RAD102 ch 17-20 test
c) spot images of the cecum, hepatic flexure, splenic flexure, and sigmoid are taken.
For a single-contrast barium enema,
a.chemical b.physical
Hand washing uses which of the following methods of infection control?
b) nasopharynx; stomach
NG tubes are inserted through the patient's _____ with the end of the tube placed in the _____.
b) high Fowler
Nasogastric (NG) tubes are inserted with the patient in the _____ position.
1. Careful attention paid to everything that the radiographer comes in contact with and proper cleaning protocols followed 3. Wiping down the machine before each patient
Neonatal portable radiography requires the most care to maintain asepsis, which one of the following will best ensure asepsis of the infant?
1. multiplication and spread.2. encounter and entry..4. damage7. outcome.
Once an organism is infected and by the time symptoms of the infectious process manifest, several steps have taken place. These steps consist of:
b.water seal chamber
Outside air is prevented from entering the pleural cavity through the chest tube by the:
c) the sensitivity of colonoscopy has surpassed the results of barium contrast colon studies
Performing fluoroscopic examinations of the colon are scheduled less often than before. The reason for this change in the clinical study of the colon includes
2. prevent further harm to the patient. 3. preserve life 5. stabilize the patient until the appropriate medical assistance arrives.
Providing care in an emergency situation is intended to:
c) positioning a patient for a suspected simple wrist fracture
Sterile gloves should be used for all of the following instances except a) an arteriogram with angioplastic catheter. b) emptying a patient's emesis basin. c) positioning a patient for a suspected simple wrist fracture d) palpating a patient's skin for a venipuncture.
Bacteria
Streptococci and bacilli are classified as what type of microorganisms?
a. respiratory distress. b. change in state of consciousness. c. patient is lethargic.
Symptoms of a head injury include
b.fainting
Syncope is a medical term for which of the following?
c.choking
The Heimlich maneuver is used in response to which of the following situations?
modified for infants to include back slaps and chest thrusts.
The Heimlich maneuver is:
c) relieve bowel spasm
The administration of glucagon shortly before a double-contrast barium enema is intended to
a.The patient wearing a mask
The best method of preventing the spread of aerosol infections is by:
c. host, infectious microbe, mode of transmission, reservoir.
The chain of infection consists of
b. virus
The common cold is an example of an infection by a: a.bacterium
b.establish communication
The first rule of caring for a tracheostomy patient is:
b) protect the patient from pathogenic microbes
The goal of aseptic technique is to
c.protect the patient from infection
The goal of good sterile technique is to:
c. syncope.
The medical term for a temporary suspension of consciousness is:
d) single-lumen Levin tube.
The most common type of nasogastric tube used for stomach decompression is the
a.levin
The most common types of nasogastric tubes is:
b.500mL
The normal adult patient should be able to tolerate how much fluid from a cleansing enema?
b. hepatitis B virus (HBV) and HIV.
Two blood-borne pathogens of particular importance to hospital personnel are:
Back to front
Two people in sterile attire should pass each other in which of the following ways?
have the patient lie down
What is the first thing you should do if a patient who is standing turns pale and says he feels dizzy?
1. Sleeves 2. Front from the waist up
What parts of a gown are considered sterile?
a.the patient should be told to use deep oral breathing b.the enema should be stopped
What should be done if cramping occurs during a barium enema?
a.retention balloon
What type of catheter is the foley?
anaphylactic
What type of shock can result from a severe reaction to the contrast media used in radiographic examinations?
a.Cardiogenic
What type of shock is caused by a failure of the heart to pump enough blood to the vital organs?
hypovlemic
What type of shock is caused by loss of blood from a knife or gunshot wound?
a) a polyvinyl chloride catheter is used
When a Foley catheter system is inserted into a patient for an expected period of 4 to 6 weeks,
d. allow the patient to insert the enema cone-tip into the stoma orifice.
