112 Chapters 17, 18, 19 (Quiz 4)

When gowning another person: a. a non-sterile person pulls the gown up and fastens the back and waistband b. the non-sterile person picks up the gown and hands it to the sterile person c. sterile masks are unnecessary d. the sterile person grabs the gown by the waist and wraps it around the non-sterile assistant

a. a non-sterile person pulls the gown up 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. a polyvinyl chloride catheter is used b. a suction pump is attached to the drainage bag to ensure bladder emptying c. the patient is taught how to remove and replace the Foley using aseptic procedure d. the catheter will most likely not have an inflatable balloon end

a. 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

Which of the following is the most effective method fro achieving medical asepsis? a. frequent hand washing b. having most employees in perfect health c. changing linen after every patient d. cleaning the radiographic table weekly

a. frequent hand washing

The purpose of an inflatable balloon at the tip of the Foley catheter is to: a. hold the catheter in the bladder b. prevent backflow c. permit visualization in fluoroscopy d. induce stimulus for voiding

a. hold the catheter in the bladder

At the conclusion of an interventional study, the examination room is cleaned and major components are wiped down with chemical disinfectants. By performing this important task the radiographer is practicing: a. medical asepsis b. sterilization c. surgical asepsis d. fomite aspesis

a. medical aspesis

The process of establishment and growth of a microorganism on or in a host is referred to as: a. inflammation b. infection c. pathogen d. nosocomial

b. infection

When opening a sterile tray, your fingers: a. may not touch any metal content b. must be covered with sterile gloves c. may not touch any cloth content d. must never touch the inside of the tray

d. must never touch the inside of the tray

The most common type of NG tube used for stomach decompression is the: a. Swan-Ganz catheter b. central venous pressure line c. peripherally inserted central catheter (PICC) d. single-lumen Levin tube

d. single-lumen Levin tube

Lyme disease is a condition caused by bacteria carried by deer tick. This tick bite may cause fever, fatigue, and other associated symptoms. This is an example of transmission of an infection by: a. droplet b. vehicle c. airborne d. vector

d. vector

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 c. a sterile field must be continually watched to be considered sterile d. if a solution leaks through a sterile field to a non-sterile field, the wet area must be re-draped

b. create sterile fields early in the morning

To facilitate removal of a NG tube, the patient is: a. sedated heavily b. encouraged to take a deep breath c. in the Trendelenburg d. all of the above

b. encouraged to take a deep breath

The spread of infection via food is transmission by: a. contact b. fomite c. air d. vector

b. fomite

NG tubes are inserted with the patient in the __ position. a. sims b. high fowlers c. trendelenburg d. recumbent, prone

b. high fowlers

When using a portable C-arm for a surgical hip pinning: a. sterility will be maintained using a "shower curtain" approach b. sterile technique is unnecessary c. the surgeon can reach through the curtain and move the C-arm manually d. and additional sterile towel is positioned over the incision site and then removed when the C-arm is brought into the field of view for imaging

a. sterility will be maintained using a "shower curtain" approach

A common misunderstanding of patients regarding barium enemas is that: a. the actual barium enema examination is "just another cleansing enema" b. the barium enema is all that is needed as a cleansing enema c. they will be asked to drink a chalky "milkshake" for the examination d. they will be expected to defecate during the examination for filming

a. the actual barium enema examination is "just another cleansing enema"

When using a portable fluoroscopy C-arm in surgery: a. the image receptor and C-arm are draped with a snap cover for sterility b. the surgery team members operate the fluoroscopy unit c. the C-arm is disinfected and considered sterile d. sterile technique is unnecessary

