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Flashcards in Quiz 3 Deck (123):
1

Define nuclear medicine

type of medical imaging that uses radioactive isotopes, cameras and computers to view the body

2

how are nuclear medicine images produced?

through the detection of energy emitted from radioactive substances given to the patient

3

different radioactive isotopes are absorbed differently by various parts of the body, what does this allow?

doctors to isolate specific organs and body functions

4

Nuclear medicine tests allow?

doctors to look at the physiological function for the body -including blood flow and organ function

5

radioactive material may be given what ways?

1. injection
2. orally
3. inhalation in form of gas

6

the type of radioactive material given is determined by the organ the doctor wants to see. T/F

true

7

after the NM has been given and enough time has passed pictures are taken of what?

gamma rays emitted by the radioactive material by a machine

8

the picture produced in NM is called?

scan or image

9

what instrument does NM use to take scans/images?

gamma camera

10

radioactive material is given how much time prior to the procedure?

1/2 hour to 2 hours

11

nuclear medicine would phone your floor to let your nurse know what time the apt is and best time to give the medicine. T/F

true

12

a patient may be asked to return to the nuclear medicine department, how many hours after the initial test has been done do they need to go back?

1-2 hours

13

why does the patient go back to the nuclear medicine department after the initial test?

to have more scans done as a concentration of the radioactive changes

14

is the weight of the patient usually required to determine the amount of radioactive material is to be given?

yes

15

why is the weight of the patient given to NM department?

to determine how much radioactive material to give

16

what are the 5 different types of radioactive isotopes?

1. Gallium
2. Thallium
3. Technetium 99cm (Tc-99m)
4. Radioactive Iodine
5. Strontium

17

why is a gallium scan done?

to diagnose inflammation, disease or tutors in the body

18

why is a PET scan done?

to visualize biochemical changes taking place in the body/diagnose conditions such as cancer

19

why is a bone scan done?

to detect any abnormalities - eg. tumors in the bone

20

why is a MUGA scan done?

check how well the heart is pumping

21

why is a MIBG scan done?

diagnose certain types of cancer

22

different isotopes are used depending no the type of test and tissue or organ being studied. T/F

true

23

what is a radioisotope?

unstable isotope that decays to a stable state by emitting or giving off characteristic radiation

24

what are the 5 common nuclear medicine tests?

1. bone scan
2. gallium scan
3. MUGA scan
4. MIBG scan
5. PET scan

25

NM hours of operation?

Monday - Friday 8-4

26

NUA duties for processing a nuclear medicine order

1. Enter into computer
2. Kardex under procedues - indicate date and time
3. symbolize EC and K

27

NUA duties upon receiving confirmation of the booked nuclear medicine appointment

1. nuclear medicine books their own porters
2. inform RN of apt time and date
3. write apt date and time on kardex and pt. prep

28

NUA duties on the day of NM procedure

1. NM will call and say they are ready for pt.
2. inform RN that NM is ready for pt
3. grab patient chart and place on your desk

29

define the cardiology department

diagnostic department that performs procedures on the heart that measure electrical activity at rest and when the patient places stress on the heart by exercising

30

what are the 5 tests that the cardiology department performs?

1. electrocardiogram (ECG)
2. Holter and telemetry monitoring
3. echocardiogram (Echo)
4. phonocardiogram
5. cardiac stress test

31

what is a ECG test?

lab tech places electrodes, with paste onto patient legs, arms, and chest while the ECG is recorded

32

what is a holter monitor test?

3 electrodes are connected to the chest and attached to an ambulatory monitor. patient keeps it on to record activity

33

what is a echo test?

transducer is moved over the heart area (ultrasound)

34

what is a stress test?

patient is connected to an ECG monitor and asked to walk/run while their heart is being monitored

35

what is a phonocardiogram test?

patient lies on table - microphone is placed on their chest and records the sounds

36

NUA duties for cardiology tests

1. enter into computer
2. kardex under procedures
3. symbolize EC and K

37

who reads cardiology tests?

cardiologist

38

do we need to phone the cardiology department after entering the order?

no

39

where do we kardex the cardiology tests after we've entered them?

under procedures

40

name 3 different x-rays that require contrast medium?