When a barium exam of an ostomy patient is performed:
a. Vector
When a disease is spread by an insect depositing the pathogen on or in a human, it is transmitted by what method?
a.should lean forward and pinch his/her nostrils against the midline septum for 10-15 minutes
When caring for a patient with epistaxis, the patient:
both devices determine the patient's cardiac rhythm
When comparing a semiautomatic AED device with an automatic device:
.portrays clinical symptoms of excessive thirst and urination as well as dry mouth
When comparing hyperglycemia with hypoglycemia, the former:
c) keep sterile gloves in sight and above the waist level
When creating a sterile field, it is important for the imaging professional to
.b. all drape items must be clean and dry.
When establishing a sterile field using a sterile drape:
c) after gowning, the front of the gown down to the waist, and the sleeves are considered sterile
When gowning and gloving for a sterile procedure, it is important to remember that
b. avoid kinks in the tubing and keep the drainage bag lower than the bladder.
When handling a patient with a Foley catheter in place:
b.inside of the cuff
When handling sterile gloves with a nonsterile hand, which of the following is not considered sterile?
c) hold the bottle with the label facing up to prevent fluids from staining the label
When opening and pouring sterile solutions
d) move the sterile basin to the edge of the sterile field and show the solution name and strength to another person before pouring are appropriate.
When opening and pouring sterile solutions,
after each group of 30 compressions give two quick ventilations
When performing CPR as a single rescuer:
backboard
When performing CPR on a patient who is supine on a cart, you would look for what item in the emergency crash cart?
b) suspend the enema bag above the table at a height no greater than 30 inches
When performing a single-contrast barium enema examination,
d. if the wound is purulent, gowns are recommended.
When performing dressing changes, it is important to remember that
aseptic techniques are especially important because
When performing portable radiography on neonatal infants,
A. the chest drainage system has three compartments: collection chamber, water seal chamber, and suction control chamber.
When performing radiologic examinations on patients with chest tubes,
a.compressions are at rate of 100 per minute.b.compressions are paused briefly to give two ventilations.c.the rescuers can smoothly switch positions as they choose
When performing two-person CPR:
c) the first glove is picked up by the inside cuff with one hand, being careful not the touch the outside of the glove.
When putting on a pair of sterile gloves using the self-gloving, open technique,
,a) confirm the suction pressure before disconnecting the tube.b) make sure the NG tube is secured to the patient's nose.c) confirm the allowable time for suction interruption.
When transporting a patient with a NG tube to medical imaging
,a) sterility will be maintained using a "shower curtain" approach
When using a portable C-arm for a surgical hip pinning,
a. the image receptor and C-arm are draped with a snap cover for sterility
When using a portable fluoroscopy C-arm in surgery:
.two AED chest pads are used, one on the upper right side of the chest and the other on the lower left ribs
When using an automatic external defibrillator (AED):
d) remove your disposable gloves, wash your hands, and place the soiled urinal in a receptacle for resterilization.
When working with a nonambulatory male patient who needs to void,
use an extrordinary level of aseptic technique
When working with burn patients, it is critically important to:
1. place the cassette in a protective bag before exposure and dispose of the bag properly after exposure. 3. remove jewelry and place it in a safe place 5. greet the patient professionally and explain what you are going to do
When you and a colleague perform a portable chest radiograph on a patient with contact precautions, it would be appropriate to:
c.two fingers above the xiphoid process
Where should the heel of the hand be placed when performing chest compressions during cardiopulmonary resuscitation on an adult?
c. attempt to prevent the patient from injuring himself or herself
Which of the following actions is appropriate in handling a patient who begins a violent seizure?
a.minimizing pain b.providing emotional support c.maintaining a normal body temperature
Which of the following actions would help prevent a patient from going into shock?
b) Diabetic patients require special colon preparation procedures.
Which of the following is a true statement regarding cleansing enemas?
d. Hand washing
Which of the following is not a method of sterilization?
a. Frequent hand washing
Which of the following is the most effective method for achieving medical asepsis?
b.decreasing blood pressure
Which of the following is typically associated with shock?
orange juice
Which of the following may be given to a patient to counteract hypoglycemia?
a) When using a sterile setup, avoid bending and reaching over it
Which of the following represents good sterile technique?
c.lethargy
Which of the following signs or symptoms is typically associated with a deteriorating head injury?
b) Create sterile fields early in the morning while equipment is clean.
