Patient Care Flashcards
(125 cards)
1
Q
Which two of the following would require a patient to be placed in reverse isolation?
A
- Bone marrow transplant
- Third-degree burns
2
Q
Which of the following medications would be given to a patient suffering from angina pectoris (chest pain)?
A
Nitroglycerine
2
Q
The best communication method for dealing with toddler-aged children (1-3 years old) having radiographic procedures that may be painful is:
A
describe the sensation they may experience
3
Q
Which of the following are considered methods of classification for bacteria?
A
- Shape
- Oxygen requirement
- Genetic makeup
- Cell wall composition
4
Q
Rapid onset of severe respiratory or cardiovascular symptoms after ingestion or injection of a drug, vaccine, or contrast agent best describes:
A
Anaphylaxis (allergic disorder)
5
Q
Mandatory standards that specify the minimally acceptable professional conduct of radiographers are found in:
A
The ARRT Standards of Ethics
6
Q
What is a nosocominal infection?
A
Infection acquired in a hospital
7
Q
The medical condition ketoacidosis refers to which of the following?
A
Acute hyperglycemia
8
Q
Which of the following conditions is a complication of gastroesophageal reflux disease (GERD)?
A
Barrett’s esophagus
9
Q
Select the valve within the heart that separates the right atrium from the right ventricle?
A
Tricuspid valve
10
Q
A medical instrument that evaluates oxygen saturation in the blood is called a?
A
Pulse oximeter
11
Q
Which drug is most likely to be administered first in response to a patient experiencing severe bronchospasm following injection of iodinated contrast media?
A
Epinephrine
12
Q
Which section of the Safety Data Sheet (SDS) provides information on the recommended use of the chemical and restrictions on its use?
A
Section 1: Identification
13
Q
Which of the following is true regarding fungi?
A
Cells are protected by a membrane and a thick cell wall
14
Q
A sphygmomanometer is used to measure:
A
Blood pressure
15
Q
Patients with known contagious illnesses are separated from others in the hospital using:
A
Transmission-based precautions
16
Q
Where should the tourniquet be placed when performing venipuncture?
A
3-4 inches proximal to the injection site
17
Q
Chemotherapy drugs are classified as:
A
Hazardous chemical waste
18
Q
Which position is described as a patient placed on a stretcher with the head elevated 45- 60 degrees?
A
Fowler position
19
Q
If a dose of Benadryl is needed for an anaphylactic reaction to intravascular iodinated contrast, what is the best route of administration?
A
Intravenous
20
Q
If a technologist touches an MSRA-affected area on a patient without using PPE and later develops an infectious lesion on the hand, what method of transmission occurred?
A
Direct contact
21
Q
Which is a true statement regarding the disposal of chemotherapy waste?
A
It requires special handling and disposal procedures
22
Q
The term extravasation means:
A
Leakage of intravenous fluids into surrounding tissues
23
Q
How can improper use of radiographic markers impact patient care?
A
It can lead to misinterpretation of the images
24
The passing of a tube into the trachea to administer oxygen to aid in respiration is termed:
Intubation
25
When obtaining a manual blood pressure reading, how is the diastolic number determined?
It is the pressure measurement corresponding to the last heart sound heard when the pressure is released and the cuff is deflating
26
What is considered a normal range for blood urea nitrogen (BUN) lab values in an adult?
7 to 21 mg/dL
27
Which three (3) of the following are typical methods of contrast administration used in the medical imaging department?
- Antegrade
- Intrathecal
- Retrograde
28
According to the ACT Manual on Contrast Media, which three (3) of the following are considered severe physiologic reactions to contrast media?
- Vasovagal reaction resistant to treatment
- Arrhythmia
- Convulsions seizures
29
Which of the following would be considered a contraindication for IV contrast injection?
eGFR greater than 30
30
Which of the following veins is found in the antecubital fossa and commonly used for venipuncture during an IVU?
Median cubital
31
The primary principle for protecting personnel from exposure while handling radioactive materials is to:
Use time, distance, and shielding when handling radioactive materials
32
Which of the following contrast administration methods would require the use of sterile technique?
Intrathecally
32
Which of the following is the primary reason why radiographic markers are considered a part of the legal medical record?
They document laterality and positioning
33
Why is it important for a radiologic technologist to wear a personal dosimeter?
To measure cumulative radiation exposure
34
The term syncope refers to
fainting
35
Which of the following describes the meaning of the term “ipsilateral” in regard to injuries?
