Patient assessment monitoring and management Flashcards

(71 cards)

1
Q

which of the folloiwng may cause a patient to experience a syncopal episode

A

anxiety

hunger

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2
Q

all claustrophobic patients who are scheduled for MRI exams should be

A

handled delicately so as not to comploud their anxiety

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3
Q

patients who should be monitored (with pulse oximetry) during MRI procedures are

A

unresponsive and uncommunicative

sedated, psychiatric and pediatric

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4
Q

patients who have been sedated with diazepam should be monitored with

A

pulse oximetry

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5
Q

it is good practice for all patients who undergo MRI to be monitored

A

visually

verbally

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6
Q

BEFORE the publication of the “Contrast media Update” by the ACR in 2010, contraindications for using gadolinium included

A

none

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7
Q

AFTER the publication of the “Contrast media Update” by the ACR in 2010, contraindications for using gadolinium included

A

low GFR

renal insufficiency and or scute renal injury

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8
Q

precaustions for the use of gadolinium include

A

sickle cell crisis and hypertension

pregnance

low GFR

hemolytic anomalies and lactating mothers

prior contrast reactions and patients with a history of asthma or allergies

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9
Q

the approved gadolinium contrast agents are currently indicated for

A

intravenous injection for pediatric imaging

intravenous injection for abdominal imaging

intravenous injection for central nervous (CNS) imaging

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10
Q

the patient who has too much insulin in their body is experiencing

A

hypoglycemia

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11
Q

what is the correct order for administering basic life support

A

airway, breathing, circulation

ABC

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12
Q

if a patient while recumbent on the MR couch says that he or she feels faint, what action should the technologist take

A

place the patient in the trendelenburg position

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13
Q

the proper method of treating contrast media extravasation is to

A

remove needle

hold pressure on the vein until bleeding stops

apply ice

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14
Q

what may cause a loss of patency in an IV line

A

improper height of the IV solution

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15
Q

deep veins are not used in venipuncture because

A

they are close to major arteries and nerves

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16
Q

which of the following can be used for multiple doses of the same drug

A

vial

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17
Q

reducing viscosity of contrast media can be accomplished by

A

warming the contrast prior to administration

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18
Q

the stated guage of the IV needle or cather refers to its

A

diameter

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19
Q

which blood test for renal function is used in the calculatoin of eGFR (estimated glomular filtration rate)

A

serum creatinine

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20
Q

which of the folloing blood tests would be used to assess the patients risk of hemorrhaging during an invasive procedure (biopsy)

A

prothrombin time (PT)

international normalized ratio (INR)

platelet count

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21
Q

which blood vessel has the thickest tunica media

A

artery

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22
Q

a normal serum creatinine range is

A

0.6-1.5 mg/dL

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23
Q

an eGFR below 15 is indicative of

A

a patient in need of dialysis

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24
Q

although ALL patients must be evaluated on a case by case basis, the ACR recommends that gadolinium should not be administered in patients with an eGFR of

A

30 and below

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25
which type of circulation is responsible for reoxygenation of the blood
pulmonary
26
which of the laters of a blood vessel is made of fibrous, connective tissue
tunica adventitia
27
a normal range for blood urea nitrogen (BUN) is
8.0-20.0 mg/100dL
28
which type of blood cells carries oxygenated hemoglobin
erythrocyte
29
which lab test can be used as an indicator of dehydration
hematocrit
30
a \_\_\_\_\_\_\_can be used to administer nutrition or long term chemotherapy
venous catheter
31
the administration of IV injection gadolinium contrast media is indicated for MRI during
pediatric imaging abdominal imaging brain and spine imaging
32
the percent of patients who have been "reported" to have had reactions to contrast agents (gadolinium) in MRI is
less than 2%
33
patients who are at an increased risk of reactions to gadolinium include
history of asthma or allergies prior contrast reactions
34
patients who have been reported to have had reactions to gadolinium include
history of asthma or allergies prior contrast reasctions hemolytic anomalies
35
contrast agent reactions such as flushing, hives and nausea are called
nonsystemic
36
if you determine that an adult patient needs CPR what should your first response be
call for help
37
when performing one rescueer CPR on an adult, the rate of compressino to ventilatoin should be
30:2
38
what is the most severe form of convulsive seizures
grand mal
39
if CPR is not started with in \_\_\_\_\_\_minutes of cardiac arrest, there will be brain damage due to lack of oxygen
1-3 minutes
40
which type of shock is caused by failure of the heart to pump enough blood to the vital organs
cardiogenic
41
when lifting a patient what must one remember
keep your back straight keep your knees slightly bent
42
log rolling is a method of moving patients with a suspected
vertebral column injury
43
the most common site injured by technologists while caring for patients is the
lumbrosacral spine
44
during the movement and transfer of patients urinary catheter bags should be placed
below the level of the urinary bladder
45
when venipuncture is performed
the contrast agent must ALWAYS be flushed through the syringe, and tubing used and needle before injection to avoid the administration of air into the vein
46
which of the following may cause a patient to experience a syncopial episode
anxiety hunger
47
the diabetic patient who has excessive insulin in their body is said to have
hypoglycemia
48
if a patient has a cardiac arrest during MR imaging the technologist should
begin CPR while transferring the patient out of the scan room
49
during an emergency that occurs during MR imaging the technologist should
remove the patient from the MR scan room
50
a patient experiencing tachycardia will have a
rapid pulse rate
51
what is the average pulse rate for an infant
115-130 bpm
52
a normal blood pressure for an adult is
120/80 mmHg
53
which of the following blood pressure readings would indicate shock
diastolic pressure of 40 mmHg
54
a patient receiving oxygen should NOT have temperature measured via the \_\_\_\_\_route
oral
55
a patient with epistaxis has a
nose bleed
56
shock resulting from large loss of body fluid or blood is called
hypovolemic
57
for an unconscious patient who has sustained a head injury the main concern is
keeping a patent airway
58
geriatric patients likely exhibit which of the following
changes in anatomic landmarks fragile skin difficulty with balance
59
a technologist may administer oxygen in an emergency situation the most frequent rate is
2 L/min
60
the artery that is typically used to check an adults pulse rate is the
radial
61
the pulse used to check for circulation during CPR in an adult is the
carotid
62
which of the following conditions is common in a patient with COPD
orthopnea
63
in order to reduce the possibility of orthostatic hypotension the technologist should
sit the patient up slowly from the recumbent position and allow sufficient time sitting before proceeding to standing up
64
where would a central line catheter be located
subclavian vein
65
a patient with apraxia will have difficulty
dressing
66
a patient with aphasia will have difficulty with
speaking reading swallowing
67
severe hypoxia has a pulse oximetry reading of
85% and below
68
an adverse reaction or event caused by treatment by a healthcare professional is called
iatrogenic
69
a normal pulse rare range for an adult is
60-90 bpm
70
another term for fever is
febrile
71
a patient recovering from a seizure should be
placed in the recovery position (sim's)