Which of the following are needed before administering intravenous contrast media?

BUN, Creatinine, and blood pressure values

When must hand-washing, donning non-sterile gown be used in mobile radiography?

X-ray neonate in incubator in NICU

What is a laparoscope?

Instrument for remote viewing of abdominal cavity in surgery.

What must follow conventional gas sterilization?

Items aerated before dispensing for use

What do autoclave, gas plasma, and conventional gas sterilization all have in common?

They use color change tape to indicate sterilization is complete.

Which of the following may be used to prepare the patient's skin for a sterile procedure?

A topical antiseptic such as Betadine

What precautions are needed for imaging new-tracheostomy patients?

Suction available and functioning, monitor respiration carefully

How is sterile packet opened?

Top corner opened away from body

What is atherosclerosis?

Fatty plaque deposited in arteries

What is used in Transhepatic Cholangiography?

A thin needle inserted through the skin to the common bile duct.

When might Percutaneous Transhepatic Cholangiography (PTC) be performed?

High-risk patient for bile duct imaging, surgery precluded.

What is Endoscopic Retrograde CholangioPancreatography?

Endoscopy of duodenal and pancreatic ducts.

When is the Sims position used?

Patient position for cleansing enemas

How can the soft tissues of the alimentary canal be visualized?

Intravenous, oral, rectal contrast media

How are MRI images obtained?

By using a strong magnetic field to acquire multiplaner images.

What is preferred imaging method for patients in PACU, on traction, or in isolation?

Perform bedside radiography if possible,

What precaution must be used when imaging patients with new tracheostomy?

Suction must be readily available and functioning.

When might RAO position be used in UGI studies?

To help resolve in pyeloric spasm

What happens during a Myelogram?

Water-soluble contrast medium injected to spinal canal to show defects.

How is Barium Sulphate used?

Most common UGI and lower GI contrast medium

What requires expiration date not exceeded, clean, intact, sterilization color marker correct?

Check on sterile package before use

When must water-soluble iodinated compounds be used as contrast media?

If bowel perforation is suspected or surgery is imminent.

When is allergy history, baseline blood pressure, BUN and Creatinine needed?

Before administering IV contrast media

When must non sterile scrub shirt and pants, mask, cap, and booties be donned?

In changing area, before technologist entering Operation Room

What is advantage of gas plasma sterilization?

Safer method of sterilizing items not tolerating heat or moisture

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PatientCareExam3

76 termsStudBud Administration107 plays

Tests knowledge of content of Chapters 17-22.

