Patient Care 19, 20, 21

Providing care in an emergency situation is intended to:
2, 3, and 5 only

The single most important action for the radiographer when administering emergency care is:
providing a competent level of care, recognizing when advanced care is needed, and calling for assistance

A common name for an emergency cart within medical imaging is the ____ cart.
crash

The medical term for temporary suspension of consciousness is:
syncope

What type of shock is caused by a failure of the heart to pump enough blood to the vital organs?
cardiogenic

A 16 y.o. comes in for a CT. He is lying supine and begins to have a seizure. The action you must take is:
to do both a and b

The type of shock that is a result of severe loss of blood:
hypovolemic

Symptoms of head injury include:
both a and b

What type of shock can result from a severe reaction to the contrast media used in radiographic exams?
anaphylactic

Which of the following may be given to a patient to counteract hypoglycemia?
orange juice

After the administration of an iodine-based contrast into a patient, it is important for the technologist to observe the patient for:
urticaria, nausea, shortness of breath, tightening in the throat, and cardiac arrest

In prep for any emergent situation, the professional tech should become familiar with:
all of the aboce

What type of shock is caused by loss of blood from a knife or gunshot wound?
hypovolemic

When comparing a semiautomatic AED device with an automatic device:
both devices determine the patient’s cardiac rhythm

When comparing hyperglycemia with hypoglycemia, the former:
portrays clinical symptoms of excessive thirst and urination as well as dry mouth

What is the first thing you should do if a patient who is standing turns pale and says he feels dizzy?
have the patient lie down

When caring for a patient with epistaxis, the patient:
should lean forward and pinch his/her nostrils against the midline sputum for 10-15 min

An effective method to handle a patient with an asthmatic attack during a radiographic procedure would be to:
have the patient sit down, and allow the patient to use his or her aerosol inhaler

As you are x-raying a patient from the ER who has a knife wound, you notice that his wound dressing is becoming saturated with blood quickly and he is getting light headed. You should:
call for help, apply pressure to the wound site, and elevate his arm

When working with burn patients, it is critically important to:
use an extraordinary level of aseptic technique

You have come upon a motor vehicle accident. The victim has no verbal response, but his leg moves when you touch and pinch. This person demonstrates which level of consciousness?
unconscious but reflexive

All of the following are related EXCEPT:
compression

When performing CPR as a single rescuer:
after each group of 30 compressions, give two quick ventilations

CPR can be stopped when:
all of the above are correct

When performing two-person CPR:
all of the above are correct

CPR performed on an infant:
is basically the same as on an adult, but adjusted based on patient size

The Heimlich maneuver is:
modified for infants to include back slaps and chest thrusts

When using an automatic external defibrillator (AED):
two AED chest pads are used, one on the upper right and the other on the lower left ribs

When performing CPR on a patient who is supine on a cart, you would look for what item in the emergency crash cart?
backboard

A disorganized cardiac rhythm in which the ventricle “flutters” and loses cardiac output is called:
fibrillation

The science dealing with the nature, effects, uses, and origin of drugs is called:
pharmacology

A drug agent that promotes bowel evacuation is a(n):
laxative

When you ask the pharmacist for the drug Benadryl, you are asking for the drug using the drug’s ___ name.
brand

Any characteristic that makes a drug undesirable or improper is its:
contraindication

Nonprescription drugs are also known as:
over-the-counter drugs

Common dosage forms of drugs include:
1, 2, 4, 5, and 7 only

Vitamins, herbals, and dietary supplements are classified as:
over-the-counter drugs

All patients have rights with regard to drug administration. These rights include:
1, 2, and 6

Heart attack patients often take a small tablet of nitroglycerine and put it in their mouth, under their tongue for quick action. This route of administration is called:
sublingual

All of the following describe parmacokinetics EXCEPT:
filtration

When a drug is given to a patient and unintended effects result from the drug, the drug is said to have:
side effects

All of the following are related EXCEPT:
intragluteal

Reaction to a drug that results in respiratory or circulatory collapse is:
anaphylaxis

An injection that is given to a patient relies on a(n) ______ route of administration:
parenteral

