Patient Care Chapter 18

What is the goal of aseptic technique?

Protect the patient from pathogenic microbes

A common neonatal chest disorder requiring portable radiography is in the neonatal unit is transient tachypnea of the newborn (TTN). Radiographs are taken to visualize the chest for respiratory distress, and in doing so, the imaging professional must.... 1. Use the highest Desiree of aseptic techniques 2. Use lead protection when possible, and sterilize after each use 3. Wash hands only after the procedure is complete 4. Wrap all items that may have the potentiometer of coming in contact with the newborn 5. Use contact or shadow shielding for patient protection 6. Treat the procedure as a sterile procedure similar to surgery

1,2,4 and 5 only

When gowning another person,

A nonsterile circulating person pulls up the gown and fastens the back and waistband

When a Foley catheter system is inserted into a patient for an unexpected period of 4 to 6 weeks,

A polyvinyl chloride catheter is used

All of the following situations would require aseptic techniques EXCEPT.... A. Barium enema examination B. Insertion of central venous line C. Insertion of an indwelling Foley catheter D. Insertion of an angiographic catheter

A. Barium enema examination

When gowning and gloving for a sterile produce, it is important to remember that....

After gloving, the front of the gown down to the waist, and the sleeves are considered sterile

When establishing a sterile field using a sterile drape, what should you do?

All drape items must be clean and dry

When performing portable radiography on neonatal infants....

Aseptic techniques are especially important because of the infant's weak immune system

What should you do when handling a patient with a Foley catheter in place?

Avoid kinks in the tubing and keep the drainage bag lower than the bladder

Which of the following statements is false? A. A sterile person may touch only what is sterile B. Create sterile fields early in the morning while staff members are fresh and equipment is clean C. A sterile field must be watched continually to be considered sterile D. If a solution soaks through a sterile field to a nonsterile field, the wet area must be redraped

B

Two people in sterile attire should pass each other in what way?

Back to bacj

If the sterility of an object is unknown, what should be done?

Consider the object unsterile and do not use it

When performing radiologic examinations on patients with chest tubes, A. Remember that the chest drainage system has 3 compartments: collection chamber, water seal chamber, and suction control chamber B. Check for the color of the drainage and report any dark red color C. The exterior chamber of the assembly must remain lower than the patient's chest level D. All of the above are correct

D

During surgical procedures using a portable C-arm, it is important to remember that.... A. Communication with the surgeons is critical to examination success B. No two cases are ever the same, and routine surgical fluoroscopy is unlikely C. Technologists must be prepared for a stressful environment and using their highest critical thinking skills D. All of the above are important

D. All of the above

When performing dressing changes, it is important to remember that, A. Working with a team member is beneficial B. Dressing changes must be performed after the physician orders them C. If the wound is purulent, gowns are recommended D. All of the above

D. All of the above

What should be examined first when a sterile package is used?

Expiration date

When opening and pouring sterile solutions,

Hold the bottle with the label facing up to prevent fluids from staining the label

What is the purpose of the inflatable balloon portion at the tip of the Foley catheter?

Hold the catheter within the bladder

When creating a sterile field , it is important for the imaging professional to do what?

Keep sterile gloves in sight and above the waist level

If you suspect the radiologist has contaminated his or her glove, what should you do?

Make the radiologist aware of the possible contamination immediately

When opening a sterile tray, your fingers...

Must never touch the inside of the tray

The role of the imaging technologist during cardiac pacemaker studies is to...

Operate fluoroscopy for the physician as he or she guides the pacemaker

When opening and storing sterile solutions,

Show the solution name and strength to another person before pouring

The inflatable balloon portion of the Foley catheter is typically filled with what?

Sterile water

When using a portable c-arm for a surgical hip pinning....

Sterility will be maintained using a "shower curtain" approach

When using a portable fluoroscopy C-arm in surgery,

The IR and C-arm are draped with a snap cover for sterility

When putting on a pair of sterile gloves using the self-gloving, open technique,

The first glove is picked up by the inside cuff with one hand, being careful not to touch the outside of the glove

You are working as a radiographer in a busy imaging department, late into the evening. You receive a portable chest radiograph on a cardiac patient in the ICU. Your coworker comments that he just did a portable chest procedure on the same patient approximately 15 minutes earlier and questions why they are ordering another one so soon. The rationale for this next chest image would most likely be what?

The patient has a central venous line, and the physician wants to check the repositioning