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 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.
a.stool/mucus
With a double-barrel colostomy, the proximal stoma delivers _______ and the distal stoma produces ________.
unconscious but reflexive
You have come upon a motor vehicle accident as the first person to arrive. As you assess the victim's level of consciousness, you begin to ask questions and encourage the victim to respond. During your efforts to do so, the victim has no verbal response to any stimuli, but his leg moves with your touch and pinch. This person demonstrates what level of consciousness?
sterile water
1. The inflatable balloon portion of the Foley catheter is typically filled with:
A. must never touch the inside of the tray
3. While opening a sterile tray, your fingers:
scrub the fingers competely, as well as the front and back of your hands for 3 mintues
5. You are about to assist with a sterile procedure. In scrubbing for the procedure it is important to:
d. go to the patient immediately, prevent him from harm and call for help.
A 16-year-old patient comes to the diagnostic imaging department for a CT examination. He is lying on the table in a supine position and suddenly seems to lose consciousness and begins to move violently, with jerking motions. You realize that he is having a generalized seizure. The action that you must take is
b. crash
A common name for an emergency cart within medical imaging is the _____ cart.
1. use the highest degree of aseptic techniques. 2. use lead protection when possible, and sterilize after each use .4. wrap all items that may have the potential of coming in contact with the newborn. 5. use contact or shadow shielding for patient protection.
A common neonatal chest disorder requiring portable radiography 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
a. Direct contact
A disease spread by kissing is being transmitted by which of the following methods?
fibrillation
A disorganized cardiac rhythm in which the ventricle "flutters" and loses cardiac output is called:
d. iatrogenic infection
A few days after a stereotactic breast biopsy performed by a radiologist in a breast imaging center the patient returns to her physician with an obvious infection at the incision site. This would be an example of a(n):
b. fomite
A health care worker is accidentally punctured with a contaminated needle. This type of transmission is called
c. infection acquired in a hospital.
A nosocomial infection is an:
1.Sensing the patient's heartbeats 2. Pacing the heart when it does not contract 3. Producing electrical impulses
A pacemaker prevents bradycardia by:
a. MRSA
A pathogen that requires contact precautions is:
a.rest c.carbohydrates
A patient suffering from hypoglycemia needs which of the following?
a.vector
A person is bitten by a mosquito and develops and infection. This type of transmission is known as
c. co-worker who has the clinical symptoms of a cold.
A person who acts as a reservoir of pathogenic organisms is referred to as a carrier. An example of a carrier is a:
b.dehydration
A postural drop in blood pressure can occur after a barium enema as a result of:
.c) from the mons pubis to the anus
After bedpan use, hygiene of the female patient's perineum is important. Proper cleansing of this region requires using gloves and several folded tissues to wipe the region
urticaria, nausea, shortness of breath, tightening in the throat, and cardiac arrest.
After the administration of an iodine-based contrast into a patient, it is important for the technologist to observe the patient for
isolation
All of the following are effective methods of sterilization except a. moist heat. b. ultraviolet radiation. c. chemical agents. d. isolation.
c. transfer of microbes through hand contact with a waitress in the coffee shop adjacent to the hospital.
All of the following are possible sources of nosocomial infection EXCEPT
d. bacillus.
All of the following are related EXCEPT:a. fungi.b. protozoa.c. viruses.d. bacillus.
d. compression
All of the following are related EXCEPT:a.airway.b.breathing.c.circulation.d.compression.
a.this type of catheter is held in place by an inflatable balloon at the end
All of the following are true in regard to foley catheters EXCEPT: a.this type of catheter is held in place by an inflatable balloon at the end b.this type of closed drainage system catheter is used for a long-term use and sutured to the skin c.this type of catheter is used primarily to empty the bladder. d.this type of catheter can be made of varying materials such as latex or plastic
a) they are intended for the administration of enteric medications.
All of the following are true of cleansing enemas except a) they are intended for the administration of enteric medications. b) they promote the defecation reflex and discharge. c) they are complete when bowel contents are clear and free of fecal matter. d) hydrating patients is a significant concern for patients undergoing a cleansing enema.
