Patient Care Finals

Front 1

a patient comes to radiology strapped to a wooden board following a car accident, The ER doctor

Back 1

Fracture or dislocation of the cervical vertebrae

Front 2

a patient feels lightheaded and dizzy upon standing quickly for a CXR. they are probably experiencing

Back 2

Orthostatic hypotension

Front 3

An object that may become contaminated with a pathogenic organism and then serve as an agent of transmission

Back 3

Fomite

Front 4

In the 1850's when the 1st large hospitals were established, they were:

Back 4

Reservoirs of disease used only by the poor and hopeless

Front 5

In the current state of HC with managed care and cost concerns, the _____ became the 'gatekeepers'

Back 5

Family practitioners

Front 6

In the late 1860's the work of Louis Pasteur and Joseph Lister led to....

Back 6

significant reduction in death rates due to infection, the introduction of the concept of asepsis during surgery, the availability of antiseptic solutions

Front 7

management tools currently used in hospitals to monitor and improve quality of service include...

Back 7

Total Quality Management (TQM) & Continuous Quality Improvement (CQI)

Front 8

Surgical asepsis is accomplished through the.....

Back 8

Use of an autoclave

Front 9

T/F 'chronology' is included in the Frequency,Duration,and Onset components of clinical history

Back 9

True

Front 10

T/F A cometent adult patient has the right to - have all of their medical information kept in strictest confidence regardless

Back 10

True

Front 11

T/F A cometent adult patient has the right to - have free medical care if they are uninsured

Back 11

False

Front 12

T/F A cometent adult patient has the right to - know the identity of the person treating them unless the person is a student

Back 12

false

Front 13

T/F A cometent adult patient has the right to - receive an explanation of medical procedures in their native language

Back 13

True

Front 14

T/F A cometent adult patient has the right to - review their medical records with their physician present

Back 14

True

Front 15

T/F A radiographer must complete a surgical scrub prior to entering the surgical suite

Back 15

False

Front 16

T/F a slide board can be effectively used with or without a dry draw-sheet placed under the patient

Back 16

False

Front 17

T/F A sterile field can be set up by someone wearing sterile gloves and a gown

Back 17

False

Front 18

T/F A sterile field that is left uncovered and unobserved for a period of 5 minutes must be considered unsterile and be replaced

Back 18

True

Front 19

T/F After completing a surgical scrub, donning sterile gloves requires the assistance of another sterile person

Back 19

False

Front 20

T/F An unsterile person can safely reach across a sterile field as long as they are careful not to touch anything

Back 20

False

Front 21

T/F assist the patient on their weak side and have them move toward the stronger side

Back 21

True

Front 22

T/F discourage story telling by the patient. this is a waste of time

Back 22

False

Front 23

T/F hold the patient close to you and twist to guide them toward the table

Back 23

False

Front 24

T/F It is unnecessary to wash your hands if you are donning sterile gloves and gown

Back 24

False

Front 25

T/F keep your back straight; bend your knees and lift with your legs

Back 25

True

Front 26

T/F Silence is OK when with a patient

Back 26

True

Front 27

T/F sterile gowns are considered sterile only on the front from the waist up and on the sleeves

Back 27

True

Front 28

T/F Sterile water can be spilled onto a sterile drape without any negative consequences

Back 28

False

Front 29

T/F summarize and repeat the info back to the patient for clarification during exam

Back 29

True

Front 30

T/F the center of gravity in a young adult is in the mid-abdominal region

Back 30

False

Front 31

T/F the primary purpose of obtaining a history is to help you develop an effective relationship with the patient

Back 31

False

Front 32

T/F touching a patient is an aspect of non-verbal communication

Back 32

True

Front 33

T/F two sterile persons should pass each other face-to-face

Back 33

False

Front 34

T/F Use leading questions so the patient understands what anwer you are looking for

Back 34

false

Front 35

T/F Use of an autoclave is necessary to accomplish medical asepsis

Back 35

False

Front 36

T/F Use of chemical disinfectants on equipment is necessary to accomplish medical asepsis

Back 36

True

Front 37

T/F use stability (postural) muscle for lifting

Back 37

False

Front 38

T/F washing hands is necessary to accomplish medical asepsis

Back 38

True

Front 39

T/F when performing a surgical scrub, start above the elbows and finish with the hands and fingers

Back 39

False

Front 40

T/F When transforming patient from stretcher to the table, it is better to push rather than pull

Back 40

False

Front 41

T/F you need to maintain interest in what the patient is saying and write it down

Back 41

True

Front 42

T/F your facial expression is an aspect of non-verbal communication

Back 42

True

Front 43

T/F your hairstyle is an aspect of non-verbal communication?

Back 43

True

Front 44

T/F your personal hygiene and posture is an aspect of non-verbal commincation

Back 44

True

Front 45

the Greek philosopher who is credited with being the father of modern medicine

Back 45

Hippocrates

Front 46

the management function that charts a course of action for the future to enable coordinated and consistent fulfillment of goals and objectives is called...

