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Duplicate of Urinary System and Venipuncture Flashcards | StudBud
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Duplicate of Urinary System and Venipuncture
Duplicate of Urinary System and Venipuncture
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1
If an IVU is performed on a female, a menstrual history must be obtained.
True
False
2
Which term describes the act of voiding under voluntary control?
Anuria
Urinary release
Incontinence
Urination
3
Ultrasound is an effective imaging modality in demonstrating cystitis.
False
True
4
Which of the following projections and/or positions would be performed for a voiding cystourethrogram on a male?
Erect PA
Recumbent lateral
Erect lateral
30° RPO
5
Which term describes the leakage of contrast media from a vein into the surrounding tissues of the arm?
Extravasation
Exudation
Filtration
Micturition
6
The normal creatinine level (diagnostic indication of kidney function) for an adult is _____ mg/dL.
3 to 4.5
0.6 to 1.5
6 to 7.5
0.1 to 0.5
7
Absence of a functioning kidney
Micturition
Polyuria
Renal agenesis
Anuria
8
Which structure of the kidney is labeled 3?
Renal pyramid
Major calyx
Minor calyx
Renal pelvis
9
The suprarenal glands are part of the endocrine system.
True
False
10
Phlebitis is considered to be a systemic contrast media reaction.
True
False
11
The glomeruli, glomerular capsule, and proximal and distal convoluted tubules are located in the ____ of the kidney.
medulla
collecting system
cortex
fibrous capsule
12
A vasovagal contrast media reaction can be a life-threatening condition.
False
True
13
In preparation for a venipuncture, a tourniquet should be applied ____ above or proximal to the site of injection.
3 to 4 inches (7.5 to 10 cm)
6 to 7 inches (15 to 18 cm)
8 to 10 inches (20 to 25 cm)
1 to 2 inches (2.5 to 5 cm)
14
The term describing the total functioning portions of the kidney is the:
renal collecting system.
glomerular capsule.
nephron.
renal parenchyma.
15
What do you do when a patient experiences a side effect of mild hot flashes and metallic taste?
Stop the injection but continue the normal imaging sequence.
Stop the injection of contrast media immediately.
Reassure the patient and continue the injection, watch for reaction
Call for a physician to complete the injection.
16
Which of the following conditions is considered to be higher risk (a contraindication) for a contrast media reaction?
Hematuria
Renal calculi
Urinary tract infection
Congestive heart failure
17
Urine will travel from the major calyces to the:
ureter.
renal pyramids.
renal pelvis.
minor calyces.
18
Which of the following is true with nonionic-type contrast media?
Low osmolality
Less chance of reaction
The inability to dissociate into two separate ions
All of the above
19
CT (computed tomography) of the kidney for renal calculi does not require the use of intravenous contrast media.
False
True
20
If both procedures are ordered on the same day, a barium enema must be performed before an IVU.
True
False
21
If available, the technologist should use a central line catheter to introduce contrast agents into the patient.
True
False
22
The technologist should leave a butterfly needle in the vein for the first part of the IVU following injection.
False
True
23
Which one of the following veins is NOT selected for venipuncture during an IVU?
Axillary
Cephalic
Basilic
Median cubital
24
Which of the following veins is not normally used during venipuncture?
Cephalic
Axillary
Basilic
Median cubital
25
With AEC, which ionization chamber(s) should be activated for an AP projection taken during an IVU?
Left chamber
Center chamber
Center and right upper chamber
Left and right upper chambers
26
Venipuncture may be performed by a technologist only if a physician is present in the room or is in an adjoining room.
False
True
27
Nonionic contrast agents contain no positively charged cations.
True
False
28
What is the total capacity of the average adult bladder?
1000 to 1200 mL
350 to 500 mL
500 to 750 mL
100 to 250 mL
29
Pt w/hx of vesicourethral reflux states that she is highly sensitive to iodinated contrast media. Alternative?
Sonography
MRI (magnetic resonance imaging)
CT
Radionuclide scan
30
The drug Lasix is classified as a:
salicylate
contrast agent.
cathartic.
diuretic
31
Over-the-needle catheters are often used for drip infusion studies.
False
True
32
Age-associated enlargement of the prostate gland
Vesicocolonic fistula
Urinary incontinence
BPH (benign prostatic hyperplasia)
incontinence
33
IVU pt has a clinical history of renal hypertension. How should the IVU procedure be altered for this patient?
Give the patient a diuretic agent before the procedure.
Provide images every 30 minutes after the injection.
Keep ureteric compression inflated for all projections.
Shorten the time between exposures.
34
AP taken during a retrograde cystogram reveals that the floor of the bladder is over the symphysis pubis, why?
Insufficient CR angulation
Excessive filling of the bladder with contrast media
Excessive CR angulation
Rotation of the pelvis
35
The average adult kidney measures ____ in length.
8 to 10 inches (20 to 25 cm)
6 to 8 inches (15 to 20 cm)
4 to 5 inches (10 to 12 cm)
2 to 3 inches (5 to 7 cm)
36
What is the structure labeled 6?
