advanced clinical skills final radtech msu fall 25

The technologies is caring for lethargic 18-year-old patient with a respiratory rate of 32 breaths per minute what is the first action the technology should take?

Place patient in a high Fowler position.

The nursing assistant reports the following vital signs for four patients just evaluated. which patient should the nurse first?

12 respirations per minute on an 8 year-old child

The technologies assesses the patient’s respirations, and sees that there are abnormally slow (i.e. 2 to 3 breaths, followed by an irregular period of apnea) documentation by the technologist would be correct if which phrase was used?

Biots respirations

The technologist is preparing to assess the apical pulse. Which location should the tech technologies listen to to obtain an accurate apical pulse on an adult patient?

At the fifth left intercostal space at the midclavicular line.

The patient is unstable; so the technology is using an electronic blood pressure device to measure the blood pressure every 15 minutes. What should the technology do to verify the accuracy of the blood pressure measurements?

Take a manual blood pressure reading within several minutes of the electronic reading.

The technologists is preparing to obtain a set of vitals. which of the most important factor for the technologies to consider when measuring patient vitals.

Measuring equipment must suit the patient’s conditions and characteristics.

While positioning the patient for a routine blood pressure check the patient asked the tech technologist why a support was placed under the arm before the blood pressure cuff was applied. Which response by the technology is most accurate.

“This method helped the arm relax, so the reading will be correct”

A patient has an electronic blood pressure cut that inflates every 15 minutes for reading. Which activity by the radiographer student would require the technology to intervene.

The cuff is positioned carefully on the gown sleeve for comfort.

Well, inserting a wreck with the thermometer the technologies encounters resistance. What action should the technology take?

Remove the thermometer immediately.

Which action should the technology implement to obtain an accurate measurement of the patient’s blood pressure on a upper extremity?

Use a cuff with the cuff with that is 40% larger than the diameter of the arm.

Does technology has concern with possible impaired peripheral perfusion after performing a patient’s assessment. Which assessment Tatum about the patient’s lower extremity, supports the suspicion.

The peripheral pulses are absent on both legs.

The technologist is preparing to begin a thorax assessment on a patient. What is the initial step of the thoracic assessment?

Inspection of the posterior thorax.

The technologist assesses a patient with light skin and observes normally shaped nailbeds, exhibiting pallor and a slightly bluish color. Which should the technology implement?

Assess the patient oxygen saturation.

The tech technologies is performing a neurological assessment. Which patient behaviors demonstrate a level of consciousness within normal limits?

Opens eyes spontaneously; is alert and oriented.

The technologist assesses a possible melanoma on the patient skin. Which characteristic does the Legion have that is consistent with a melanoma.

Larger than 6MM

The technologist has been assessing the patient’s bowel sounds. Which action should the technologist implement before notifying the healthcare provider if the bowel sounds absent

Assess related factors

The technologies begins to assess the patient’s respiratory system. Which assessment by the technologist best determines the patient’s diaphragmatic excursion.

Palpation of chest inspiratory movement

the technologies is instructing a patient how to breathe during auscultation of the lungs. Instruction by the tech technologies has been effective if the patient breathes in which manner?

Breathes with the mouth open

The technologist assesses the pupils of an older patient. What unexpected finding might the technologist identify about the patient’s pupils?

There is a slight opacity

a male patient with back pain, asks why the technologist needs so many details about his history. What is the most effective response by the technologist?

“we need to complete data to plan nursing care.“

A contrast medium study is being scheduled. Which statement by the patient during the assessment warrant further investigation by the technologist?

“I’m allergic to shellfish.”

The technologist is preparing a patient for photosynthesis. Which action should the technology include when teaching the patient about the procedure?

Remain sitting but motionless

An older patient with renal insufficiency has been NPO for eight hours before a bronchoscopy. When the patient returns from the test which patient datum is the technologist priority assessment?

Hydration status

The patient is being monitored after a cardiac catheterization via the left femoral artery to assess the right atrium. Which patient datum is the technologies priority to assess perfusion of the affected extremity after the procedure?

Checking the left femoral region for bleeding.