1. barium meal
2. upper GI
3. S&D SBFT

41

what are 4 different types of arteriograms that can be performed?

1. renal
2. cerebral
3. femoral
4. carotoid

42

where are angiography's performed?

KGH

43

what does barium enema look at?

large intestine

44

what does a myelogram look at?

spinal cord

45

define supine view

patient lies on their back

46

define the anterior posterior view

machine is placed in front of the patient while they are standing or lying supine

47

who is in change of the radiology department?

radiologist

48

where is an echocardiogram performed?

cardiology department

49

on the day of an cardiology test what are the 4 steps we need to take?

1. imaging will send porter
2. inform RN
3. give porter patient chart
4. inform RN when patient returns

50

define lateral view

side view of patient

51

define decubitus view

patient lies on their side and x-ray beam is pointed horizontally

52

what does a t-tube cholangiogram look at?

size and pantency of biliary ducts

53

why is an upper GI study done?

to helo diagnose tumors, varices and lesions to the upper GI tract

54

what does the nurse need to do with a patient before their EEG is performed (on the same day as procedure)

wash and dry their hair before going

55

what does a cardiac catherization look at?

heart and coronary arteries

56

define venogram

exam of veins after injected with contrast medium

57

define EMG department (electromyogram)

performs tests to diagnose and evaluate neurological disorders

58

EMG's are performed by?

neurologist

59

are EMG's done at VJH?

no, at KGH

60

NUA duties for processing EMG orders?

1. phone KGH to make appointment - fax them pt. info
2. kardex
3. symbolize

61

NUA duties for EMG when KGH has an appt conformation

1. book transport online
2. inform RN of date and time of appt
3. photocopy pt. info for their transfer package

62

NUA duties on day of EMG test

1. inform RN when PTO arrives
2. give PTO transfer package

63

what tests are performed by the EMG department

1. electromyogram (EMG)
2. Evoked potentials (EP)
3. stomatosensory evoked potentials (SSEP)

64

who performs a PFT?

pulmonologist

65

which department is a PFT performed?

pulmonary department

66

NUA duties for processing PFT orders

1. enter into computer
2. kardex under procedures
3. symbolize EC and K

67

NUA duties for for PFT on day of appt

1. porter is pre-booked
2. inform RN when porter calls for pt
3. grab pt chart and put on desk
4. inform RN when pt returns

68

why is a nerve conduction study performed?

help diagnose diseases and injuries of the peripheral nervous system

69

what are 5 x-rays that do not require contrast

1. cervical x-ray
2. bone x-ray
3. chest x-ray
4. KUB
5. abdomial x-ray

70

explain what an ultrasound is

machine that uses high frequency sound waves to produce images

71

what is a MRI

machine that uses magnets, radio waves and a computer to produce images of the body

72

what is a CT?

uses special x-ray techniques to produce multiple images of the body

73

define fluoroscopy

imaging technique where real time images showing movements are produced through a constant input of x-rays using a special machine - fluoroscope

74

what is barium enema

filling of the large intestine with barium

75

what is an angiography/arteriography ?

MI test to visualize inside blood vessels and organs of the body

76

consideration for special procedural x-rays

1. consent
2. NPO
3. pre-meds
4. Chart
5. shave prep
6. IV started

77

what is oblique view?

projection taken with the central ray at an angle to any of the body planes. described by the angle obliquity and the portion of the body, x-ray beam exits; right or left and posterior or anterior

78

what organs can be imaged with an ultrasound?

1. stomach
2. brain
3. heart vessels
4. spleen
5. liver
6. gallbladder
7. kidneys
8. pancreas

79

what does EEG stand for?

electroencephalogram

80

define EEG department

responsible for performing procedures that measure the electoral activity of the brain

81

why is an EEG done?

diagnose conditions like epilepsy, tumor and brain damage

82

are EEGs performed at VHJ?

no, KGH

83

who are EEGs results interpreted by?

neurologist

84

is a req needed to make an apt fir an EEG?

no

85

what are the NUA's duties for EEG tests

1. phone KGH to book apt
2. kardex
3. symbolize

86

NUA duties when appt for EEG is confirmed

1. make transport arrangements
2. inform RN of time/date of apt
3. photocopy pts. important info
4. label the transfer checklist

87

prior to an EEG what are a NUA's duties?