Some drugs are intended to have slow, uniform absorption over several hours and are said to be _____ -release drugs.
all of the above are correct

Transdermal patches are intended to release a drug over an extended period of time. Some of these patches have metal backing. This modality of concern in medical imaging would be:
MRI scanning

When performing a subcutaneous injection, the needle:
is positioned at a 45-degree angle

Metformin (Glucophage) is commonly used to treat:
type 2 diabetes

When venipuncture is performed for contrast medium administration, the tourniquet is released:
once the needle is in a vein and before contrast injection

If a drug is given parenterally, the:
site of the injection must be recorded in the patient’s chart

When charting drugs given to a patient:
the injection site must be recorded

The abbreviation IM means:
intramuscular

The abbreviation stat means:
immediately

Sites commonly used for venipuncture include the ____ vein(s).
1 and 3 only (basilic and accessory cephalic)

During an intravenous drug administration, a small area around the needle site is growing and swelling. The patient states that the area is starting to burn slightly. In this situation:
all of the above are correct

The use of contrast material as a means for visualizing human anatomy has a long history. Regardless of the type of contrast media, the purpose of using contrast media is to:
enhance the low subject contrast of anatomic structures

Contrast agents can be generally classified as:
positive and negative

Generally speaking, radiographic images are the result of x-ray photons being absorbed to varying degrees based on tissue density. The lowest subject contrast between the 5 densities is between:
water and fat

Negative contrast agents:
have low anatomic numbers

Positive contrast agents:
all of the above are correct

An air-contrast colon study would be an example of:
all of the above

A common contrast agent used for MRI exams is:
gadolinium-DTPA

For select exams, air (negative contrast) and radiopaque contrast are used as a pair to outline mucosal linings, joint interspaces, and passageways. These exams are considered:
double-contrast studies

All of the following are true of barium sulfate as a contrast agent EXCEPT:
when mixed with water it dissolves completely

Barium sulfate would be contraindicated for a patient with:
a suspected duodenal bulb perforation

Stomach exams using barium sulfate have some degree of risk for patients who are:
all of the above

Most adverse reactions to ionic, iodinated contrast agents are caused by:
their osmolality

An undesirable characteristic of ionic contrast agents is their:
dissociation into a cation and an anion when dissolved in plasma

Nonionic iodine contrast agents differ from ionic agents in that nonionics:
do not break down into a cation and an anion

The perfect iodinated contrast agent would have what characteristics?
2, 3, 4, and 5 only

The osmotic effects of ionic contrast agents are a result of the movement of:
water from the body’s cells into the bloodstream, causing increased blood volume and higher blood pressure

After the injection of an ionic iodinated contrast agent into a patient for a renal study, the patient complains of a warm feeling and is starting to itch. You notice the patient is developing urticaria. As you monitor the patient, you should:
do both b and c

Laboratory tests to assess a patient’s BUN and creatinine are used to determine the patient’s:
renal function

Contrast media that are high in osmolality can be harmful to patients with compromised renal function. Patients who commonly have compromised kidney function include:
all of the above

Nonionic low-osmolality contrast agents have gained tremendous popularity with physicians as a safer choice for iodine contrast exams. It is important to remember that nonionics:
are more difficult to inject owing to their higher viscosity

When using any type of contrast agent for a radiographic exam:
a thorough medical history must be taken by the imaging professional

A radiopharmaceutical is:
a radioactive material used for nuclear imaging with a gamma camera

A key distinction btwn radiographic studies and nuclear studies using radiopharmaceuticals is that:
all of the above are correct

When working with a radiopharmaceutical, the nuclear medicine professional must be aware of:
all of the above

The radioisotope used most often in nuclear studies is:
technetium (99mtc)

The responsible medical imaging professional will always maintain his or her focus on patients, particularly when any contrast agent is administered. A mandatory prerequisite to these studies is always:
a thorough medical history including allergies and diseases

When a nonionic contrast agent is injected into an artery such as the carotid, visualization of the artery occurs because:
iodine in the contrast agent mixes with blood and makes the artery radiopaque

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