Injuries on the same side of the body
36
The implantable apparatus shown in the image is an example of a device used for:
Long term administration of medications. A subcutaneous venous access port.
37
At what time interval after injection of the contrast medium should this nephrogram image typically be taken during an IVU?
Within 1 minute
38
A patient with pertussis or influenza needing transmission-based precautions would most likely be placed in which of the following?
Droplet precaution isolation
39
Which three (3) of the following are considered symptoms rather than signs of an underlying problem?
- Anxiety
- Fatigue
- Malaise
40
A patient suffering from chronic dyspnea may also suffer from:
Emphysema
41
What is the term for the bony tissue that forms during the healing process at the fracture site in lower extremity bones?
Callus
42
If a technologist performs an IVU on a patient who was supposed to have had a lumbar spine series, the technologist may be charged with:
Battery
43
Which of the following is a possible sanction from the ARRT if a technologist repeatedly violates the Standards of Ethics?
Revocation of certification and registration
44
When administering contrast media, the technologist should always consider the six rights of medication administration. Which six of the following are included in these rights?
The six rights include the right patient, right medication, right dose, right route, right time, and right documentation
45
The functional tissue of the lungs is the:
Alveoli
46
If a technologist is involved in a lawsuit, it will typically fall under which kind of law?
Civil law
47
During what stage of pregnancy is the central nervous system especially sensitive to radiation?
Fetal
47
Which two (2) of the following are characteristics of microorganisms?
- Single-celled
- Colonizing
48
A very serious and life-threatening response to an injection of contrast medium is called:
Anaphylaxis
49
What must be worn when entering the room of a patient in droplet isolation?
Mask
50
Which hospital affiliation created a document mandating that a patient has the right to review their medical records and access information to ensure everything is correct and complete?
American Hospital Association (AHA)
51
Mandatory standards that specify the minimally acceptable professional conduct of radiographers are found in:
The ARRT Standard of Ethics
52
What is the primary purpose of a Safety Data Sheet (SDS) in a radiography department?
Detail the hazards and handling instructions for chemicals
53
A technologist receives an order to check the placement of a percutaneous endoscopic gastrostomy (PEG) tube. What is this tube used for?
Nutritional support
54
What should be administered to a patient in a diabetic coma from hyperglycemia?
Insulin
55
To ensure clarity when providing post-examination instructions to a patient, the technologist should:
Provide written instructions and review them orally with the patient
56
In the SDS, which section is essential for immediate response to exposure incidents?
Section 4: First Aid Measures
57
A patient who has been diagnosed with active pulmonary tuberculosis requires what type of precaution be taken by healthcare providers?
Airborne
58
Which of the following is considered a side effect of diphenhydramine (Benadryl)?
- Drowsiness
- Dizziness
- Dry mouth.
59
A contaminated object, such as a Fohley catheter, acting as a source of disease transmission is called a:
Fomite
60
As a technologist, you must not promise patients results that you cannot achieve. This refers to the ethical principle of:
Fidelity
61
The bloodstream is a common site for nosocomial infections. Which of the following is the most common cause of a nosocomial infection related to the vascular system?
Poor care of an indwelling vascular access device
62
Which of the following terms is used to describe abnormally slow breathing?
Bradypnea
62
Which two of the following medications administration would be considered parenteral? (“beyond the intestines”) bypass the gastrointestinal tract
_ Injection
- Transdermal
62
Would failure to include HIPAA training as part of a technologist new employee orientation be considered a HIPAA violation?
This would be a HIPAA violation
63
What is the purpose of inserting a peripherally onserted central catheter (PICC) line?
Provides access to the large veins near the heart
64
Which of the following vessels is most commonly used to measure blood pressure?
Brachial artery
65
Which two of the following PPE are mandatory for a technologist to wear before entering a contact isolation room?
- Disposable gown and gloves
66
A vasodilator would most likely be used for:
Angina pectoris
67
What type of fall precautions are implemented in health care facilities to reduce the chance of falls in patients regardless of fall history, age, or fall risk?
Universal fall precautions
68
Injection of iodinated contrast medium may be contraindicated for a diabetic patient who is currently taking which of the following medications?
Metformin
69
A radiologic technologist is performing a chest x-ray on a patient who has refused the procedure. The technologist proceeds with the examination without the patient’s consent. What ethical principle is the technologist violating?
Autonomy
70
What is the primary means of transmission for Hepatitis B?
Blood or body fluid
71
What kind of shock occurs when toxins produced during a massive infection cause a dramatic drop in blood pressure?
