Patient Care Chapter 19

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1

A sign or symptom of shock is:

calmness

dry skin

increasing blood pressure

pallor

pallor

2

Administration of iodinated contrast media may induce:

none of the above

concussion

diabetes

anaphylactic shock

anaphylactic shock

3

Which of the following anaphylactic reactions is the most immediately life threatening?

shock

laryngeal edema

nausea

urticaria

laryngeal edema

4

Nausea is both a psychologic and a physiologic reaction.

true

false

true

5

You have come upon a motor vehicle accident as the first person to arrive. As you assess the victim’s level of consciousness, you begin to ask questions and encourage the victim to respond. During your efforts to do so, the victim has no verbal response to any stimuli, but his leg moves with your touch and pinch. This person demonstrates what level of consciousness?

Alert and responsive

Unconscious but reflexive

Comatose and unresponsive

Drowsy but can be aroused

Unconscious but reflexive

6

The condition in which excessive insulin is present is called:

seizure

cardiac arrest

hypoglycemia

anaphylactic shock

hypoglycemia

7

The type of shock that is a result of severe loss of blood is:

anaphylactic.

hypovolemic.

septic.

vasogenic.

hypovolemic

8

What is the first thing you should do if a patient who is standing turns pale and says he feels dizzy?

Quickly take the exposure.

Have the patient inhale ammonia.

Take the patient’s blood pressure.

Have the patient lie down.

Have the patient lie down.

9

The medical term for a nosebleed is:

aura

syncope

epistaxis

vertigo

epistaxis

10

The single most important action for the radiographer when administering emergency care is:

waiting to provide care until any doctor arrives.

reacting to the emergent situation and providing any and all care needed to save the patient’s life.

providing a competent level of care, recognizing when advanced care is needed, and calling for assistance.

not getting involved for fear of medical and professional liability.

providing a competent level of care, recognizing when advanced care is needed, and calling for assistance.

11

In preparation for any emergent situation, the professional technologist should become familiar with:

institutional numbers for emergency code announcements.

all of the above.

automatic external defibrillator (AED) operation.

location of and access to the crash cart.

all of the above.

12

Bleeding outside the vessel is called hemorrhage.

true

false

true

13

The medical term for fainting is:

aura

vertigo

epistaxis

syncope

syncope

14

Wound dehiscence is a common postoperative occurrence.

true

false

false

15

Providing care in an emergency situation is intended to:
1. prepare the injured patient for surgery.
2. prevent further harm to the patient.
3. preserve life.
4. place the patient into an unconscious state for transport.
5. stabilize the patient until the appropriate medical assistance arrives.

2, 3, and 5 only

3, 4, and 5 only

1, 4, and 5 only

1, 3, 4, and 5 only

2, 3, and 5 only

16

Hypovolemic shock is caused by the loss of a large amount of blood.

true

false

true

17

When comparing hyperglycemia with hypoglycemia, the former:

requires the patient receive a quick form of glucose.

is typically of rapid onset.

indicates a low blood glucose level.

portrays clinical symptoms of excessive thirst and urination as well as dry mouth.

portrays clinical symptoms of excessive thirst and urination as well as dry mouth

18

An effective method to handle a patient with an asthmatic attack during a radiographic procedure would be to:

recognize the patient's situation and work faster to get the examination done and the patient returned to the nursing floor.

tell the patient to breathe faster and with less depth to avoid losing consciousness.

tell the patient to hold his or her breath for 30 seconds to recover.

have the patient sit down, and allow the patient to use his or her aerosol inhaler.

have the patient sit down, and allow the patient to use his or her aerosol inhaler.

19

When performing CPR as a single rescuer:

sternal compressions should have a depth of 1 inch at the most.

after each group of 30 compressions, give two quick ventilations.

the compression rate is performed at 60 compressions per minute.

assess circulation using the temporal artery of the forehead.

after each group of 30 compressions, give two quick ventilations.

20

With a deteriorating head injury, the first priority should be to:

maintain an open airway

stimulate the patient

allow the patient to sleep

shake the patient to keep the person awake

maintain an open airway

21

The medical term for dizziness is:

aura

syncope

epistaxis

vertigo

vertigo

22

The medical term for a temporary suspension of consciousness is:

aura.

syncope.

vertigo.

epistaxis.

syncope

23

CPR can be stopped when:

a physician says it’s time to stop CPR.

the patient responds and shows signs of recovery.

the rescuer is physically exhausted.

All of the above are correct.

All of the above are correct.

24

A sign or symptom of a diabetic coma is:

all of the above

excessive thirst

excessive saliva

shallow breathing

excessive thirst

25

What type of shock can result from a severe reaction to the contrast media used in radiographic examinations?

Cardiogenic

Septic

Anaphylactic

Hypovolemic

Anaphylactic

26

A radiographer may stop doing cardiopulmonary resuscitation (CPR) when the schedule is backed up.

true

false

false

27

When performing CPR on a patient who is supine on a cart, you would look for what item in the emergency crash cart?

Suction bottle

Backboard

Benadryl

Hemostat

Backboard

28

What type of shock is caused by loss of blood from a knife or gunshot wound?

