chapter 18

what represents a good sterile technique?

When using a sterile setup, avoid bending and reaching over it

When performing radiologic examination on patients with chest tubes, a. remember that the chest drainage system has three compartments: collection changer, water seal changer, and suction control chamber b. check for the color of the drainage and report any dark red color c. the exterior changer of the assembly must remain lower than the patients chest level d. all the above

all the above

When establishing a sterile field using a sterile drape,

all drape items must be clean and dry

The goal of aseptic technique is to:

protect the patient from pathogenic microbes

A common neonatal chest disorder requiring portable radiography is transient tachypnea of the newborn (TTN). Radiographs are taken to visualize the chest for respiratory distress and in doing so the imaging professional should 1. use the highest degree of aseptic technique 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 potential of coming in contact with the newborn 5. use contact or showdown shielding for patient protection 6. treat the procedure as a sterile procedure similar to surgery

1, 2, 4 and 5

When downing another person

a non sterile circulating person pulls up the gown and fastens the back and waistband

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

a polyvinyl chloride catheter is used

when going and gloving for a sterile procedure, it is important to remember that:

after going, the front of the gown down to the waist, and the sleeves are considered sterile

during surgical procedures using a portable c-arm, it is important to remember that: a. communication with the surgeon is critical to examination success b. no two cases are eve the same, ad routine surgical fluoroscopy is unlikely c. technologists must be prepared fora. stressful environment and using their highest critical thinking skills d. all of the above

all the above

the performing portable radiography on neonatal infants:

aseptic techniques are especially important because of the infants weak immune system

when handling a patient with a Foley catheter in place,

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

two people in sterile attire should pass each other in which fo the following ways?

back to back

All of the following situations would require aseptic techniques EXCEPT: barium enema examination insertion of a CV line insertion of an indwelling Foley catheter insertion of an angiographic catheter

barium enema examination

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

operate fluoroscopy for the physician as he or she guides the pacemaker into position

When opening and pouring sterile solutions

confirm the solution name and strength 3 times before pouring and show the solution name and strength to another person before pouring

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

consider the object unsterile and do not use it

Which of the following statements is FALSE?

create sterile fields early in the morning while staff members are fresh and equipment is clean

Which of the following 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

The purpose of the inflatable ballon portion at the tip of the Foley catheter is to:

hold the catheter within the bladder

when creating a sterile field, it is important for the imaging professional to:

keep sterile gloves in sight and above the waist level

if you suspect the radiologist has contaminated his or her glove, which of the following 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

You are about to assist with a sterile procedure. In scrubbing for the procedure, it is important to:

scrub the fingers completely, as well as the from and back of your hands, for 3 minutes

The inflatable ballon portion of the Foley catheter is typically filled with:

sterile water

when using a portable c arm for a surgical hip pinning,

sterility will be maintained using a "shower curtain" approach

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

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

when using a portable fluoroscopy c-arm in surgery

the image receptor and C-arm are draped with a snap cover for sterility.

you are working as a radiographer in a busy imaging department, late into the evening. you receive a request for 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 minus earlier and questions why they are ordering another one so soon. The rationale for this next image would most likely be:

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

when performing dressing changes it is important to remember that:

working with a team is beneficial, dressing changes must be performed after a physician orders the procedure and if the would is purulent, gowns are recommended