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

When a disease is spread b y an insect depositing the pathogen on or in a human, it is transmitted by: a. vector b. vehicle c. direct contact d. fomite

a. vector

Which of the following represents good sterile technique? a. when using a sterile setup, avoid bending or reaching over it b. remove sterile forceps from their container and tap them on the edge so all the solution will fall off c. any sterile supplies added to the sterile tray, such as cotton balls, should be returned to their containers if not used d. the solution in the forceps container should be checked regularly and added to when its level gets low

a. when using a sterile setup, avoid bending or reaching over it

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 x-ray equipment b. UTIs from Foley catheter insertions c. hepatitis B infection from contaminated needles d. staphylococcal infection from labor and delivery

b. UTIs from Foley catheter insertions

When establishing a sterile field using a sterile drape: a. it is acceptable to reach across sterile field b. all drape items must be clean and dry c. inspect the expiration date to determine is you are using it within 36 hours of it's expiration date

b. all drape items must be clean and dry

In order to allow tissue healing from a partial colon resection: a. the patient is kept bedridden for the entire recovery period b. an external stoma is created to allow for defecation c. the patient will be kept on a liquid diet for the entire recovery period d. the patient's colon will be clamped off distal to the resection site

b. an external stoma is created to allow for defecation

When performing portable radiography on neonatal infants: a. gonadal shielding is not important, as the reproductive organs have not formed yet b. aseptic techniques are especially important because of the infants weak immune system c. the portable radiographic unit must be wiped down after the procedure within 24 hours d. the radiographer should wash their hands before the procedure only

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

When handling a patient with a Foley catheter in place: a. the drainage bag should be placed at the same level or higher than the bladder b. avoid kinks in the tubing and keep drainage bag lower than the bladder c. it is advisable to clamp the tubing in order to do a lengthy small bowel study d. never let the volume of urine fill more than 30% of the collection bag capacity

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

Streptococci and bacilli are classified as what type of microorganisms? a. viruses b. bacteria c. fungi d. molds

b. bacteria

NG tubes are inserted through the patients ___ with the end of the tube placed in the ___. a. mouth; duodenum b. nasopharynx; stomach c. mouth; ilium d. oropharynx; stomach

b. nasopharynx; stomach

The use of a water soluble agent for a colon exam is warranted for patients with: a. polyps b. possible bowel perforation c. diverticulosis d. pancreatitis

b. possible bowel perforation

The goal of aseptic technique is to: a. protect radiographer from infection b. protect patient from infection c. prevent the spread of infection from the patient to hospital equipment d. protect the surgical team from an infected patient

b. protect patient from infection

A nosocomial infection is: a. acquired at a large gathering b. upper respiratory infection c. acquired at a hospital d. obtained through a physician's physical examination

c. acquired at a hospital

When gowning and gloving for a sterile procedure, it is important remember that: a. the techniques are the same as gowning for medical asepsis b. sterile gloves must be put on outside of the sterile work area c. after gowning, the front of the gown down to the waist, and the sleeves, are considered sterile d. when passing a team member, you must pass face to face in order to see any contamination

c. after gowning, the front of the gown down to the waist, and the sleeves, are considered sterile

Chemical substance capable of killing pathogenic microbes are termed: a. disinfectants b. antiseptics c. bactericidal d. bacteriostatic

c. bactericidal

An example of a carrier is: a. friend who appears to be healthy b. family member who recently had a tooth removal c. co-worker who is showing symptoms of a cold d. young child who is "cutting teeth'

c. co-worker who is showing symptoms of a cold

If the sterility of an object is unknown: a. ask the physician if it's okay to use b. use the object as long as it has not been dropped on the floor c. consider it non-sterile and don't use it d. clean the object with a disinfectant or antimicrobial before using

c. consider it non-sterile and don't use it

Which of the following should be examined first when a sterile package is used? a. way the package is folded b. type of material used to wrap the package c. expiration date d. way the package is taped

c. expiration date

The chain of infection includes: a. fomite, vector, reservoir, breachment b. bacteria, virus, protozoa, fungi c. host, infectious microbe, mode of transmission, reservoir d. encounter, entry, spread, multiplication, outcome

c. host, infectious microbe, mode of transmission, reservoir

When creating a sterile field, it is important for the imaging professional to: a. establish the sterile field as early in the day as possible b. remember that anything above the ankles is considered sterile c. keep sterile gloves in sight and above the waist level d. remember that any moisture that develops on the sterile field can be dried up using an infrared lamp

