PATIENT CARE Flashcards

(28 cards)

1
Q

An average range for activated partial thromboplastin time (blood clotting) is:
A: 10-12 seconds
B: 17-21 seconds
C: 25- 35 seconds
D: 43-55 seconds

A

C: 25- 35 seconds

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2
Q

Which of the following is the correct angle of insertion for placing a butterfly needle into a vein for intravenous administration of a contrast agent?
A: 5 degrees
B: 15 degrees
C: 45 degrees
D: 60 degrees

A

B: 15 degrees
Bevel upwards!

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3
Q

A total volume of 125 mL of an iodinated contrast agent is administered intravenously via automatic injector in 50 seconds. The flow rate for this injection is:
A: 0.75 mL/sec
B: 1.25 mL/sec
C:1.75mL/sec
D: 2.5 mL/sec

A

D: 2.5 mL
This is calculated by 125 divided by 50 to get 2.5mL

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4
Q

The condition whereby the patient suffers from a low concentration of oxygen in the blood is called:
A: hypoxemia
B: hypotension
C: hypoxia
D: hyponatremia

A

A: Hypoxemia

Hypoxia is when low oxygen occurs at a cellular level, not in the bloodstream

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5
Q

While you are obtaining a thorough history from a patient before the IV injection of an iodinated contrast material, which of the following should be included?
1. any prior allergic reactions to contrast media
2. presence of HIV or hepatitis
3. history of asthma
A: 1 only
B: 1 and 2 only
C: 1 and 3 only
D: 1,2, and 3

A

C, any prior allergic reactions to contrast media and a history of asthma

HIV and hepatitis aren’t relevant

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6
Q

Which of the following factors may affect a patient’s calculated glomerular filtration (GFR)?
1. age
2. sex
3. race
A: 1 and 2 only
B: 2 and 3 only
C: 1 and 3 only
D: 1, 2, and 3

A

D: 1,2, and 3. Age, sex, and race can affect a patient’s GFR

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7
Q

Which of the following intravenous contrast agent administration methods provides the greatest overall plasma iodine concentration?
A: drip infusion
B: bolus technique
C: biphasic technique
D: CT portography

A

B: Bolus technique

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8
Q

A patient in shock may exhibit which of the following symptoms?
1. tachycardia
2. rapid, shallow breathing
3 cyanosis

A: 1 only
B: 1 and 2 only
C: 1 and 3 only
D: 1,2, and 3

A

D: 1,2 and 3.

All of these

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9
Q

The drug SOLU-CORTEF may be classified as which of the following?
A: anticholinergic
B: bronchodilator
C: antihistamine
D: corticosteroid

A

D: Corticosteroid

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10
Q

Which of the following is a nonionic contrast?
A: iodamide
B:iothalmate
C: ioexhol
D: diatrizoate

A

C iohexol

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11
Q

Which of he following terms is used to describe a patient who is having difficulty breathing?
A: Dyslexia
B: Dyspnea
C: Dysphagia
D: Dysphasia

A

B: Dyspnea

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12
Q

Which of the following describes the situation in which an assumption is made that an unconscious person consents to treatment?
A: informed consent
B: witnessed consent
C: patient proxy
D: implied consent

A

D: implied consent

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13
Q

Complete cardiac diastole corresponds to which of the following on an EKG?
A: P wave
B: QRS complex
C: alpha wave
D: T wave

A

D: T wave

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14
Q

During CT arthrgraphy, iodinated contrast media is injected into the
A: joint space
B: intrathecal space
C: subarachnoid space
D: venous bloodstream

A

C: subarachnoid space

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15
Q

Which of the following is considered one of the iso-osmolar contrast media (IOCM)?
A: iodixanol
B: iopamidol
C: iohexol
D: ioversol

A

A: iodixanol

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16
Q

A common site for administering contrast media is the arm is called?
A: brachial fossa
B: olecranon fossa
C: retroulnar space
D: antecubital space

A

D: antecubital space

17
Q

The potentially serious decline in renal function after giving IV contrast is called?
A: anaphylaxis
B: bronchopspams
C: contrast induced nephrotoxicity (CIN)
D: urticaria

A

C: contrast induced nephrotoxicity (CIN)

18
Q

Advantages of a saline flush after giving IV contrast are:
1. Reduction in required contrast agent dose
2. reduction of possible CIN
3.reduction of streaking artifacts from dense contrast agents
A. 1 only
B. 3 only
C. 2 and 3 only
D. 1,2, and 3

A

D. 1,2, and 3
All of them!

19
Q

Which of the following medication may be given to dilate the coronary vasculature prior to a cardiac CT exam?
a. sublingual nitroglycerin
b. a adrenergic receptor blocking agent
c. albuterol
d. atropine

A

a. sublingual nitroglycerin

20
Q

A normal diastolic blood pressure for adults is
A. 40-60 mmHg
B. 60-90 mmHg
C. 80-120 mmHg
D. 95-140 mmHg

A

B. 60-90 mmHg

Remember 120/80 is normal range

21
Q

Which of the following is a parenteral route of giving a medication?
A. sublingual
B. intramuscular
C. transdermal
D. oral

A

B. intramuscular

Remember parenteral means any route other an oral

22
Q

Which of the following isolation techniques protects against infection transmitted through fecal matter?
A. acid-fast bacillus isolation
B. contact isolation
C. enteric precautions
D. drainage- secretion precautions

A

C. enteric precautions

Don’t let the fecal matter “enter” you

23
Q

During CT arthrography, iodinated contrast media is injected directly into the:
A. Intra-arterial space
B. Intrathecal space
C. Subarachnoid space
D. Intra-articular space

A

D. Intra-articular space
When contrast is administered directly into a joint space (THIS ISN’T THE SPINE), this is referred to as an intra-articular injection

24
Q

Of the following,which is a non ionic radiopaque contrast media?
A. Iopamidol
B. Correct answer
C. Iodipamide
D. Iothalamate

A

A. Iopamidol is a non ionic radiopague contrast material

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