1. inform RN when PTO arrives
2. give PTO envelope

88

why must we inform the RN if an EEG is to be done on the same day?

patients hair needs to be washed and dried before going

89

what pertinent info do we need to copy from the patient chart? (6)

1. record of admission
2. history
3. progess
4. consults
5. labs
6. x-ray results

90

what is endoscopies

exam of the body cavity or organ using an endoscope

91

how may a endoscopies procedure be done? (2)

1. natural body open
2. small incision

92

what is esophageal motility?

views the esophagus

93

why is a esophageal motility done?

determine the motor function of the esophagus

94

what is a gastroscopy/esophagoscopy?

views the esophagus, stomach and duodenum

95

why is a gastroscopy/esophagosopy done?

detect tumors, ulcers, polyps, hiatal hernias, or to locate a site of bleeding. biopsies may be obtained for analysis

96

what is a sigmoidoscopy/colonoscopy ?

views the rectum, sigmoid colon and large intestine

97

why is a sigmoidoscopy/colonoscopy done?

detect tumors, polyps and ulcers - biopsies may be taken for analysis

98

what is a bronchoscopy ?

views the larynx, trachea and bronchi

99

why is a bronchoscopy done?

detect tumors, inflammation and structures. biopsies may be taken for analysis/sputum taken for cytology or C&S

100

what is a cystoscopy and pyelogram?

views of urethra and kidneys

101

why is a cystoscopy and pyelogram done?

detect tumors and measure the bladder capacity and dilation of a narrowed urethra and ureters

102

where are endoscopies procedures performed?.

1. GI lab
2. ambulatory care
3. OR

103

are consent forms required for endoscopies procedures?

yes

104

name the endoscopies procedures?

1. esophageal motility
2. gastroscopy/esophagoscopy
3. sigmoidoscopy/colonoscopy
4. bronchoscopy
5. cystoscopy and pyelogram

105

who performs a esophageal motility?

gastroenterologist

106

who performs a gastroscopy/esophagoscopy ?

gastroenterologist

107

who performs and sigmoidoscopy/colonoscopy ?

gastroenterologist or proctologist

108

who performs a bronchoscopy ?

pulmonologist or respirologist

109

who performs and cystoscopy and pyelogram?

urologist

110

NUA duties for Endoscopies procedures:

1. consent is filled out
2. kardex under x-ray/procedures section
3. symbolize

111

NUA duties on day of endoscopies procedures:

1. check dr. orders for pt prep
2. surgical consent is filled out
3. porter should be pre-booked
4. inform nurse when porter is coming
5. have chart and MAR on desk
6. inform nurse when pt returns

112

a diagnostic department that performs tests to diagnose and evaluate neurological disorders such as multiple sclerosis or parkinson's disease

electromyogram

113

done to determine the motor function of the esophagus

esophageal motility

114

done to decide tutors, to measure the bladder capacity and the dilatation of a narrowed urethra and ureters

cystoscopy and pyelogram

115

a diagnostic test that uses ultrasound waves to create an image of the heart muscles

echocardiogram

116

a test in which the patient is connected to an EEG monitor and their heart is monitored as they exercise on a treadmill

cardiac stress test

117

done to detect tutors, polyps and ulcers. Biopsies may be taken for analysis

sigmoidoscopy/colonoscopy

118

this test aids in the diagnosis of conditions such as epilepsy, tumors, and brain damage

electroencphalogram

119

type of medical imaging that used radioactive isotopes, cameras and computers to view the body

nuclear medicine

120

done to detect tumors, ulcers, polyps, hiatal hernias or to locate a site of bleeding

gastroscopy/esophagoscopy

121

what is technetium-99m (Tc-99m)

radioactive isotope

122

done to detect tumors, inflammation and structures. Biopsies of suspected tumors may be obtained - as well as sputum for cytology and C&S tests

bronchoscopy

123

contrast medium us objected into a needle that is passed through the skin and liver into the bile ducts. X-ray pics are taken of the biliary ducts and sometimes the gallbladder

percutaneous transhepatic cholangiogram