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Questions 76

Answers

1
When might a neonate need a chest x-ray?
For insertion of umbilical line
For neonate atalectasis
For neonate gastrointestinal pain
For pyloric stenosis
2
Which of the following are needed before administering intravenous contrast media?
BUN, Creatinine, and blood pressure values
Creatinine value
Blood pressure, BUN values
Fasting for 24 hours
3
When must hand-washing, donning non-sterile gown be used in mobile radiography?
X-ray of toddler in ER
Before entering ICU room
X-ray neonate in incubator in NICU
Chest x-ray post-intubation in ER
4
What activity requires use of a sealable plastic bag and biohazard container?
Removing dressing
Skin cleansing for sterile procedure
Applying dressing
Setting up sterile tray
5
What is a laparoscope?
Instrument for remote viewing of abdominal cavity in surgery.
Instrument for monitoring anesthesia level of patient in surgery.
Instrument used in colonoscopy.
Instrument for routine examination of pregnant abdomen
6
What must follow conventional gas sterilization?
Items aerated before dispensing for use
Items washed after sterilization to remove gas.
Items re-sterilized in autoclave before dispensing
Items delivered immediately post-sterilization
7
What is a feature of aqueous iodinated compounds?
Insoluble in water
Require more technique in imaging than barium compounds
More opaque than Barium Sulphate
Soluble in water
8
What imaging modality is safe for OB?
PET
CT
Sonography
MRI
9
Which cathartics may be used to prep patient for lower GI studies?
Emollients
Lubricants
Saline and stimuli cathartics
Bulk cathartics
10
Which of the following is an example of angiography?
PICC insertion
Intravenous Pyelogram
T-Tube cholecystectomy
CT aorta (Aortagram)
11
What do autoclave, gas plasma, and conventional gas sterilization all have in common?
None are used in hospitals
They use color change tape to indicate sterilization is complete.
They are similar in sterilization method
They all require tolerance of heat and moisture.
12
Which of the following is a non-sterile member of the surgical team?
Anesthesiologist
Surgical assistant (second doctor)
Surgeon
Surgical scrub nurse
13
Which of the following may be used to prepare the patient's skin for a sterile procedure?
Sterile water
Alcohol hand cleanser
Soap and water
A topical antiseptic such as Betadine
14
What precautions are needed for imaging new-tracheostomy patients?
Undo ties on tracheostomy to prevent artifact on chest x-ray
Suction and cardiac monitor ready and functioning
Suction available and functioning, monitor respiration carefully
Have crash cart ready and available.
15
Which of the following produce charged ions when in solution?
Barium sulphate for double contrast exam
Non-ionic contrast media
Barium sulphate for single contrast exam
Ionic contrast media
16
What is the goal of sterilization?
Medical asepsis
Germ-free items
Clean items
Disinfected items
17
How is sterile packet opened?
Top corner opened away from body
Left-side corner opened first
Top corner opened toward body
Right-side corner opened first
18
What produces images in sonography?
High frequency sound waves
Light rays
Low frequency sound
Magnetic rays
19
What is atherosclerosis?
Calcium deposits in joints
Fatty plaque in mesentery of abdomen
Fatty plaque deposited in arteries
Obstruction of bronchioles
20
What is used in Transhepatic Cholangiography?
A thin needle inserted through the skin to the common bile duct.
A T-Tube inserted into the common bile duct before cholecystectomy.
A thin needle inserted in the common bile duct during laparoscopic surgery
A T-Tube inserted into the Common Bile Duct in surgery.
21
When might Percutaneous Transhepatic Cholangiography (PTC) be performed?
High-risk patient for bile duct imaging, surgery precluded.
As prerequisite for Gall Bladder surgery
To examine liver post-gall bladder removal
After Cholecystectomy
22
Which instruments must be sterilized using Freon and Ethylene Dioxide?
Those with short, wide lumena
Those with glass portions
Those which are disposable
Those with long, narrow lumena
23
Which modality requires certification by FDA and ACR?
CT
MRI
Mammography
Sonography
24
Which of the following is used in PET scanning?
Gamma Detector Array in gantry
Geiger counter
Electron detector in Central Processing Unit
Pixel array in Analog to Digital converter
25
What is Endoscopic Retrograde CholangioPancreatography?
Endoscopy of duodenal and pancreatic ducts.
Examination to detect colon cancer
Endoscopy of esophagus, stomach, duodenum and pancreas