A patient is recovering after receiving sedation for a contrast, medium study and has a score of 10 using the Aldridge score system. What action by the technologist is the most appropriate at this time?

Document these normal findings.

A patient is being monitored for two hours after an angiogram performed through the left femoral artery. What assessment by the technologies is the greatest priority?

Changes in the pedial pulses in the left leg

The patient asked the technologist why an x-ray film with contrast medium is needed. How should the technologist respond?

“It enhances visualization of the internal structures.“

A patient is having a contrast, medium study, and has several allergies. During the injection of the dye, the patient complains of having a brief, severe hot flash and slight chest pain. What action is most indicated?

Assess the patient’s vital signs while reassuring him or her

An hour after a patient has a thoracentesis. The patient’s oxygen saturation is at 88 and inspiration rate is at 34. What actions by the technologies are priority.

Give oxygen to the patient and notify the physician

The technologies is explaining the procedure for a paracentesis. Which intervention by the tech technologies can help prevent a complication of the procedure

Ensure that the patient voids before the procedure

P wave

2

What rhythm?

Atrial fibrillation

T wave

6

What rhythm

Ventricular tachycardia

PR interval

1

The nursing staff is using a worksheet that contains information for change of shift report and facilitates access to information referring a patient computerized record. Which document is the nursing staff referring to?

The nursing kardex

The technologist is documenting the care of the patient. Which entry would be the characteristic of charting by exception (CBE) as a documentation method.

The patient needed to be turned every hour because of increasing pain.

The technologist documents patient care using the SOAP note format. Which should the technologist record under the “P” section.

Check response to pain medication every hour.

JRCERT publishes standards that identify or define…

ALL OF THE ABOVE

Jamie is a nucmed tech. In any state he may apply or administer

All of the above

The ASRT supports permitting radiologic technologists to administer

B and c (contrast and iv)

At the end of his shift, Steve discovered that the drug counter for scheduled two drugs is inaccurate by one dosage unit that is one gage unit is missing if it cannot be accounted for by reviewing the days drug administrations. What does Steve do?

He should report the missing drugs to a state agency such as the federal bureau of narcotics and dangerous drugs.

A legend drug is one that

Requires a prescription

Patient with renal impairment

Demonstrate pacified bill and G.I. tracks when given intravascular ROCM

_ROCM are supplied in non-salt forms

Low osmolarity non-ionic

In Roegenography derivations of try iodinated benzoic acid include

A and B ( iodide and diatrizoate)

Iodine molecules are responsible for the silhouette images projected on radiographic films because they

Absorb photons

When Miss Trent experience hypotension in the hospital, secondary to congestive heart failure, she is given an intravenous infusion of dopamine. Her physician request a high-dose dopamine treatment. A high dose is generally considered to be any dose ____ MCG/KG/MIN.

Greater than 10

Miss Hammerhill experiences, cardiac arrest. As a life-saving measure, she demonstrates hemodynamically significant Bradycardia and abruptly flat lines. The drug she will most likely be given is.

Atropine

Beta1 receptors

All of the above

When stimulated a 1 receptors

Increase blood pressure, dilate the pupils and decrease the ability to urinate and defecate

When Miss Trent experiences hypertension in the hospital, secondary to congestive heart failure, she’s given an IV infusion of dopamine her physician request a high dose of dopamine treatment. The medical staff will monitor Miss Trent for possible signs of

All of the above (hypertension, cardiac arrhythmia’s tachycardia)

Anaphylaxis

A and B (requires formation of an antigen antibody complex during a first time exposure to an antigen, is a type one hyper sensitivity)

Which method of correction is appropriate for a patient’s legal record?

A single strike through date and initial

ROCM that are particularly inclined to form precipitates with other intravenous drugs include

A and B

The technologist is explaining a procedure to a three year-old patient which strategy should the technologist use for patient teaching

Use dolls and stories to explain procedure

The tech technologies is assessing a patient for pain which question is best for the technologist to ask when determining aggravating factors for patient’s pain

What increases the intensity of the pain?

