronary arteries are not conveying sufficient blood to the heart | angina pectoris |
| MRI procedure is contraindicated for pt who has | aneurysm clips |
| inanimate object that has been in contact w/ infectious microorganism is | fomite |
| advantages of using nonionic, water-soluble contrast media are: a | low toxicity; fewer adverse reactions |
| gerontologic pts undergo physical changes | muscle mass; bone calcium |
| MRSA precautions patient, RT's are to: | one RT stays "clean"(no physical contact w/pt), the RT who positions the mobile unit also makes exposure |
| symptoms assoc. w/ respiratory reaction to contrast media include | sneezing, hoarseness, wheezing |
| when pt asks to see chart | advise for him to view chart w/ his md |
| skin discoloration owing to cyanosis may be observed in | gums or earlobes |
| pt feels faint, RT should | lay pt down on x-ray table; elevate the pt's legs or place the table slightly Trendelenburg |
| urticaria | hives |
| BP measured in | mmHg (mercury) |
| which blood vessels are best suited for determination of pulse rate | superficial arteries |
| which ethical principle is related to sincerity & truthfulness | Veracity |
| talipes | congenital clubfoot |
| which order should these exams be performed | IVU, BE, UGI |
| hypochlorite bleach (clorox) & Lysol are | disinfectants |
| condition that allows blood to shunt between the right & left ventricles is called | ventricular septal defect |
| Logrolling is a method of moving pts having suspected of | spinal injury |
| the cycle of infection includes which of the following components? a.reservoir of infection b.susceptible host c. means of transmission | all |
| act of inspiration will cause elevation of | sternum & ribs |
| RT can be guilty of a tort if | failure to shield a pt of childbearing age from unnecessary radiation, performing an exam on pt who has refused exam, discussing a pt's condition w/ a 3rd party |
| to clean contaminated objects or surfaces | clean from the least contaminated to the most contaminated areas, clean from top down |
| RT did LSP xray that was suppose to have elbow xray, what charges can be brought against RT? | Battery |
| types of inflammatory bowel disease | ulcerative colitis, Crohn's disease (not intussusception-obstructive) |
| when caring for pt w/ IV line, medication should be kept | 18 to 20 inches above the level of the vein |
| disease that requre droplet precautions | rubella, mumps, infuenza |
| protective or "reverse" isolation is required in which of the following | burns ; leukemia |
| GI series has been requested on a pt w/ suspected perforated ulcer, the type of contrast medium should be | water-soluble iodinated media (Gastroview) |
| Nitroglycerin is used | to relieve pain from angina pectoris by dilating blood vessels |
| syncope pt to be put in which position | dorsal recumbent w/ feet elevated |
| diameter of needle's lumen is | gauge |
| pt recumbent postion w/ head lower than feet is | Trendelenburg |
| normal average rate of respiration for healthy adult | 12 to 20 breaths/min |
| a vasopressor and may be used for anaphylactic reaction or a cardiac arrest | epinephrine |
| examples of means by which infectious microorganisms can be transmitted via indirect contact | fomite, vector |
| proper hand washing technique | avoid using hand lotions whenever possible |
| following instructions be given to pt after barium exam | increase fluids & fiber for several days, change in stool color, if no bowel movement in 24 hrs call md |
| after meals | pc |
| symptoms of inadequate oxygen supply include | dyspnea, cyanosis, retraction of intercostal spaces |
| a pt whose systolic blood pressure is consistently greater than 140mmHg is | hypertensive |
| double contrast BE essential for demonstration of the condition | polyps, colitis |
| subjective data is | pt states that she experiences extreme pain in the upright position |
| symptoms of impending diabetic coma include | increased urination, sweet-smelling breath, extreme thirst |
| diseases that require contact precautions include | MRSA, C-diff (Clostridim difficile) |
| symptoms of shock | pallor & weakness, increased pulse |
| increased pain threshold, breakdown of skin, & atrophy of fat pads & sweat glands are all important considerations when working w/ which group of pts | geriatric pts |
| practice to retard growth of pathogenic bacteria | antisepsis |
| prep for UGI | NPO 8 hrs before exam |
| normal creatinine | 0.6 to 1.5 mg/100mL |
| equipment to determine blood pressure | stethoscope, sphygmomanometer |
| diseases transmitted by air | TB, mumps, rubella |
| small container holding several doses of medication is | a vial |
Created by:
mercedradx
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