Septic
72
Which two of the following diseases can be transferred by a vector?
- Lyme disease
- Malaria
73
Which of the following conditions is described as an unsystematic discharge of neurons?
Seizure
74
Diabetes mellitus is a metabolic disease resulting from a chronic disorder of:
Blood glucose metabolism
75
What is the purpose of a diuretic?
Promoting urine production
76
What is the significance of the flash point listed on a Safety Data Sheet (SDS)?
It signifies the temperature at which a chemical can ignite
77
What is a fomite?
is an object that has been in contact with pathogenic organisms ( catheter, radiographic table, contaminated gloves).
78
What is a vector?
is an insect that carries and transmits pathogens.
79
What is a host?
is an organism that carries an infection or is at risk of infection.
80
What is a parasite?
is an organism that lives in or on an organism of another species and benefits by deriving nutrients at the other’s expense.
81
is the obligation to be loyal or faithful, including the observance of promises or duties.
Fidelity
82
means goodness, and actions that bring about good are right actions.
Benefience
83
means to do no harm.
Nonmaleficence
84
is the obligation to tell the truth
Veracity
85
is the obligation to treat all with equity
Justice
86
means respecting the independence of others
Autonomy
87
are commonly related to suboptimal care of devices that breach the integrity of the skin,
Nosocominal infections
88
is a term for decreased respiratory rate, typically less than 12 breaths per minute
Bradypnea
89
is a pause in breathing that can happen quickly without warning
Apnea
90
is shortness of breath or difficulty breathing
Dyspnea
91
is shortness of breath that occurs when lying down and is relieved by sitting or standing
Orthopnea
92
The class of medications that are used to treat nausea and vomiting are
Antiemetics
93
Antiemetic drugs include
Compazine, Phenergan, scopolamine, Dramamine
94
Medication used to reduce fever
Antipyretics
95
Which of the following drugs might be given to a patient prior to an inasive ptocedure to reduce anxiety
Midazolam (Versed)
96
Antianxiety drugs (anxiolytics) include:
Lorazepam (Ativan), Diazepam (Valum), Midazolam (versed), and Alprazolam (Xanax)
97
Which of the following is required for all pathogens to survive?
Host
98
How wide is the border on a sterile field that is non-sterile and considered safe to touch?
1 inch
99
Which two of the following are accurate guidelines for cleaning contaminated surfaces?
- Clean from least contaminated to most contaminated
- Clean from top to the bottom
100
Where must paper medical records be stored to avoid violating HIPAA?
In locked rooms or file cabinets
101
What is the minimal time for effective hand washing according to the CDC?
At least 20 seconds
102
Which three of the following are considered protected health information under the HIPAA privacy act?
- Cell phone number
- Medical record number
- Medical device identifier
103
Which two of the following catheters are used for central vascular access?
- Groshong
- Hickman
104
What term describes the process of removing pathogenic microorganisms, except bacterial spores, on inanimate objects?
Disinfection
105
At what level does oxygen saturation affect the brain?
80-85%
106
At what point is a person at risk of irreversible brain damage if they develop cerebral hypoxia?
Less than 5 minutes
106
When referring to a hypodermic needle, the term gauge is used to identify the:
Lumen size of the needle
107
What does the medical abbreviation "b.i.d" mean? Latin phase bis in die
Twice a day
108
Which of the following would be considered moderate reactions to iodinated contrast media pick three?
- Wheezing eith mild or no hypoxia
- Facial edema without dyspnea
- Diffuse urticaria
109
A cancer patient may have which three devices inserted to aid in the delivery of strong chemotherapy medication?
- Hickman line
- Peripherally inserted central catheter (PICC) line
- Power port
110
Systolic blood pressure can be defined as the:
Highest point reached during contraction of the left ventricle
111
Which of the following methods of obtaining the temperature of a five-month-old is most accurate?
Rectal
112
What was a catalyst for enacting the HIPAA in terms of patient privacy and security?
Increased use of electronic data in healthcare
113
Which method for measuring body temperature may be contraindicated for patients with cardiac conditions?
Rectal method
114
What is the medical term for fever?
Pyrexia
115
deficiency of oxygen reaching the tissues of the body
Hypoxia
116
What is meant by the term res ipsa loquitur
The thing speaks for itself
117
Which of the following would be considered a severe systematic effect of anaphylaxis?
Rapid onset of hypotension
118
Which two of the following are characteristics of barium sulfate?
- barium sulfate increases opacification of the area of interest
- barium sulfate is a colloidal suspension when mixed in water
119
