RADT 153 - Unit 3 Exam

What does "Code Blue" stand for?

cardiac arrest

Where is radiology are crash carts generally located?

Procedural room where IV contrast is administered

Which three behavioral categories is the Glasgow Coma Scale based on?

Eyes, Motor and Verbal response

(TRUE/FALSE)

A Glasgow Coma Scale rating of seven IS within normal range

False - a 7 is danger

Which of the following could be used in assessing a patient's condition after regaining consciousness?

Assessing patient's pain

Observing for changes in speech

Noting patient's ability to follow directions

Surveying patients response to questions

What are some characteristics of shock in the irreversible stage?

Liver Failure

Renal Failure

Excessive lactic acidosis

Low Blood pressure

What are determinants of shock?

Bowel Obstruction

Age of patient (very young or old)

Diabetes

Emotional stress

Major contributors of shock

Bleeding

physical or emotional stress

serious injury or infection

vomiting or diarrhea

very old or very young

severe pain

bowel obstruction

undergoing any procedure that causes rapid

undergone anesthesia

decompression of an organ or rapid fluid loss from a body cavity

(TRUE/FALSE)

Blood pressure increases as shock worsens

False - Blood pressure decreases as shock worsens

(TRUE/FALSE)

Respiration increases as shock worsens

TRUE - Respiration increases and becomes more shallow as shock worsens

(TRUE/FALSE)

Heart rate decreases as shock worsens

False - Heart rate increases as shock worsens

(TRUE/FALSE)

Normal blood pressure, a heart rate of 100 bmp and respiration of 30 per minute describes Class I clinical manifestations of hypovolemic shock

FALSE - Normal blood pressure (120-140) and a normal respiration range of (14 - 20 per minute) describes Class I clinical manifestations of hypovolemic shock

How often should vitals be taken?

Every 5 minutes

Distributive Shock

Occurs when blood pools at the peripheral vessels decreasing venous returns to the heart

Cardiogenic Shock

Caused by failure of the heart to pump adequate amounts of blood to vital organs

Septic Shock

An immune response resulting in increased capillary permeability and vasodilation

Obstructive Shock

Results from pathological conditions that interfere with normal pumping of the heart, although unrelated to the heart itself.

Anaphylactic shock

Exaggerated hypersensitivity reaction

(TRUE/FALSE)

Food and medication can be a major contributor to an individual having an anaphylactic reaction

TRUE

Food and medication can be a major contributor to an individual having an anaphylactic reaction

(TRUE/FASLE)

Transient responses to iodinated contrast material include a warm, flush feeling throughout the body and a metallic taste in the mouth.

TRUE

Transient responses to iodinated contrast material include a warm, flush feeling throughout the body and a metallic taste in the mouth.

(TRUE/FASLE)

Benadryl and Solu-cortef are types of drugs that can be given to patients prior to injection of contrast media to lower the risk of anaphylactic reaction.

TRUE

Benadryl and Solu-cortef are types of drugs that can be given to patients prior to injection of contrast media to lower the risk of anaphylactic reaction.

Which is an example of obstructive shock?

1. Myocardial Infarction

2. Renal hypertension

3. Pulmonary Emboli

4. Lacerated Liver

Pulmonary Emboli is an example of obstructive shock.

(TRUE/FASLE)

Obstructive shock can cause sudden death.

TRUE

Obstructive shock can cause sudden death.

What type of diabetes can be controlled with diet?

Type II Diabetes

What type of diabetes is describes as a failure to produce insulin?

Type I Diabetes

What type of diabetes is common in obesity?

Type II Diabetes

What type of diabetes is resistant to insulin?

Type II diabetes

What type of diabetes can result in ketoacidosis?

Type I Diabetes

What is the normal blood-glucose range?

80-115 mg/dl

(TRUE/FASLE)

Individuals with diabetes are highly susceptible to infections.

TRUE

Individuals with diabetes are highly susceptible to infections.

(TRUE/FASLE)

Fainting is a form of cerebrovascular accident (CVA)?

FASLE

Fainting is a form of cerebrovascular accident (CVA)?

What are clinical manifestations of CVA?

Eye deviation

loss of consciousness

Aphasia

(TRUE/FALSE)

Seizures are considered a neurological disease

FALSE

Seizures are not considered a neurological disease, they are a syndrome

(TRUE/FALSE)

A patient having a seizure should be fully restrained to avoid injury to their self and personnel.

FALSE

A patient having a seizure should NOT be fully restrained to avoid injury to their self and personnel. This would only cause worse injury

(TRUE/FALSE)

Orthostatic hypotension occurs when an individual stands for a prolonged period of time.

FALSE

Orthostatic hypotension is a decrease in systolic blood pressure of 20 mm Hg or a decrease in diastolic blood pressure of 10 mm Hg within three minutes of standing when compared with blood pressure from the sitting or supine position

Occurs with a severe blow to the head causing the brain to bounce, tearing blood vessels.

Concussion

Occurs with a severe blow to the head causing the brain to bounce, tearing blood vessels.

(TRUE/FALSE)

Prolonged fever can cause damage to the central nervous system.

TRUE

Prolonged fever can cause damage to the central nervous system.

(TRUE/FALSE)

Chewing gum and smoking can alter a patient's temperature.

TRUE

Chewing gum and smoking can alter a patient's temperature.

Where is the most reliable place to take a temperature?

Rectal

An example of how temperature is written when taken by ear is

98.6 T

T for Tympanic

Normal heart rate in adults is

60-90 bpm

What are common sites for detecting a pulse?

Temporal - side of temple: temporal artery

Apical - a stethoscope and near the apex of the heart

Radial - wrist

(TRUE/FALSE)

Respiration is defined as the exchange of carbo hydroxy between the external and internal environment.

FALSE

Respiration is defined as the act of breathing,

one inspiration and one exhalation

(TRUE/FALSE)

Respiration is defined as one inspiration

FALSE

Respiration is defined as the act of breathing,

one inspiration and one exhalation

Cheyne-stokes is also known as

The Death Rattle

Normal blood pressure in children is

90/50 mmHg

Using the blood pressure 110/60 mmHg as an example, 60 represents:

Diastolic pressure

Which lab data is most important to the radiographer?

Creatinine

(TRUE/FALSE)

Shortness of breath, itching, and urticaria are additional examples of a transient response.

FALSE

Examples of Transient Responses are

A warm flushed feeling from a rapid bolus injection

Nausea &/or vomiting usually passes quickly

Headache

Pain or burning at injection site

Metallic taste

(TRUE/FALSE)

It is within the scope of practice of the radiographer to administer iodinated contrast and perform CPR.

TRUE

It is within the scope of practice of the radiographer to administer iodinated contrast and perform CPR.

(TRUE/FALSE)

Vasovagal reactions can occur as a response to pain and anxiety.

FALSE

Vasovagal reactions can occur from

standing for a prolonged period of time,

situations that induce panic or fear,

strenuous exercise can also cause a vasovagal attack.

(TRUE/FALSE)

Shallow breathing is described as minimal breathing using the chest muscles instead of the diaphragm.

TRUE

Shallow breathing is described as minimal breathing using the chest muscles instead of the diaphragm.

(TRUE/FALSE)

HIPAA, as it pertains to the radiographer means, "on a need to know" basis.

TRUE

HIPAA, as it pertains to the radiographer means, "on a need to know" basis.

what is the most common place to get Your pulse

The radial pulse (wrist)

True or False: you should put your head injury on their back with 30 degree elevation in their legs

False I think