Examination performed during colonoscopy.
26
When is the Sims position used?
Patient position for cleansing enemas
Patient position for risk of aspiration
Patient position for lowered blood pressure
Patient position for UGI fluoroscopy
27
How can the soft tissues of the alimentary canal be visualized?
Double-contrast media only
Intravenous, oral, rectal contrast media
UGI and lower GI Barium studies only
Single-contrast contrast media only
28
Which modality uses a transducer?
MRI
CT
PET
Sonography
29
How are MRI images obtained?
By using X-rays to acquire images.
By using Ultraviolet light to acquire images
By using a strong magnetic field to acquire multiplaner images.
By using high frequency sound waves
30
When may a sterile gown be donned?
Before surgical hand scrub
After opening sterile glove package for closed gloving
After surgical hand scrub
Before donning cap and mask
31
What is preferred imaging method for patients in PACU, on traction, or in isolation?
No portables: Wait until patient is able to come to Radiology for imaging
Perform bedside radiography if possible,
Always bring patients to Radiology Department
Perform Sonography
32
What precaution must be used when imaging patients with new tracheostomy?
Oxygen must be readily available.
Crash cart must be readily available
Suction must be readily available and functioning.
Suction must be available.
33
Which two media are used for double-contrast barium enemas?
Water-soluble iodinated contrast media and air
Barium sulphate and carbon dioxide
Barium sulphate and air
Water-soluble iodinated contrast media and carbon dioxide
34
When are gauze, antiseptic solution, medicine cup needed?
Pre-surgical skin preparation
Pre-cystography in Radiology
Pre-intravenous contrast media in CT
Pre-conscious sedation in MRI
35
When might RAO position be used in UGI studies?
To insert enema tip
To help resolve in pyeloric spasm
To help resolve spasm of lower bowel
To improve patient cooperation in Lower GI studies
36
What plane of imaging is used in CT acquisition of images?
Coronal
Sagittal
Medial
Axial
37
Which study precludes milk during preparation period?
Liquid diet before colon exam
Fasting before UGI
Pre-MRI with contrast
Liquid diet before UGI
38
What happens during a Myelogram?
Radiologist places spinal needle in Thoracic spine.
Water-soluble contrast medium injected to spinal canal to show defects.
Intravenous contrast medium is injected into Pulmonary Arteries.
Water-soluble contrast medium is placed by endoscopy to duodenum
39
Which of the following require sterilization?
Medical asepsis
Disinfection
Isolation
Surgical asepsis
40
How is Barium Sulphate used?
Most common UGI and lower GI contrast medium
For Myelography
For upper GI studies only
For lower GI studies only
41
Which of the following is the LEAST likely adverse reaction to IV contrast media?
Warmth
Urticaria and hives
Hypertension
Nausea
42
What requires expiration date not exceeded, clean, intact, sterilization color marker correct?
Check on autoclave function
Check on date of procedure
Check on sterile package before use
Check on contents of sterile package
43
When must water-soluble iodinated compounds be used as contrast media?
To improve contrast in single contrast enemas.
To improve contrast in double-contrast enemas
If bowel perforation is suspected or surgery is imminent.
If patient is allergic to iodine
44
What is another name for laxatives?
Cathartics
Emetics
Contrast media
Solvents
45
When is allergy history, baseline blood pressure, BUN and Creatinine needed?
Before sonogram of OB abdomen
After reaction to contrast media
Before MRI of knee
Before administering IV contrast media
46
What is the space between patient surgical drape and instrument tray called?
Non-sterile corridor
Circulating nurse corridor
Radiography corridor
Sterile corridor
47
When must non sterile scrub shirt and pants, mask, cap, and booties be donned?
Before assisting Radiologist in Radiology for insertion of PICC.
In Radiology, before technologist goes to surgical suite
Before entering Operation Room, except for laparoscopic surgery.
In changing area, before technologist entering Operation Room
48
What is advantage of gas plasma sterilization?
Prepares items for autoclave
Easier to implement than other methods
Safer method of sterilizing items not tolerating heat or moisture
Cheaper method than autoclaving
49
Which of the following exams require fasting before procedure?
UGI
Sonography of bladder
MRI of brain
Arthroscopy
50
Where is the anesthesiologist situated in the OR?