Back 46

planning

Front 47

The most rapid technological advancements occurred in what time of history

Back 47

1800's

Front 48

what are the acceptable pediatric restraint devices

Back 48

Piggostat, brat board, octastop, velcro

Front 49

What are the appropriate reasons for immobilizing a competent adult patient

Back 49

a confused patient at risk of falling off the table & to avoid repeats due to motion

Front 50

What are the components of clinical history - sacred seven

Back 50

Localization, chronology, Quality, Severity, Onset, Aggravating/Alleviating Factors, Associated Manifestations

Front 51

What is the legislative organization is responsible for setting general safety standards for HC organizations

Back 51

OSHA

Front 52

What is the most effective tool the RT should utilize to avoid repeats due to motion

Back 52

effective communication

Front 53

when caring for a patient with a visual impairment, effective communication can be assured by...

Back 53

physically guiding them through instructions & touch and speak to them so they know where you are

Front 54

which of the following regulatory agencies is responsible for voluntary accreditation of hospitals?

Back 54

JCAHO

Front 55

What is a Reservoir?

Back 55

passive host or carrier that harbors pathogenic organisms, without injury to itself

Front 56

What is a Vector?

Back 56

carrier, an animal (arthopod) that transfers an infective agent from one host to another

Front 57

A microbial community found on or in a healthy individual?

Back 57

Flora

Front 58

A post open-Heart patient develops a staph infection in the area of the surgical incision. This is classified as _________

Back 58

Noscomial infection

Front 59

The infection that poses the greatest risk to healthcare workers is.....

Back 59

HBV

Front 60

T/F bacterial agents are effective to kill all pathogenic microorganisms

Back 60

False

Front 61

T/F Mucous serves as a barrier to protect the body from infection

Back 61

True

Front 62

T/F a mosquito can act as a fomite in the transmission of pathogens

Back 62

False

Front 63

T/F the destruction of all microscopic organisms is called medical asepsis

Back 63

False

Front 64

T/F the infection of a HC worker contracted from a patient is called a nosocomial infection

Back 64

False

Front 65

T/F it may take as long as 7 or 8 minutes to effectively remove contaminants while washing your hands

Back 65

True

Front 66

T/F chemical disinfectants containing chlorine should never be used on a patient

Back 66

True

Front 67

T/F UV light is an effective method for control of airborne pathogens

Back 67

True

Front 68

T/F Used needles should be removed from the syringe before properly discarding in a designate sharps container

Back 68

False

Front 69

What is required when caring for a patient on simple contact precautions

Back 69

Wash hands, Gloves and gown

Front 70

If a patient states that she is HIV positive what precautions should be taken?

Back 70

Standard precautions

Front 71

T/F angiogram requires surgical asepsis

Back 71

True

Front 72

T/F Arthrogram requires surgical asepsis

Back 72

True

Front 73

T/F Myelogram requires surgical asepsis

Back 73

True

Front 74

T/F Lymphangiogram requires surgical asepsis

Back 74

True

Front 75

bacteriostatic solutions are used to accomplish ____ asepsis

Back 75

Medical Asepsis

Front 76

what types of patients require neutropenic precautions?

Back 76

newborns, burn victims, HIV/Aids patient

Front 77

What parts of a gown are considered sterile?

Back 77

Sleeves & front from waist up

Front 78

what characteristic of barium causes constipation?

Back 78

Flocculation

Front 79

When donnng sterile gloves, which area is acceptable to touch with a non sterile hand?

Back 79

inside the cuff

Front 80

patients who are immunosuppressed due to infection with HIV should be cared for using ______ precautions

Back 80

Neutropenic

Front 81

When performing venipuncture...

Back 81

the site for the needle insertion should be palpated prior to cleansing the area with alcohol

Front 82

Insertion of a 1 1/2 19 gauge needle at 90 degree angle into the lateral thigh describes a _____ injection

Back 82

Intramuscular

Front 83

absolute removal of all life forms is....

Back 83

sterilization

Front 84

bacteriostatic solutions are used to accomplish....

Back 84

medical asepsis

Front 85

IV solutions should remain at a level _______ the patient in order to function properly

Back 85

Above

Front 86

Name for hives

Back 86

Urticaria

Front 87

if you find a diabetic person unconscious and diaphoretic - what should you do?

Back 87

Call for help

Front 88

Bleeding from nose

Back 88

epistaxia

Front 89

a patient experiences a seizure during a radiographic procedure. your primary goal should be to....

Back 89

prevent the patient from injuring himself

Front 90

patient experiences a warm, flushed feeling upon injection of iodinated contrast. This is due to the _____ of the contrast

Back 90

Osmolality

Front 91

iodinated contrast agents can be used to visualize...

Back 91

digestive system, urinary system, blood vessels, shoulder joint

Front 92

oil-based iodinated contrast agents are used for...