Ureterovesical junction
Trigone
Renal pelvis
Renal sinuses
37
The bevel of the needle must be facing downward during the actual puncture into a vein.
False
True
38
The structural and functional unit of the kidney is:
the glomerulus.
the nephron.
the calyx.
Bowman capsule.
39
Complete cessation of urinary secretion
Oliguria or hypouresis
Anuria
Micturition
Polyuria
40
Which of the following conditions is considered a moderate-level contrast media reaction requiring treatment?
Nausea and vomiting
None of the above
Tachycardia
Syncope
41
A brief loss of consciousness caused by reduced cerebral blood flow is termed:
syncope
hypotension
brachycardia
angioedema
42
Generally, female patients cannot be shielded during an IVU (except for nephrotomography).
True
False
43
Which structure and/or region of the kidney is labeled 1?
Medulla
Minor calyx
Renal sinus
Major calyx
44
Patients (or legal guardian) must sign an informed consent form before a venipuncture procedure.
True
False
45
Ionic contrast agents use a parent compound of a carboxyl group (benzoic acid).
True
False
46
Which of the following compounds is a common cation (+) found in ionic contrast media?
Meglumine
Iodine
Diatrizoate
Benzoic acid
47
The numerous mucosal folds located within the urinary bladder are termed:
rugae
vesical mucosa.
trigone
mucosa
48
It is recommended to inject contrast media through a shunt when one is present in the patient.
True
False
49
During an IVU the radiologist suspects nephroptosis. Which of the following positions best demonstrates this position?
Supine with ureteric compression
Prone
RPO and LPO
Erect
50
A true allergic reaction is also called an anaphylactic reaction.
True
False
51
After surgery of the abdomen, pt has order for IVU w/ureteric compression to enhance pelvicalyceal filling. What to do?
Place the patient into a Trendelenburg position instead of compression.
Perform all projections erect.
Raise the Foley bag above the tabletop
Use mild ureteric compression only.
52
A patient experiences a hot flash after the injection of an iodinated contrast media. What should be the next action?
Get medical assistance.
Give the patient diphenhydramine (Benadryl).
Call a code emergency.
Comfort the patient; this is a common side effect.
53
The left kidney is generally slightly lower, or more inferior, than the right.
False
True
54
What is the recommended treatment protocol for extravasation?
Give the patient Lasix immediately.
Give the patient diphenhydramine (Benadryl).
Increase IV fluids.
Elevate the limb and apply cold compress over injection site.
55
The most common size needle used for bolus injection of contrast agents for adult patients is _____ gauge.
14 to 16
18 to 22
28
23 to 25
56
Artificial opening between the urinary bladder and aspects of the large intestine
Staghorn kidney stone
BPH (benign prostatic hyperplasia)
Horseshoe kidney
Vesicocolonic fistula
57
A nephrogram taken during an IVU shows the renal parenchyma is poorly seen but the calyces are contrast enhanced. Why?
The exposure was not taken soon enough following the injection.
The kV may have been too high.
The contrast media was diluted.
The patient has hypertension.
58
The American College of Radiology recommends that metformin be withheld for ____ hour(s) following a contrast procedure.
1
8
24
48
59
Extravasation is classified as a local reaction.
False
True
60
A region or area of subcutaneous swelling caused by allergic reaction to foods or drugs is termed:
micturition
syncope
angioedema
oliguria
61
Normal kidney that fails to ascend into the abdomen but remains in the pelvis
Vesicocolonic fistula
Staghorn kidney stone
Ectopic kidney
Horseshoe kidney
62
PT comes in for IVU. The clinical hx states that the patient may have an enlarged prostate gland. Best positions?
AP erect, prevoiding and voiding
30° RPO
PA prone, CR perpendicular
AP supine with a 15° CR caudad angle
63
Where is the central ray (CR) centered for a nephrotomogram of the kidneys?
Midway between the ASIS and the iliac crest
At the iliac crest
At the xiphoid process
Midway between the iliac crest and the xiphoid process
64
All reactions, regardless to their severity, must be documented.
False
True
65
Which abdominal muscles run on each side of, and medial and posterior to, the kidneys?
External obliques
Rectus abdominis
Right and left psoas major
Erector spinae
66
Which of the following symptoms is classified as “mild” during a systematic contrast media reaction?
Angioedema
Itching
Hypotension
Extravasation
67
Act of voiding
Polyuria
Anuria
Hematuria
Micturition
68
Pt has pain at injection site w/swelling. Tech stops and thinks needle slipped out of vein. What should they do?
Give the patient diphenhydramine (Benadryl).
Elevate the limb and place a cold compress over the injection site.
Place ice over the injection site.
Flex and extend the elbow to increase absorption
69
Normal BUN (blood urea nitrogen) levels in adults should not exceed ____ mg per 100 mL.