In sterile corridor
At foot of operating table
At side of operating table opposite surgeon
At head of operating table
51
What is gadalinium?
Common element used in UGI and Lower GI imaging
Rare Earth element used in CT
Contrast medium used in Sonography
Rare Earth element used in MRI
52
What may be an alternative to surgical hand scrub?
Soap and water hand wash
Surgical hand rub
Wearing sterile gloves
Antiseptic hand wash
53
What is a Port-a Cath used for?
For routine imaging of the gall bladder
To deliver anesthesia in surgery
To deliver infusion therapy over a period.
For routine IV contrast in Urography
54
Which of the following may not be used to image patients with pacemakers?
CT
Plain x-ray
Sonography
MRI
55
What is a Ring Stand?
Item to hold basin of water/saline in surgery.
Item to hold used surgical equipment
Item to hold catheters for placing in veins
Item to hold patients' jewelry before entering MRI
56
What is a safe site for needle insertion to spinal cord during myelography?
C6-C7 interspace
T6-T7 interspace
T12-L1 interspace
L3-L4 interspace
57
What is a hemorrhoid?
Enlarged rectal vein
Enlarged sigmoid artery
Aneurysm
Blood clot
58
What must the MRI technologist frequently deal with?
Care of Magnet
Patient claustrophobia
Scheduling studies
Staffing problems
59
What might be seen in stools as a result of an UGI bleed?
Brown color
Red color
Green color
Blask tarry color
60
What procedure carries a risk of bowel impaction?
Intravenous Pyelogram
Barium enema
Cleansing enema
Hypotonic duodenography
61
When must water-soluble iodinated contrast media be used?
For GI studies if bowel perforation is suspected
For routine GI studies for known Iodine allergy.
For children under 5 years of age.
For routine double-contrast barium enema
62
When must tech confirm order in chart, speak with nurse, check room?
Before doing mobile exam
Before performing MRI
Before taking in- patient to Radiology
Before taking patient from ER to Radiology
63
How is a T-Tube used?
To maintain pressure of bile in the Common Bile Duct
To image the gall bladder before surgery.
To maintain an airway for patients in respiratory distress
To drain bile from the Common Bile Duct post cholecystectomy.
64
What causes the risk of barium impaction following barium enema?
Hygroscopic nature of Barium Sulphate: tendency to hold water.
Weight of Barium Sulphate
Hydroscopic nature of Barium Sulphate: tendency to be insoluble
Ionic nature of Barium Sulphate
65
Which modality has a risk of flying objects hitting equipment?
MRI
CT
Sonography
Routine radiography
66
What is hypotonic duodenography?
Increased spasm in duodenum during Small Bowel study
Contrast study of duodenal bulb in UGI imaging
Imaging of duodenal bulb during UGI study
Contrast study of distal duodenum with glucagon administration
67
What use had air or Carbon Dioxide gas in Radiography?
For double-contrast UGI and Lower GI studies
For upper GI studies only
For single contrast UGI and Lower GI studies
For lower GI Studies only
68
Which of the following are used to monitor cardiac function?
Central catheter
Swan-Ganz catheter
PICC
Salem Sump tube
69
Which of the following is a type of Nasogastric tube?
Endotracheal tube
Salem-Sump tube
Percutaneously Inserted Central Catheter
Swan-Ganz catheter
70
When must a cleansing enema be paused, then continued, for patient comfort?
If patient evacuates most of enema after filling colon.
If patient complains of "feeling full" after 150 mls of solution.
If patient asks to cease and discontinue enema.
If patient has colostomy
71
Which of the following is placed in the Superior Vena Cava?
Endoscope in ERCP
Tip of Swan-Ganz catheter
Tip of PICC
Nasoenteric tube
72
What is used in a Technicium bone scan?
MRI modality
Video camera
Fluoroscopy camera
Gamma Camera
73
What is a suppository?
Gas-containing granules used in Upper Gastrointestinal studies
Safe place to store patients' belongings
Liquid capsule inserted to duodenum
Semi-solid nugget of medication used to prepare bowel for colon imaging
74
What is a risk during large bolus, rapid administration of IV contrast in CT?
Nausea
Patient anxiety
Extravasation from vein
Patient feeling warmth during injection
75
What might be used for decompression of GI tract, feeding, and insertion of contrast media?
Nasal cannula
Nasoenteric tubes
Tracheostomy
Laparoscope
76
How might glucagon be used in GI studies?
To increase blood-sugar levels
To improve retention of contrast
To decrease blood-sugar levels
To relax bowel during UGI or Lower GI

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