RAD 102- Ch. 19
To diagnose the condition of colitis;
Perform a colonoscopy
When performing a single-contrast barium enema examination,
Suspend the enema bag above the table at a height no greater than 30 inches.
The use of a water-soluble contrast agent such as Gastrografin for a colon examination is warranted for patients with:
a possible bowel perforation
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?
-Provide for the patient's 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.
To confirm the placement of an NG tube in its proper position, a physician may use:
1. a syringe to remove gastric contents as proof 2. fluoroscopy or radiography for visualization
In preparation for a barium examination of a colostomy patient, it is important to: 1. Tell the patient do not take their bismuth anti-odor tablets before the examination. 2. Understand the sensitivity of these patients to their condition and lifestyle change. 3. Irrigate stoma the night before and morning of the examination.
All of the above
Post-procedural care for patients who have had a colon examination should include: 1. Instructions for maintaining hydration. 2. An increase in fluid intake and dietary fiber for a few days after the examination. 3. An awareness of the change in stool color to an ash gray gray color and the importance of eliminating the barium during defecation.
All of the above
When transporting a patient with a nasogastric (NG) tube to medical imaging: 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.
All of the above
When working with a nonambulatory male patient who needs to void: 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.
All of the above
When a barium examination of an ostomy patient is performed,
Allow the patient to insert the enema cone-tip into the stoma orifice.
Which of the following is a TRUE statement regarding cleansing enemas?
Diabetic patients require special colon preparation procedures
Nasogastric (NG) tubes are inserted with the patient in the ______ position.
High Fowler
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
To allow tissue healing from a partial colon resection
an external stoma is created to allow for defecation
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
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
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:
has a double-lumen NG tube in place
Cleansing enemas are not...
intended for the administration of enteric medications.
All of the following are true of virtual colonoscopy except:
it is performed using MR technology.
(NG) tubes are inserted through the patient's ________ with the end of the tube placed in the ________.
nasopharynx; stomach
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
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.