Patient Care Chapter 17, 18, 19, Homework Questions

The spread of infection via contaminated food referenced is spread by

Fomite

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

From the mons pubis to the anus

When opening a sterile tray, your fingers

Must never touch the inside of the tray

NG tubes are inserted through the patient's _____ with the end of the tube placed in the

Nasopharynx; stomach

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

The goal of aseptic technique is to

Protect the patient from pathogenic microbes

The administration of glucagon shortly before a double-contrast barium enema is intended to

Relieve bowel spasm

Hazardous drug-related waste materials

Require the labeling of needle containers and breakable items of hazardous waste

For a single-contrast barium enema

Spot images of the cecum, hepatic flexure, splenic flexure, and sigmoid are taken

Which of the following is not a method of sterilization?

Steam under pressure

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

Sterilization

When performing a single-contrast barium enema examination,

Suspend the enema bag above the table at a height no greater than 30 inches

When using a portable fluoroscopy C-arm in surgery

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

When opening and pouring sterile solutions hold the bottle with the label facing

Up to prevent fluids from staining the label

When a disease is spread by an insect depositing the pathogen on or in a human, it is transmitted by what method?

Vector

Which of the following represents good sterile technique?

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

After an organism is infected and by the time symptoms of the infectious process manifest, several steps have taken place. These steps consist of

1) The encounter 2) Entry 3) Spread 4) Multiplication 5) Damage 6) Outcome

When you and a colleague perform a portable chest radiograph on a patient with contact precautions, it would be appropriate to

1.) Place the cassette in a protective bag before exposure and dispose of the bag properly after exposure 2.) Remove jewelry and place it in a safe place 3.) Greet the patient professionally and explain what you are going to do

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?

1st - Provide for the patient's privacy and locate a fracture bedpan 2nd - Be sure to wear gloves and wash your hands. 3rd - 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 examination is warranted for patients with

A possible bowel perforation

To confirm the placement of an NG tube in its proper position, a physician may use

A syringe to remove gastric contents as proof and fluoroscopy for visualization

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

A vector

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. Common colds picked up on contaminated radiography equipment

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

A. Create sterile fields early in the morning while equipment is clean and equipment is clean.

When performing radiologic examinations on patients with chest tubes A. The chest drainage system has three compartments: collection chamber, water seal chamber, and suction control chamber. B. Check for the color of the drainage and report any pale amber color indicating serous fluid. C. The exterior chamber of the assembly must remain higher than the patient's chest level to prevent retrograde flow.

A. The chest drainage system has three compartments: collection chamber, water seal chamber, and suction control chamber.

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

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

When establishing a sterile field using a sterile drape

All drape items must be clean and dry

When a barium examination of an ostomy patient is performed,

Allow the patient to insert the enema cone-tip into the stoma orifice

When opening and pouring sterile solutions show the solution name and strength to

Another person before pouring

When performing portable radiography on neonatal infants

Aseptic techniques are especially important because of the infant's 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 of the following ways?

Back to back

Streptococci and bacilli are classified as what type of microorganisms?

Bacteria

Situations would require aseptic techniques except A. Insertion of central venous line. B. Insertion of an indwelling Foley catheter. C. Insertion of barium enema tip. D. Insertion of an angiographic catheter

C. Insertion of barium enema tip

Pathogenic organisms have the ability to

Cause cellular and tissue damage. Replicate and cause blockages to the flow of fluids and gases Secrete exotoxins

To diagnose the condition of colitis

Colonoscopy is the preferred diagnostic study

When transporting a patient with a NG tube to medical imaging

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

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

Consider the object unsterile and do not use it

A person who acts as a reservoir of pathogenic organisms is referred to as a carrier. An example of a carrier is a

Coworker who has demonstrated a cold and flu for 2 weeks

All of the following are possible sources of nosocomial infection except A. Contamination of a surgical instrument in the surgical theater. B. Placement of an image receptor against a patient wound during a portable examination. C. Transfer of pathogenic microbes from a urethral catheter to a patient. D. transfer of microbes through hand contact with a waitress in the coffee shop adjacent to the hospital.

D. Transfer of microbes through hand contact with a waitress in the coffee shop adjacent to the hospital.

A disease spread by kissing is being transmitted by which of the following methods?

Direct contact

Chemical substances capable of killing pathologic microbes are termed

Disinfectants

By what method are pathogens spread when a person coughs or sneezes?

Droplet

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

Which of the following should be examined first when a sterile package is used?

Expiration date

Two bloodborne pathogens of particular importance to hospital personnel are

Hepatitis B virus (HBV) and HIV

Nasogastric (NG) tubes are inserted with the patient in the _____ position

High Fowler

The chain of infection consists of

Host Infectious microbe Mode of transmission and Reservoir

The process of establishment and growth of a microorganism on or in a host is referred to as

Infection

A nosocomial infection is an

Infection acquired in a hospital

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

Keep sterile gloves in sight and above the waist level

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)

Loopogram

A pathogen that requires contact precautions is

MRSA

If you suspect the radiologist has unknowingly contaminated his or her glove, which of the following should you do?

Make the radiologist aware of the possible contamination immediately

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

The sensitivity of colonoscopy has surpassed the results of barium contrast colon studies

When working with a nonambulatory male patient who needs to void you would

a. ask the patient how much assistance he feels he needs and allow him to use a urinal. b. after the patient has voided, record the volume of urine in the patient's chart if documentation is required. c. dispose of the urine in the toilet and rinse the urinal with cold water. d. remove your disposable gloves, wash your hands, and place the soiled urinal in a receptacle for resterilization.

Post-procedural care for patients who have had a colon examination should include

a. instructions for maintaining hydration. b. an increase in fluid intake and dietary fiber for a few days after the examination. c. an awareness of the change in stool color to an ashen gray color and the importance of eliminating the barium during defecation.

All of the following are true of virtual colonoscopy except a. they typically require no sedation or referral from the patient's doctor. b. it is considered a minimally invasive diagnostic study. c. hundreds of images are obtained in seconds, permitting the processing of a 3D study of the colon. d. it is performed using MR technology.

d. It is performed using MR technology.

All of the following are true of cleansing enemas except a. hydrating patients is a significant concern for patients undergoing a cleansing enema. b. they promote the defecation reflex and discharge. c. they are complete when bowel contents are clear and free of fecal matter. d. they are intended for the administration of enteric medications.

d. they are intended for the administration of enteric medications.