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51 Cards in this Set
- Front
- Back
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How is patient assessment useful in setting priorities?
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Assessment allows you to determine what sequence patients should be performed to meet their needs.
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What behaviors might patients exhibit?
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Anger, rudeness, inappropriate speech, excessive talking or become withdrawn
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If you must leave your patient, not for lunch or a break, but for a legitimate reason you should do what before you leave?
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Introduce the replacement to the patient
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Where should patient's valuables be secured wile in radiology?
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In a secure locker or a designated place that the patient can see them.
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Before you offer a drink to the patient you must check what?
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The chart to make sure they are allowed to drink
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What is NPO?
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Nothing by mouth. no food or water, no gum or even a cigarette
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What in incontinence?
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The inability to control urination or defecation.
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What does a quantitative test require?
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That all specimens be saved, failure to do so ma invalidate an entire 2 hour urine collection.
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Where must urine collection bags be kept while connected to a patient?
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Below the patient's bladder to keep urine from back flowing into the bladder.
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What is a colostomy or an ileostomy?
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Surgically formed fistulas from the large or small bowel through the abdominal wall that terminate in an external opening called a stoma.
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What is a fistula?
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An abdominal passage from an internal organ to the body surface or between two internal organs usually from an infection or disease.
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Colostomy patients almost always carry what with them?
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Extra supplies
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What do the radiologists depend on from the radiographer?
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Accurate information about the patients' history and present condition.
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Why must you still get a history from the patient even if a history is given on the requisition?
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It could be relevant to the procedure you're requested to perform.
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List the suggested outline for obtaining a patients history. Also make sure to read the section on assisting a patient with a bedpan.
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Onset, duration, specific location, quality of pain, aggravates, alleviates
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To establish that a change of status has of status has taken place you must have what?
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A baseline for your observations.
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Why do radiographers need to know if the patient has been experiencing emesis or if they are allergic to anything?
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The patient's status and condition can affect the outcome of the study and impede on their standard of care.
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What is one of the easiest vital signs to observe?
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Their skin color
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What is cyanotic?
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A bluish color in the skin that indicates a lack of sufficient oxygen in the tissuses. Most easily seen in the lips or nailbeds.
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What sign tells you the patient needs an unusual amount of reassurance?
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Wet palms and shaking hands.
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What are the 4 vital (cardinal) signs?
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Temperature, pulse rate, respiratory rate, and blood pressure
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Although temperatures vary during the day, give normals for oral, rectal and axillary.
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Oral: 98.2F-99.6F
Rectal: .5-1F higher than oral Axillary: .5-1F lower than oral |
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What is pyrexia or hyperthermia?
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A fever indicating an increase in body metabolism, in response to an infectious process.
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When is an oral temperature not accurate?
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After a hot or cold beverage, while on oxygen, or breathing via the mouth
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What devices are primarily used on children for temperature?
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Tympanic or disposable strip sensitive paper
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What is a pulse?
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An advancing pressure wave in an artery caused by the expulsion of blood when the left ventricle of the heart contracts.
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What is tachycardia?
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When the heart beats more than 100 times per minute
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What is the normal pulse rate for adult?
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60-100 beats per minute
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What is normal pulse rate for newborn-1yr, children 3-8, and children 12-16?
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Newborn-1yr: 120-125
children 2-9: 110-90 children 12-16: 90-75 |
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What are the 6 common pulse points?
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temporal, carotid, apical, femoral, radial, and pedal
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Why can you not use your thumb to take a pulse?
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Because your own thumb has a pulse.
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What pulse point should you use for a patient that has lost consciousness?
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Carotid
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Which pulse point can you not feel?
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apical
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When do you count for a full minute when taking a pulse?
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When using the apical pulse point or the pulse at any point is irregular.
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Why do you count respirations while countinuing to hold the patients wrist?
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so they will not alter their breathing.
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What is the normal adult respiratory rate and rates for a newborn, 1yr old, children 3-8 and children 12-16?
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Adult= 12-20 breaths per minute
Newborn= >60 1 yr= 22-30 3-8= 18-26 12-16= 14-22 |
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What is dyspnea?
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difficulty breathing
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What is tachypnea?
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rapid breathing
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What is pleurisy?
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Inflammation of the pleura, sometimes resulting in adhesion of pleural membranes and cause dyspnea.
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What causes difficult breathing when a patient is recumbent?
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the weight of the abdomen and the abdominal organs pushing against the diaphragm.
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What does systolic measure?
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the pumping action of the heart
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What does diastolic measure?
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the ability of the arterial system to accept the pulse of blood force into the system upon contraction of the left ventricle.
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What is a normal blood pressure?
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110-120 systolic
------------------------- 60-80 diastolic |
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What is a person hypertensive?
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When they have a blood pressure that is consistently above the normal range
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A person might be in hypotension (may also indicate shock) when?
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The diastolic pressure is less than 50mm Hg or a systolic pressure below 90mm Hg or when either reading is 20% below the patient's normal.
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When taking a blood pressure where does the cuff need to be placed?
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at the level of the heart
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Why do you need a blood pressure on an outpatient for an intravenous contrast or systemic medication to be given?
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Because if the patient has a reaction you will know the patients baseline
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What measures your pulse rate and blood oxygen levels at your ears?
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a pulse oximeter
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If you see the oxygen reading go below 95%, what is wrong, and what should you do?
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The tissues are not receiving enough oxygen; call for the radiologist or the nurse. If the patient is not on oxygen up to 2 L/m can be administered.
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What should you do if your patients ECG displays flat lines?
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check the patient and the electrodes before calling a code.
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What does the EEG machine measure?
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Electrical activity of the brain
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