D. cleaning up a biospill area using a commercial soap solution.
All of the following are true of radiology department biosafety except a. using a resuscitation mask or bag during CPR. b. washing hands before and after an interventional procedure. C. wearing gloves while handling an emesis basin with vomitus. d. cleaning up a biospill area using a commercial soap solution.
a) it is performed using MR technology.
All of the following are true of virtual colonoscopy except a) it is performed using MR technology. b) hundreds of images are obtained in seconds, permitting the processing of a 3D study of the colon. c) it is considered a minimally invasive diagnostic study. d) they typically require no sedation or referral from the patient's doctor.
d. touching
All of the following are types of indirect transmission except? a.fomite b.vector c.aerosol d. touching
b. tinea pedis
All of the following are viral infections EXCEPT:a. cold sores.b. tinea pedis.c. common cold.d. warts
a) insertion of barium enema tip.
All of the following situations would require aseptic techniques except a) insertion of barium enema tip. b) insertion of central venous line. c) insertion of an indwelling Foley catheter. d) insertion of an angiographic catheter.
have the patient sit down, and allow the patient to use his or her aerosol inhaler
An effective method to handle a patient with an asthmatic attack during a radiographic procedure would be to:
a.ingression b.penetration
An infectious microbe can gain entrance into the human body by:
d. more than one of the above, but not all
An outpatient develops a staphylococcal infection after a surgical procedure. This type of transmission is known as a.vector b.fomite c.nosocomial d. more than one of the above, but not all
pathogenic
Any microorganism that causes disease is:
a.10%
Approximately what percentage of colostomy patients have recurrences of cancer?
call for help, apply pressure to the wound site, and elevate his arm
As you are radiographing a patient from the ER who has a knife wound to the upper extremity, you notice that his wound dressing is becoming saturated with blood quickly and he is getting lightheaded. You should:
a) has a double-lumen NG tube in place
As you arrive into a patient's room for transport to radiology, you notice that the patient has an NG tube in place with a syringe upright and pinned to the gown. You should know that this patient
2. Provide for the patient's privacy and locate a fracture bedpan. 3. Be sure to wear gloves and wash your hands. 5. You and an assistant should assist the patient with movement onto the bedpan
As you begin to perform a hip examination 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?
a. medical asepsis.
At the conclusion of an interventional radiographic examination, the examination room is cleaned and major components are wiped down with chemical disinfectants. By performing this important task the radiographer is practicing:
are eukaryotic organisms
Bacteria have all of the following characteristics EXCEPT they:a. are eukaryotic organisms.b. have the ability to produce endospores.c. are single-cell organisms.d. may live on a host in a colony form.
b.sterilized between uses
Bedpans should be:
d. Droplet
By what method are pathogens spread when a person coughs or sneezes?
a.the rescuer is physically exhausted.b.a physician says it's time to stop CPR.c.the patient responds and shows signs of recovery
CPR can be stopped when:
:a.is basically the same as on an adult but adjusted based on patient size.
CPR performed on an infant
c. bactericidal.
Chemical substances capable of killing pathologic microbes are termed
b) employ carbon dioxide and barium as a double-contrast exam
Currently, in most radiology departments, barium studies of the colon
1. Rapid flow 2. Good mucosal adhesion
Desirable characteristics of a barium suspension include:
C???
Hazardous drug-related waste materials a. deal with bodily discharges such as sputum and feces. b. include only pharmaceuticals, to prevent needle perforations through the collection bag. c. require the labeling of needle containers and breakable items of hazardous waste. d. are collected in clear bags for identification.
c.use a pistonlike syringe
How can leakage from a double-lumen tube be prevented?
d.4 to 6 minutes
How long can the brain be deprived of oxygen before cerebral function impairment is likely?
c.the patient cannot tolerate large amounts of fluid
Hypertonic solution is used when:
c) Consider the object unsterile and do not use it.
If the sterility of an object is unknown, which of the following should be done?
d) Make the radiologist aware of the possible contamination immediately.
