Patient Care Ergonomics and Monitoring

The implantable apparatus shown in the image is an example of a device used for:

Long term administration of medications

What vital sign is indicated by the letter D on the patient monitor in the image?

Respiratory rate

Which two of the following transfer methods can help a technologist avoid injury when transferring a dependent patient from a wheelchair or gurney onto the radiographic table?

1. Have an additional technologist or healthcare worker assist when possible

2. Use a sideboard, gait belt, or other mechanical device

3. Have the patient hold on to the technologist

4. Put a space between the wheelchair or gurney and the radiographic table

1. Have an additional technologist or healthcare worker assist when possible

2. Use a sideboard, gait belt, or other mechanical device

A medical instrument that evaluates oxygen saturation in the blood is called?

Pulse oximeter

(T/F) Oxygen must be prescribed, as it is considered a medication.

True

What would be a clear example of an objective “sign” that a patient exhibits?

1. Epistaxis

2. Anxiety

3. Fatigue

4. Pain

1. Epistaxis

Which two of the following are used for central vascular access?

1. Foley

2. Groshong

3. Hickman

4. Levin

1. Groshong

   1. Hickman

Levin catheters are also known as:

Nasogastric tubes

(T/F) Oxygen is not considered a drug/

False

(T/F) Oxygen flow rates can be titrated down by radiographers or nurses if the patient asks.

False

When it is necessary to transfer or lift a patient who is unable to assist you, always utilize proper body mechanics. Which two of the following are considered proper body mechanics?

1. Avoid twisting and bending at the waist

2. Bend at the waist, not at the knees

3. Keep the neck, back and feet aligned when moving

4. Keep feet together to provide a strong base of support

1. Avoid twisting and bending at the waist

1. Keep the neck, back and feet aligned when moving

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

Rectal

The EKG rhythm indicated by the letter D is:

Asystole

The EKG rhythm indicated by the letter B is:

Normal Sinus Rhythm

Which pulse point is indicated by the letter A in the image?

Radial

A technologist is performing a portable chest xray on a patient with a tracheostomy tube. What is the most important consideration when performing the exam?

Ensuring the device does not get dislodged

Which three of the following are considered symptoms, not signs, of an underlying problem?

1. Anxiety

2. Epistaxis

3. Fatigue

4. Malaise

5. Pruritus

1. Anxiety

2. Fatigue

   1. Malaise

What term is described as not observable and is subjective in nature?

Symptoms

What is anything that can be detected and/or measured by a physician, nurse, or other bystander called?

Sign

At what level does oxygen saturation start to negatively affect the brain?

80-85%

Which position is described as a patient placed on a stretcher with the head elevated 45-60 degrees?

Fowler position

What position refers to a recumbent position with the head lower than the feet?

Trendelenburg

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

Intubation

When obtaining a manual blood pressure reading, how is the diastolic number determined?

1. It is the pressure measurement corresponding to the first heart sound heard when the pressure is released and the cuff is deflating

2. It is the pressure measurement corresponding to the last sound heard when the pressure is released and the cuff is deflating

1. It is the pressure measurement corresponding to the last sound heard when the pressure is released and the cuff is deflating

What is the medical device shown in the image?

Peripherally inserted central catheter (PICC) line

A middle aged male with a blood pressure reading of 180/90 may be described as:

Hypertensive

Log rolling is a method of moving patients with a suspected _ injury.

Spinal

During the movement and transfer of patients, where should urinary catheter bags be placed?

1. At the foot end of the radiographic table

2. Below the level of the radiographic table

3. Below the level of the urinary bladder

4. On the stretcher or wheelchair

1. Below the level of the urinary bladder

A sphygmomanometer is used to measure

Blood pressure

Which method of measuring body temperature may be contraindicated for patients with cardiac conditions?

Rectal method

What can be defined as the highest point reached during contraction of the left ventricle?

Systolic Blood Pressure

Which of the following terms is used to describe abnormally slow breathing?

Bradypnea

Bradypnea describes a respiratory rate of less than how many breaths per minute?

12

What term describes a pause in breathing that can happen quickly without warning?

Apnea

What describes shortness of breath or difficulty breathing?

Dyspnea

What describes a condition where there is difficulty breathing if lying down, but improvement if the patient sits or stands?

Orthopnea

While imaging a patient with a chest tube, where should the drainage tube be kept during the procedure?

Below the level of the chest

Which vessel is most commonly used to measure blood pressure?

Brachial artery

Which patient transfer technique illustrated in the figure is most appropriate for a patient with partial mobility and the ability to bear weight on one leg?

C Standing pivot transfer

What patient transfer technique is suitable for patients with very limited or no mobility?

B Transfer board

What is the medical term for elevated body temperature?

Pyrexia

Hyperthermia

What type of fall precautions are implemented in health care facilities to reduce the chance of falls in patients regardless of fall history, age, or fall risk?

Universal fall precautions

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

1. Hickman line

2. PICC line

3. Power Port

4. Swan-Ganz line

1. Hickman line

2. PICC line

3. Power Port

Which of the following is a pulmonary catheter used to detect heart failure, sepsis, and evaluate the effects of drugs?

1. Hickman line

2. PICC line

3. Power Port

4. Swan-Ganz line

Swan Ganz Line

A technologist receives an order to check the placement of a percutaneous endoscopic gastrostomy (PEG) tube. What is this tube used for?

Nutritional support