Septic

Anaphylactic

Cardiogenic

Hypovolemic

Hypovolemic

29

A common name for an emergency cart within medical imaging is the _____ cart.

crash

first aid

code

red

crash

30

Symptoms of a head injury include:

respiratory distress.

change in state of consciousness.

both a and b.

increased appetite

both a and b.

31

A 16-year-old patient comes to the diagnostic imaging department for a CT examination. He is lying on the table in a supine position and suddenly seems to lose consciousness and begins to move violently, with jerking motions. You realize that he is having a generalized seizure. The action that you must take is:

go to the patient immediately and prevent him from harm.

call for help, but do not leave the patient.

place the patient on the floor and begin CPR.

to do both a and b.

to do both a and b.

32

What type of shock is caused by a failure of the heart to pump enough blood to the vital organs?

Septic

Neurogenic

Anaphylactic

Cardiogenic

Cardiogenic

33

CPR is indicated in all situations involving cardiac arrest.

true

false

false

34

The Heimlich maneuver:

is used to propel an object out of the throat

increases intrathoracic pressure

all of the above

is used when a person may be choking

all of the above

35

Which of the following may be given to a patient to counteract insulin shock?

hamburger

none of the above

orange juice

peanut butter

orange juice

36

As you are radiographing a patient from the ER who has a knife wound to the upper extremity, you notice that his wound dressing is becoming saturated with blood quickly and he is getting lightheaded. You should:

call for help, apply pressure to the wound site, and elevate his arm.

tell the patient to lean over to get his arm lower than his heart.

lay the patient down and begin CPR.

remove the dressing to assess the degree of bleeding.

call for help, apply pressure to the wound site, and elevate his arm.

37

After the administration of an iodine-based contrast into a patient, it is important for the technologist to observe the patient for:

signs of a reaction such as increased hunger, cold extremities, and bladder swelling.

urticaria, nausea, shortness of breath, tightening in the throat, and cardiac arrest.

excessive salivation, dry eyes, and nasal dryness.

blurred vision, syncope, and epistaxis.

urticaria, nausea, shortness of breath, tightening in the throat, and cardiac arrest.

38

Which of the following is not an indication of a deteriorating head injury?

lethargy

irritability

slowing respiration

increased pulse rate

increased pulse rate

39

A general term that indicates a failure of the circulatory system to support vital body functions is:

stroke

shock

all of the above

diabetes

shock

40

When comparing a semiautomatic AED device with an automatic device:

both devices determine the patient’s cardiac rhythm.

the automatic device robotically places the AED paddles on the patient.

none of the above are correct.

the semiautomatic AED automatically shocks the patient without action by the operator.

both devices determine the patient’s cardiac rhythm.

41

When performing two-person CPR:

compressions are at rate of 100 per minute.

the rescuers can smoothly switch positions as they choose.

compressions are paused briefly to give two ventilations.

All of the above are correct.

All of the above are correct.

42

When working with burn patients, it is critically important to:

position the patient with positioning aids such as clamps, sandbags, and tape.

spray the burn dressing with lidocaine to relieve the pain.

increase the air circulation in the room to encourage healing.

use an extraordinary level of aseptic technique.

use an extraordinary level of aseptic technique.

43

A disorganized cardiac rhythm in which the ventricle “flutters” and loses cardiac output is called:

lethargy.

pallor.

fibrillation.

syncope.

fibrillation

44

CPR performed on an infant:

uses a ventilation depth that should be as deep as for an adult.

uses two arms locked at the elbows, just as in an adult.

requires chest compressions of 1 to 2 inches.

is basically the same as on an adult but adjusted based on patient size.

is basically the same as on an adult but adjusted based on patient size.

45

A stroke is the same thing as cardiac arrest.

false

true

false

46

All of the following are related EXCEPT:

airway.

circulation.

breathing.

compression.

compression

47

A myocardial infarction can lead to cardiogenic shock.

true

false

true

48

The Heimlich maneuver is:

used to start an intravenous line for drug administration.

never used on a pregnant patient.

None of the above are correct.

modified for infants to include back slaps and chest thrusts.

modified for infants to include back slaps and chest thrusts.

49

Levels of consciousness range from alert to comatose.

true

false

true

50

The Heimlich maneuver should never be performed on a pregnant woman.

false

true

false

51

Which of the following may be given to a patient to counteract hypoglycemia?

Peanut butter

Hamburger

Buttered toast

Orange juice

Orange juice

52

Which is not a sign or symptom of a CVA?

slurred speech

loss of vision

none of the above

paralysis

none of the above

53

When caring for a patient with epistaxis, the patient:

needs to be treated for a life-threatening condition and a Code announced.

the patient should sit back with their head tilted and heparin gel should be applied inside the nose.

should lean forward and pinch his/her nostrils against the midline septum for 10-15 minutes.

should lie down quickly and tilt their head back.

should lean forward and pinch his/her nostrils against the midline septum for 10-15 minutes.

54

When using an automatic external defibrillator (AED):

CPR can be terminated, as it is of no value once the AED is attached.

the heart is in normal sinus rhythm.

it is used simultaneously with CPR compressions.

two AED chest pads are used, one on the upper right side of the chest and the other on the lower left ribs.

two AED chest pads are used, one on the upper right side of the chest and the other on the lower left ribs.

55

Anaphylactic shock is what type of shock?

neurogenic

hypovolemic

cardiogenic

vasogenic

vasogenic