If you suspect the radiologist has unknowingly contaminated his or her glove, which of the following should you do? a) Ignore the contamination as it is their responsibility to know their own contamination .b) Remain silent so as not to jeopardize the case and complete a sentinel event report afterward. c) Confirm the contamination with a second person, and if there is agreement, inform the radiologist d) Make the radiologist aware of the possible contamination immediately.
b. urinary tract infections from Foley catheter insertions.
In a hospital setting, constant awareness is given to the simple fact that patients come to the hospital because they are sick and vulnerable to disease. With the current system of medical care, by the time patients come to the hospital setting for care, they are sicker than ever in the past. The most common nosocomial infection seen in hospital patients is:
a. tell the patient to not take their bismuth anti-odor tablets before the examination. b. understand the sensitivity of these patients to their condition and lifestyle change. c. irrigate the stoma the night before and morning of the examination.
In preparation for a barium examination of a colostomy patient, it is importat to
:a.location of and access to the crash cart. b.automatic external defibrillator (AED) operation .c.institutional numbers for emergency code announcements.
In preparation for any emergent situation, the professional technologist should become familiar with
a.providing an open airway
In working with a patient, which of the following would be the first priority for attention?
a. a qualified medical practitioner calls a halt. b. the rescuers decide it is not working. c. law enforcement arrives and pronounces the victim deceased.
It is acceptable to discontinue CPR on a person when
. a vector.
Lyme disease is a condition caused by bacteria carried by deer ticks. The tick bite may cause fever, fatigue, and other associated symptoms. This is an example of transmission of an infection by:
c. pathogenic
Microorganisms that cause infectious diseases can be classified as
infection
The process of establishment and growth of a microorganism on or in a host is referred to as:
a) hold the catheter within the bladder
The purpose of the inflatable balloon portion at the tip of the Foley catheter is to
1.Remove debris and transient microorganisms from 3.Destroy infected material Inhibit rapid rebound growth of microorganisms
The purpose of the surgical hand scrub is to:
c) operate fluoroscopy for the physician as he or she guides the pacemaker into position
The role of the imaging technologist during cardiac pacemaker studies is to
b. proper hand-washing technique.
The single greatest measure that can be done to prevent the spread of infection is:
c. providing a competent level of care, recognizing when advanced care is needed, and calling for assistance.
The single most important action for the radiographer when administering emergency care is:
b. fomite
The spread of infection via contaminated food referenced is spread by:
d. sterilization
The term that best describes the absolute removal of all life forms is:
hypovolemic
The type of shock that is a result of severe loss of blood is
b) a possible bowel perforation
The use of a water-soluble contrast agent such as Gastrografin for a colon examination is warranted for patients with
an external stoma is created to allow for defecation.
To allow tissue healing from a partial colon resection,
d) a syringe to remove gastric contents as proof and fluoroscopy for visualization
To confirm the placement of an NG tube in its proper position, a physician may use
c) colonoscopy is the preferred diagnostic study
To diagnose the condition of colitis
.b) encouraged to take a deep breath
To facilitate removal of a nasogastric tube, the patient is
cause celluar and tissue damamge, replicate and cause blockage tot the flow of fluids and gases, secrete endotoxins
pathogenic organisms have the ability to
a. an awareness of the change in stool color to an ashen gray color and the importance of eliminating the barium during defecation. b. instructions for maintaining hydration. d. an increase in fluid intake and dietary fiber for a few days after the examination.
post-procedural care for patients who have had a colon examination should include: a. an awareness of the change in stool color to an ashen gray color and the importance of eliminating the barium during defecation.b. instructions for maintaining hydration.c. all of the above.d. an increase in fluid intake and dietary fiber for a few days after the examination.
c. loopogram.
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 a(n):
a. expiration date
which of the following should be examined first when a sterile package is used?a. expiration date.b. the tightness of the wrapping.c. way the package is folded.d. type of material used to wrap the package.
b. the patient has a central venous line, and the physician wants to check the repositioning.
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 mins earlier and questions why they are ordering another one so soon. the rationale for this next chest image would most likely be: