CH 19 PCO Quiz
After bedpan use, hygiene of the female patients perineum is important. Proper cleansing of this region requires using gloves and several folded tissues to wipe the region
From the mons pubis to the anus
As you arrive in a patient's room for transport to radiology, you notice that the patient has an NG tube in place with a syringe upright and pin to the gown. You should know that this patient
Has a double lumen NG tube in place
NG tubes are inserted through the patients__ with the end of the tube placed in the__
Nasopharynx; stomach
For a single contrast barium enema
Spot images of the cecum, hepatic flexure, splenic flexure, and sigmoid are taken
When performing a single contrast barium enema exam
Suspend the enema bag above the table at a height no greater than 30 inches
As you begin to perform a hip exam on an elderly female patient who has undergone hip surgery, the patient states that she needs to go to the bathroom. Which of the following should be done
2,3&5 Provide for the patient privacy and locate a fracture bedpan. Be sure to wear gloves and wash your hands. You and an assistant should assist the patient with movement onto the bedpan
The use of a water soluble contrast agent such as Gastrografin for a colon exam is warranted for patients with
A possible bowel perforation
To confirm the placement of in NG tube in its proper position, a physician may use
A syringe to remove gastric contents as proof and fluoroscopy for visualization
Post procedural care for patients who have had a colon exam should include
All of the above. Instructions for maintaining hydration. An increase in fluid intake and dietary fiber for a few days after the exam. An awareness of the change in stool color to an ashen gray color and the importance of illuminating the barium during defecation
When a barium exam of an ostomy patient is performed
Allow the patient to insert the enema cone tip into the stoma orifice
To diagnose the condition of colitis
Colonoscopy is the preferred diagnostic study
Which of the following is a true statement regarding cleansing enemas
Diabetic patients require special: preparation procedures
In preparation for a barium exam of a colostomy patient, it is important to
Do all of the above. Tell the patient to not take their bismuth anti-odor tablets before the exam. Understand the sensitivity of these patients to their condition and lifestyle change. Irrigate the stoma the night before and morning of the exam
When working with a non-ambulatory male patient who needs to void,
Do all of the above. Ask the patient how much assistance he feels he needs and allow him to use a urinal. After the patient has voided, record the volume of urine in the patient's chart if documentation is required. Dispose of the urn in the toilet and rinse the urinal with cold water. Remove your disposable gloves, washer hands, and placed the soil journal in a receptacle for resterilization
When transporting a patient with a NG tube to medical imaging
Do all of the above. Confirm the suction pressure before disconnecting the tube. Make sure the NG tube is secured to the patient's nose. Confirm the allowable time for suction interruption.
Currently, in most radiology departments, barium studies of the colon
Employ carbon dioxide and barium as a double contrast exam
To facilitate removal of a nasogastric tube, the patient is
Encouraged to take a deep breath
Nasogastric Tubes are inserted with the patient in the
High fowler position
All of the following are true of virtual colonoscopy except
It is performed using MR technology
The radiographic evaluation of the small and large bowel that has been connected to the skin surface, as a substitute for the urinary bladder with an ostomy, is typically called
Loopogram
Performing fluoroscopic exams of the colon are scheduled less often than before. The reason for this change in the clinical study of the: includes
The sensitivity of colonoscopy has surpassed the results of barium contrast: studies
All of the following are true of cleansing enema's except
They are intended for the administration of enteric medications
To allow tissue healing from a partial colon resection,
an external stoma is created to allow for defecation
The administration of glucagon shortly before a double contrast barium enema is intended to
relieve bowel spasm
The most common type of Nasogastric Tube used for stomach decompression is the
single-lumen Levin tube