RadTech Bootcamp - Patient Care

transferring a patient from a supine to a lateral position using the log rolling technique should be done if they are suspected of having (a)

spinal injury

epistaxis is the term used to describe

nosebleeds

a patient with methicillin-resistant Staphylococcus aureus (MRSA) had imaging in the emergency department (ED) and the technologist touched the affected area on the patient without using protective equipment or proper hand hygiene. the technologist later developed an infectious lesion on the hand. how was the MRSA transmitted in this case?

direct contact

what is the proper method of preparing the skin surface with an antiseptic prior to a surgical procedure?

beginning at the center of the region toward the outside

hypotension is a condition in which the

systolic pressure is less than 90 mm Hg

isopropyl alcohol and povidone-iodine, such as Betadine, are two common agents that may be used for

disinfecting the skin

which of the following terms refers to the radiologic interventional procedure that is performed to remove calculi from within the renal pelvis or proximal ureter?

percutaneous nephrolithotomy

when caring for a patient with an intravenous (IV), the solution should be positioned

18-24 inches above the level f the infusion site

which method of drug administration will achieve the highest serum concentrations of medication in the shortest time?

intravenous (IV)

which characteristic of iodinated contrast agents is defined as the resistance of a liquid to flow?

viscosity

which of the following would require protective, expanded, or reverse isolation?

bone marrow transplant, third degree burns

based of standard precautions, which three of the following are types of transmission-based precautions?

airborne, contact, droplet

when entering the room of a patient under droplet precautions to perform a chest x-ray, which of the following must be worn?

mask

during which stage of development do children generally begin to initiate contact with people other than their parents?

preschool age

which statement regarding oxygen delivery is true?

only physicians, physician assistants (PAs), or nurse practitioners can prescribe the use of the oxygen

of the following, which would be considered a severe systemic effect of anaphylaxis?

rapid onset of hypotension

a patient int he emergency department is brought to the x-ray room. the requisition requests radiographs of the right ankle, lower leg, and femur. while obtaining the patient's clinical history, the patient states that he injured the left leg. the patient's entire left leg is swollen. what is best course of action for the technologist?

check the order with the emergency room physician

the passing of a tube into the trachea to administer oxygen to aid in respiration is termed

intubation

the drug nitroglycerin is indicated for the treatment of which two of the following?

heart attack, angina

a cancer patient may have which three devices inserted to aid in the delivery of strong chemotherapy medication?

power port, peripherally inserted central catheter (PICC) line, hickman line

which method of obtaining the temperature of a five-month-old is most accurate?

rectal

an image receptor (IR) is used on multiple patients without being cleaned. one the of the patients develops a serious skin infection. what term might be applied to the IR?

fomite

modesty and personal independence are most important to a child in which stage of development?

adolescence

when working with a sterile field, which three of the following statements are accurate?

never turn your back on a sterile field; if you suspect that an object is contaminated, always assume it is contaminated; avoid reaching across a sterile field

infectious microorganisms transmitted in dust particles or minute droplets (less than 5 microns), such as measles, might be placed in a room with which of the following precautions?

airborne

a patient with pertussis, whooping cough, or influenza needing transmission-based precautions would most likely be placed in which of the following?

droplet precautions

diabetes mellitus is a metabolic disease resulting rom a chronic disorder of

blood glucose metabolism

the health insurance portability and accountability act (HIPAA) was enacted in response to the need of patient privacy and security because

the increased se of electronic data transactions

which of the following might be an example of the legal doctrine of res ipsa loquitur?

excessive fluoroscopy causes a radiation-induced skin burn

you witness a coworker completing an exam on the incorrect patient. you approach her regarding the situation and she begs you not to say anything to anyone. she said that she's already been disciplined this year and one more incident could possibly lead to loss of her job. what is the most appropriate action you should take regarding the situation?

notify the department supervisor or director immediately

when evaluating a patient for a potential contrast reaction, an immediate assessment should be done on which of the following?

what is the patient's general appearance? what is the patient's blood pressure? can the patient speak? how does their voice sound?

critical thinking skills used during patient instruction include kinesthetic, which means learning by which method?

tactile

heparin and coumadin are examples of what type of drug?

anticoagulants

if a radiographer touches a patient without asking first, the technologist may be accused of

battery

which method for measuring body temperature my be contraindicated for patients with cardiac conditions?

rectal method

a patient you have brought into the x-ray room informs you the they feel like t hey are going to faint. what is the best way to handle this situation?

lie the patient on x-ray table with legs elevated

in which direction should the top flap of a sterile tray be opened by the radiographer?

away from the radiographer

professional ethics may be defined as

expectations set by members of a particular group and abided by each member of that group

when explaining an exam to a patient of Japanese descent, you notice she does not look in the eye and instead looks down. you assume she is not paying attention or does not understand, however, she was taught to believe too much eye contact can be disrespectful. this is an example of what kind of patient factor?

cultural

in an unwitnessed cardiac arrest, the first five seconds of rescue activity is used to

establish unresponsiveness

a lab technician reveals the results of a patient's pregnancy test to the patient's sister during a dinner at a restaurant. what violation did the technician commit?

invasion of privacy

which of the following is/are included among the major categories of microorganisms>

fungus, protozoa, viruses, bacteria

the medical abbreviation "bid" refers to

twice a day

systolic blood pressure can be defined as the

highest point reached during contraction of the left ventricle

which of the following medications would be given to a patient suffering from angina pectoris?

nitroglycerin

you patient has a blood pressure reading of 150/80. what does the top number represent?

contraction phase of the heart

which three of the following would be considered indirect methods of disease transmission?

contaminated water supply, mosquito bite, airborne residue

if a patient has no known allergies, the two most likely causes of an anaphylactic response when undergoing a routine double contrast lower gastrointestinal study (GI) would be sensitivity to

barium solution, latex

injection of iodinated contrast medium may be contraindicated for a diabetic patient who is currently taking which of the following medications?

metformin

which two of the following are accurate guidelines for cleaning contaminated surfaces?

clean from least contaminated to most contaminated, clean from top to bottom

an example of a moderate allergic reaction to a contrast agent is which three of the following?

bronchospasm, urticaria, erythema

example of nonverbal communication include which three of the following?

being silent, folding your arms across your chest during a conversation, maintaining eye contact

during an injection of iodinated contrast media, your patient states she is feeling hot and is noticing a bad, metallic taste. you note the patient is slightly flushed. what is the best response to this situation?

slow the injection rate and observe the patient

which of the following is the medical term for "itchy"?

pruritus

children develop a fear of illness and death during which stage of childhood?

school age

a medical instrument that evaluates oxygen saturation levels in the blood is called

pulse oximeter

what is the average rate of respiration, or breaths per minute, for an adult?

12 to 20 breaths per minute

which three of the following are considered protected health information under the Health Insurance Portability and Accountability Act (HIPAA) Privacy Act?

cell phone number, medical record number, x-ray images

which three of the following signs/symptoms that are probably indicators of a patient that is in shock?

tachycardia, anxiety, decreased temperature

what may potentially occur is a diabetic patient has taken his or her normal dose of insulin, but has had nothing by mouth (NPO) since midnight?

patient can go into insulin shock

a patient approaches you in the department and inquires about an exam they are to have done that day. the patient explains that the exam entails an injection of a radiopharmaceutical. to which area int he imaging department should you direct the patient?

nuclear medicine

which type o isolation or precautions may be used for patients who are highly susceptible to becoming infected, such as those who have been diagnosed with leukemia?

expanded precaution

when performing an exam on a patient with visual impairment, it is important to do which three of the following?

communicate effectively, individualize care, foster normalization for the patient

which two conditions could potentially cause a patient to experience syncope?

patient has had nothing by mouth (NPO) for 12 hours in preparation for a lower gastrointestinal (GI) study, patient is under intense emotional stress before an imaging procedure

if a used or contaminated needle absolutely must be recapped for safety reasons, what is the safest way to do it?

use a one-handed scoop method to slide the needle into the cap

an analgesic drug is used for

relief of pain

if a patient states that they have an allergy to an iodinated contrast medium, what other imaging methods could be used to demonstrate the desired anatomy without putting the patient at risk?

magnetic resonance imaging (MRI)

if a patient presents with urticaria (hives) after administration of contrast media, which emergency medication can be administered intravenously?

benadryl

in which two of the following situations could a radiographer be found guilty of a medical tort?

radiating a pregnant patient without first asking if there could be a chance of pregnancy, posting an x-ray image on social media without removing patient identifier

which of the following must be included in every patient's medical record?

procedure orders, medical history, informed consent

OSHA is responsible for establishing standards for occupational working for

handling and disposal of hazardous material

to avoid violation of HIPAA, paper medical record must be stored

in locked rooms or file cabinets

which of the following would be considered effective communication with a patient?

assessing the patient's condition, establishing rapport, using pantomime techniques

a commo group of drugs that are used to promote defecation are termed

cathartics

epistaxis is the term used to describe

nosebleeds

which three of the following signs/symptoms below that would indicate impending diabetic coma?

extreme thirst, increased urination, sweet/fruity smelling breath

when a pulse is thready, this means

weak

a 75 year-old outpatient comes into the imaging department for a scheduled double-contrast barium enema procedure. per the patient, she has skipped her morning medications but took her insulin as prescribe. as you are explaining the procedure to her, she complains about feeling weak. you notice she has become diaphoretic and confused. her speech has also become slurred. you should suspect a

diabetic insulin reaction

which of the following imaging procedures require written documentation of informed consent?

cervical myelogram