The imaging staff is working with a postoperative patient from another culture who does not understand or speak English language well which approach by the technology would be

Obtain a medical interpreter

The patient is restless and looks at the clock frequently during a contrast interview with the tech technologist, which should the technology implement in response to Patient’s behavior

Repeat the information at another time

After a male, patient receives a diagnosis of a fatal disease. He expressed his sadness and states that he does not know what to do next. Which is the most effective response by the technology to facilitate communication

Ask the patient what he finds comforting in his life

A male patient with a history of violence, directed towards others, becomes very excited and agitated during the technologist interview. Which intervention should the technology implement to foster therapeutic communication

Assume an open and non-threatening posture

the technology brings the patient oral contrast into the room and the patient’s shouts “you don’t care if I take this so get out of my room!” Which response by the technologist is most likely to diminish the patient’s anger

“you seem very angry about the contrast“

The technology is an interviewing a patient about his health history, which statement by the technologies is most likely to result in effective patient communication

“I want to learn more about your pain. Where does it start?“

the female patient scheduled for an invasive procedure the next day complains of a headache and nausea and Knox over a glass of water. Which interventions should the technology implement for therapeutic communication question

Teach the patient’s partner present.

Explain the procedure briefly.

Tell the patient she seems overwhelmed.

Give the patient written information.

the patient tells a tech technologist. I must be very sick because somebody needs tests are being performed. Which statement does the technologist use to reflect the patient’s message?

You think you must be very sick

When cleaning the radiology

A and B

always clean from least contaminated area toward more contaminated, always clean from top to down

Universal precautions focus on

The use of barriers in all contacts with all body substances and all patients at all times

For preventing the spread of HIV the CDC recommends___as the preferred disinfectant

Clorox

A bacterium

Is a single celled prokaryotic microorganism

Protozoa

all of the above (unicellular, larger than bacteria, do not possess the cell wall, are eukaryotic)

Which of the following statements are true?

An infectious individual can spread disease by merely speaking in the vicinity of a susceptible host

For infections to be transmitted their must

above of the above (organism infection host transportation)

Which of the following is/are true

A and B (an x-ray table can be a fill. Mine and medical sepsis is still the first line of defense and preventing the spread of disease)

And begins her radiology career working with the patients receiving air, contrast, barium, enemas, and barium meals for lower and upper G.I. exams, one of her less glamorous responsibilities, straightening than changing rooms between patients, which of the following is not part of the correct procedures for handling used gowns when patients have left them behind

Fold fecal soiled linen so that the stain is in the center before placing not tossing hidden into the hamper with other linens. This protects laundry workers.

A virus

Is an obligate intracellular parasite

The technologies is caring for several patients under contact precautions, which is the most important self protective method for the technologies to use while caring for the patient

Washing hands thoroughly

The technologist helps the radiologist get supplies and monitor the patient staring an exam insertion of femoral line at the patient’s bedside which nursing behavior helps to maintain the sterile environment

Avoid reaching over the field

While setting up a sterile field for a procedure, the technology is Knox a linen wrapped sterile package to the floor, which reaction allows the technologies to maintain safe

replace the sterile package

The technologies cared for a patient diagnosed with tuberculosis three days ago which of the following action should the technologist implement in response to potential exposure

Get a QFTG blood test

The nurse is getting ready to provide a sterile dressing change, which nurse action is consistent with principles used to prepare a sterile feild

Identify the items below the waist high are contaminated

A patient is an isolation in a negative pressure room for tuberculosis and the technologist notes that the respirator mask is damaged slightly. What is the initial action that the technology should take?

Check that the mask is tightly sealed

Gloves are effective protective barriers from pathogens when caring for patients in isolation. Which patient factor associated with the gloves should the technologist investigate for patients in isolation

Patient potential for latex allergy

The technologies assessed the radiologist during the insertion of the central Venus catheter. Which is the most effective intervention for the technologies to implement to prevent patient infection.

Adhere to the principles of surgical asepsis

The technologies is caring for a patient who is four years old in an isolation. Which approach should the technologist implement to reduce the patient anxiety?

Put the mask down and gloves on and view the child

The technology sets up a sterile field and notes, several tiny holes in the sterile drape of the table that serves a wrap for the pack. What does the technology do to facilitate completion of the procedure

Replaces the entire sterile field and supplies