1.5
25
5
10
70
One of the three constricted points along each ureter is the pelvic brim. The location of this constricted point is:
where the distal ureters connect to the bladder.
where the bladder meets the symphysis pubis.
at the level of the ischial spines.
where the iliac blood vessels cross over the ureters.
71
Ureteric compression is contraindicated for patients with a history of:
hypertension.
flank pain.
hematuria
abdominal mass.
72
PT for IVU has lab report indicating a creatinine level of 0.7 mg/dL. What should be the technologist’s next step?
Notify the radiologist of an elevated creatinine level.
Notify the referring physician of an elevated creatinine level.
Proceed with the study.
Escort the patient to the emergency department (ED) right away.
73
Pt w/possible ureteric stone comes from the ER for an IVU. She has a blood urea nitrogen (BUN) level of 50. What next?
Sonography
CT
IVU using ionic contrast media
MRI
74
How is contrast media normally introduced during a retrograde cystogram?
Gravity flow through a catheter
Intravenously
Either B or C
With an injection through the urethra with a large syringe and catheter
75
Constant or frequent involuntary passage of urine
BPH (benign prostatic hyperplasia)
Vesicocolonic fistula
Urinary incontinence
Horseshoe kidney
76
Which one of the following drugs is often given before an IVU to reduce the risk of a contrast media reaction?
Fluoxetine
Diazepam
Benadryl and prednisone
Verapamil
77
Excretion of diminished amounts of urine
Oliguria or hypouresis
Polyuria
Anuria
Hematuria
78
Nonionic contrast agents may increase the severity of side effects as compared with ionic contrast agents.
False
True
79
Which structure is labeled 2?
Pelvic brim
Ureterovesical junction
Renal pelvis
Ureteropelvic junction
80
Blood in the urine
Polyuria
Renal agenesis
Hematuria
Oliguria or hypouresis
81
If a patient has tachycardia after systemic contrast media injection, he or she is experiencing a ____ reaction.
mild
vasovagal
moderate
severe
82
A LPO position taken during an IVU reveals that the right kidney is foreshortened and superimposed over the spine. Fix?
Increase rotation.
Decrease rotation.
Place the patient in RPO position to better demonstrate the right kidney.
Increase CR angulation.
83
Nonionic contrast agents create a hypertonic condition in the blood plasma as compared with ionic contrast agents.
False
True
84
Fusion of the kidneys during development of the fetus
Vesicocolonic fistula
Staghorn kidney stone
Ectopic kidney
Horseshoe kidney
85
What is the primary purpose of the premedication procedure before an iodinated contrast media study?
Permits greater contrast enhancement of kidneys during an IVU
Decreases blood pressure
Reduces anxiety
Reduces the severity of a possible contrast media reaction
86
What structure enables the kidneys to be visualized on plain abdominal radiographs?
Renal pyramids
High volume of blood within the kidney
Major and minor calyces
Adipose capsule
87
Which of the following functions is not performed by the urinary system?
Removing nitrogenous wastes
Regulating water levels in tissues
Regulating the acid-base and electrolyte balance
Producing and releasing adrenaline
88
During an IVU, the patient develops severe urticaria. What should be the next action taken by the technologist?
Give the patient diphenhydramine (Benadryl).
Comfort the patient; this is a common side effect.
Call a code emergency.
Get medical assistance.
89
If a patient hass laryngeal swelling after contrast media injection, he or she is experiencing a ____ level reaction.
mild
severe
local
moderate
90
A medical emergency must be declared if the patient experiences a moderate contrast media reaction.
False
True
91
Passage of a large volume of urine
Polyuria
Anuria
Micturition
Hematuria
92
The rapid introduction of contrast agents into the vascular system is termed:
bolus injection.
rapid-fire injection.
rapid-drip infusion.
IV infusion.
93
Which level of contrast media reaction has occurred when the patient develops moderate urticaria?
Mild reaction
Moderate reaction
Severe reaction
Normal side effect
94
Patchy blunting of the calyces is a radiographic sign of:
polycystic kidney disease.
chronic pyelonephritis.
renal hypertension.
ectopic kidney.
95
Which symptom is considered a severe reaction to contrast media and can be life-threatening?
Cardiac arrhythmias
Excessive urticaria (hives)
Tachycardia (rapid heartbeat)
Extravasation at the injection site
96
Which component of an ionic contrast media increases its solubility?
Cation
Iodine
Benzoic acid
Anion
97
What is the recommended position for a male retrograde urethrogram?
Lateral
30° right posterior oblique (RPO)
2° left anterior oblique (LAO)
45° RPO
98
Large stone that grows and completely fills the renal pelvis
Horseshoe kidney
BPH (benign prostatic hyperplasia)
Vesicocolonic fistula
Staghorn kidney stone
99
Which of the following is considered as a contraindication for an IVU procedure?
Hypertension
Hematuria
Anuria
All of the above
100
Which occurs in many patients and is defined as an expected outcome to the introduction of iodinated contrast media?
Metallic taste in mouth and a temporary hot flash
All of the above
Mild condition of urticaria (hives)
Moderate itching and sneezing