Back 92

sialogram

Front 93

upon rapid injection of iodinated contrast, the patient report a very uncomfortable rash of heat throughout their body. This is probably due to...

Back 93

Hypervolemia

Front 94

the probability of a sever allergic reaction to iodinated contrast is directly related to...

Back 94

osmolality

Front 95

T/F ionic iodinated contrast results in more hypervolemic reactions than non-ionic

Back 95

True

Front 96

what are the contraindications for injection of iodinated contrast agents...

Back 96

multiple myeloma, sickle-cell anemia, diabetic using glucophage

Front 97

what medications should be discontinued 48 hours prior to and after injection of iodinated contrast agents

Back 97

metformin

Front 98

what is the normal creatinine level

Back 98

.5-1.2 mg/dL

Front 99

put the following procedures in order: ACBE, lumbar spine, UGI/SBS, IVU

Back 99

Lumbar Spine, IVU, ACBE, UGI/SBS

Front 100

what is the benefit to the patient for scheduling an IVU and BE on the same day

Back 100

patient only needs to undergo the prep one time

Front 101

what was the most significant problem consistantly experienced with early iodnated contrast agents

Back 101

toxicity

Front 102

which of the following may be used as a prep for a BE

Back 102

dietary restriction, cathartics, cleansing enema

Front 103

T/F a retention balloon on the tip (for BE) should be inflated as large as possible

Back 103

False

Front 104

a position in which a patient is supine with their head raised 18-20" and the knees are also raised is called

Back 104

Fowlers position

Front 105

patients with chronic inflammatory condition of the colon are at increased risk of...

Back 105

perforation

Front 106

extravasation of Ba into the abdominal cavity can lead to...

Back 106

Peritonitis

Front 107

why is it important to use cool tap water when mixing barium for BE

Back 107

reduced patient discomfort due to crampine

Front 108

insertion of a 5/8 inch; 25 gauge needle at a 45 degree angle into the outer surface of the upper arm describes a ________ injection

Back 108

Subcutaneous

Front 109

during IV injection of iodinated contrast, the patient complains of burning at the injection site and you observe slight swelling - this is likely caused by...

Back 109

extravasation of contrast into surrounding soft tissue

Front 110

during IV injection of iodinated contrast, the patient complains of burning at the injection site and you observe slight swelling - the RT should....

Back 110

remove the needle, apply pressure and a cold compress

Front 111

what should be included in patient history for an IVU

Back 111

blood pressure, hematuria, BUN, allergies

Front 112

what is the purpose of flushing an IV line before and after an injection

Back 112

prevent mixing of the contrast with other medications

Front 113

if a patient arrives with an IV in place, with blood visible in the tubing. What action should the radiographer take?

Back 113

raise the level of the IV solution in relation to the IV access site

Front 114

the easily accessible vein located on the anterior surface of the elbow is

Back 114

median cubital vein

Front 115

what is a disadvantage of using a small vein on the back of the hand

Back 115

limits the flow rate that can be used

Front 116

what is the relationship between the needle gauge and the diameter of the lumen?

Back 116

as the gauge # increases, the diameter decreases

Front 117

a student radiographer prepares iodinated contrast for IV injection - what steps must be taken by the supervising technologist?

Back 117

verify the type and concentration of contrast as well as the expiration date

Front 118

what are the R's of drug administration

Back 118

Right Drug, Right Amount, Right Patient, Right Time, Right Route

Front 119

the primary medical problem that the patient tells you about

Back 119

Chief Complaint

Front 120

T/F postural muscles include the rectus abdomin and the erector spinae muscles

Back 120

True

Front 121

T/F mobility muscles include the biceps brachii and the hamstring group

Back 121

True

Front 122

Where is the center of gravity located in most people

Back 122

S-2

Front 123

which pediatric restraining device keeps the childs arms up?

Back 123

pigg-o-stat

Front 124

what is auscultation...

Back 124

listening to sounds of the body using a stethoscope

Front 125

what are the 5 routes commonly used to measure body temperature?

Back 125

Oral, axillary, tympanic, temporal, rectal

Front 126

what is the normal body temperature

Back 126

97.7 to 99.5 F (36.5 to 37.5 C)

Front 127

what is the normal respiration rate?

Back 127

Adult 12-20/min (Child 20-30/min)

Front 128

What is the normal pulse?

Back 128

Adult 60-100 breath/min (Child 70-120 breath/min)

Front 129

what is the normal blood pressure?

Back 129

<120 Systolic (contracting) / <80 Diastolic (dialation)

Front 130

what is the chain of infection?

Back 130

infectious microorganism>mode of transmission>reservoir>host>>>

Front 131

step process to establishment of an infectious disease

Back 131

encounter>entry>spread>multiplication>damage>outcome

Front 132

describe the trendelenburg position

Back 132

position in which the patient is supine on the table, with head tilted downward 30-40 degrees