c. keep sterile gloves in sight and above the waist level

any microorganism that causes disease is: a. prokaryotic b. flora c. pathogenic d. iatrogenic

c. pathogenic

The administration of glucagon shortly before a double-contrast barium enema is intended to: a. increase liver function and the release of glycogen b. cause the gallbladder to empty c. relieve bowel spasm d. increase peristalsis

c. relieve bowel spasm

You are able to assist with a sterile procedure, in scrubbing for the procedure, it is important to: a. tightly wrap surgical tape around your rings and watch after scrubbing b. keep your arms down when scrubbing to prevent fluids running up your arms c. scrub the fingers completely, as well as the front and back of your hands, for 3 minutes d. use a surgical antimicrobial solution such as alcohol or antispetic soap

c. scrub the fingers completely, as well as the front and back of your hands, for 3 minutes

For a single contrast enema: a. approximately 500 mL of barium are used for an adult b. air or carbon dioxide is used as a contrast agent c. spot images of the cecum, hepatic flexure. splenic flexure, and sigmoid are taken d. a postevacuation film image is unnecessary

c. spot images of the cecum, hepatic flexure. splenic flexure, and sigmoid are taken

When putting on a pair of sterile gloves using the self-gloving, open technique: a. jewelry may be worn on during gloving b. the glove package is open and positioned so the wearer crosses his or her arm over the left glove c. the first glove is picked up by the inside of the cuff with one hand, being careful not to touch the outside of the glove d. the remaining glove is grabbed by the outside and place on the non-sterile hand, now making it sterile

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

All of the following are possible sources of nosocomial infection EXCEPT: a. transfer of pathogenic microbes from the Foley catheter to a patient b. contamination of a surgical instrument in the surgical theater c. transfer of microbes through hand contact with a waitress in the coffee shop adjacent to the hospital d. placement of unclean radiographic receptor against a patient's wound during a portable examination

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

When working with a non ambulatory male patient who needs to void: a. ask the patient how much assistance is needed, allow him to use a urinal b. after the patient has voided, record the volume of urine on patient's chart c. dispose of the urine in the toilet and rinse with cold water d. remove gloves and wash hands e. all of the above

e. all of the above

Biosafety in the medical imaging department includes: a. washing hands before and after an interventional procedure b. wearing gloves when handling an emesis basin with vomitus c. using resuscitation mask or bag during CPR d. all of the above

d. all of the above

Pathogenic organisms have the ability to: a. cause cellular and tissue damage b. replicate and cause blockages to the flow of fluids and gases c. secrete endotoxins d. all of the above

d. all of the above

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 elimination d. all of the above

d. all of the above

When performing dressing changes, it is important to remember that: a. working with a team member helps b. dressing changes must be performed after a physician orders the procedure c. if the wound is purulent, gowns are recommended d. all of the above

d. all of the above

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 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 are important

To confirm the placement of an NG tube in it's proper position, a physician may use: a. a syringe to remove gastric contents b. fluoroscopy or radiography for visualization c. feedback from the patient by asking if he or she can feel it in the stomach d. both a and b

d. both a and b

When opening and pouring sterile solutions: a. both the inside and outside of the bottle are considered sterile b. confirm the solution name and strength c. show the solution name and strength to another person before pouring d. both b and c

d. both b and c

When transporting a patient with a NG tube to medical imaging: a. confirm the suction pressure before disconnecting b. make sure the NG tube is secured to patient's nose c. confirm the allowable time for suction interruption d. do all of the above

d. do all of the above

All of the following are effective methods of sterilization EXCEPT: a. chemical agents b. moist or dry heat c. UV radiation d. hand washing

d. hand washing

Which of the following is not a method of sterilization? a. autoclaving b. moist heat c. steam under pressure d. hand washing

d. hand washing

A few days after a stereo-tactic 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): a. infection caused by patient neglect b. idiopathic examination c. nosocomial infection d. iatrogenic infection

d. iatrogenic infection