Chapter 14 Patients Needing Alternative Medical Treatments - Test

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1

While caring for a patient, who has an NG tube in place, what should not be done?

A) Find out if the tube is to be reconnected to suction and if so, what is the amount of pressure?
B) Take care not to dislodge the tube.
C) Remove the tube before the patient leaves the department.
D) Explain any procedures the patient may bee to have done.

C) Remove the tube before the patient leaves the department.

2

An alert patient whose swallowing reflex is intact is placed into what position in preparation for suctioning?

A) Prone
B) Sims
C) Semi-Fowler
D) Lateral

C) Semi-Fowler

3

What are two points to remember when caring for a patient with a new tracheostomy in place?

A) He or she may be talkative and may need to be suctioned.
B) He or she will be anxious and unable to speak.
C) He or she will be in the stage of denial and will express anger.
D) He or she will be unconscious and will be accompanied by a nurse.

B) He or she will be anxious and unable to speak.

4

When caring for a patient who has a chest tube with water-sealed drainage, what must be remembered?

A) The water seal must be maintained at all times.
B) Continuous bubbling into the water-sealed chamber is an indication that all is well.
C) The tubing may be clamped if necessary.
D) Most patients with chest tubes complain of respiratory distress.

A) The water seal must be maintained at all times.

5

Signs and symptoms that indicate a patient needs to be suctioned, except:

A) Audible rattling and gurgling sounds from the patient’s throat
B) Gagging
C) Breathing with difficulty
D) Profuse vomiting in a patient who cannot voluntary change positions

B) Gagging

6

When caring for a patient who has a tissue drain in place:

A) Disregard these drains because they are not the radiographer’s concern.
B) Prevent tension on the drain and use surgical aseptic technique if in direct contact with the drain.
C) Measure intake and output from the drain.
D) Remove the drain because it will impede the success of the radiograph.

B) Prevent tension on the drain and use surgical aseptic technique if in direct contact with the drain.

7

When disconnecting a sump gastric tube (a tube with a double lumen):

A) Clamp the tube with a regular clamp and then place sterile gauze over each end.
B) Clamp the tube closed with a hemostat.
C) Increase the amount of suction pressure.
D) Place a piston syringe in the open end of the gastric tube or place the “pig tail” over it.
E) Decrease the amount of suction pressure.

A) Clamp the tube with a regular clamp and then place sterile gauze over each end.

8

List 2 types of NG tubes that will be commonly seen in the radiography department.

Levine
sump tubes

9

Name two types of mechanical ventilators and state which type is most commonly used.

positive pressure - most common
negative pressure

10

List the precautions taken when radiographing a patient who has a central venous catheter in place.

...

11

Describe why a chest radiograph is taken when a patient has been intubated

to ensure that endotracheal tubes have been placed correctly to allow both lungs to expand

If the tube is too high, air might go into the stomach, causing distention. If the tube is too low it may go into the right lung, causing the left lung to collapse

12

If the NG tube is a double-lumen tube, never clamp is closed with a/an _____ or regular clamping device because this may cause the lumen to adhere to each other and destroy the double-lumen effect

hemostat

13

True or False?

When radiographing a patient who has a central venous catheter in place, great care must be maintained when attending to the dressing to prevent infection at the site of insertion

True

14

True or False?

The Penrose drain is seen more commonly by the sonographer in the course of imaging hip surgery patients.

False

The Hemovac is seen more commonly

15

With triple-lumen tubes, balloon pressure must be maintained at all times, but if the patient becomes _____, the balloon pressure must be relieved at once by cutting the balloon lumens with scissors

dyspneic

16

Nost tracheostomy tubes have an inner ____ that is locked in place.

cannula

17

A clamp-like instrument used to control of fluids or blood.

A) Nasogastric tube
B) Hemostat
C) Nasoenteric tube
D) Bolus
E) Cannula

B) Hemostat

18

A thin tube that is inserted through the nose and into the stomach for the purpose of instilling substances or for the removal of substances

A) Nasogastric tube
B) Hemostat
C) Nasoenteric tube
D) Bolus
E) Cannula

A) Nasogastric tube

19

A concentrated mass of pharmaceutical preparation, such as an opaque contrast medium, given intravenously or swallowed

A) Nasogastric tube
B) Hemostat
C) Nasoenteric tube
D) Bolus
E) Cannula

D) Bolus

20

A tube that is inserted though the nose and allowed to pass into the duodenum and mall intestines by means of peristalsis

A) Nasogastric tube
B) Hemostat
C) Nasoenteric tube
D) Bolus
E) Cannula

C) Nasoenteric tube

21

A tube used to allow fluids, gases, or other substances into or out of the body

A) Nasogastric tube
B) Hemostat
C) Nasoenteric tube
D) Bolus
E) Cannula

E) Cannula

22

The process of washing out an organ, usually the stomach, bladder, or bowel

A) Lavage
B) Saline solution
C) Gastrostomy
D) Fowler position
E) Asphyxiation

A) Lavage

23

Severe hypoxia leading to hypoxemia, hypercapnia, loss of consciousness, and death

A) Lavage
B) Saline solution
C) Gastrostomy
D) Fowler position
E) Asphyxiation

E) Asphyxiation

24

Creation of an opening in the stomach to provide food and liquid administration

A) Lavage
B) Saline solution
C) Gastrostomy
D) Fowler position
E) Asphyxiation

C) Gastrostomy

25

A solution consisting of a percentage of sodium chloride and distilled water that has the same osmolarity as that of body fluids.

A) Lavage
B) Saline solution
C) Gastrostomy
D) Fowler position
E) Asphyxiation

B) Saline solution

26

Position in which the head of the patient's bed is raised 18 to 20 inches above the level of the heart with the knees also elevated

A) Lavage
B) Saline solution
C) Gastrostomy
D) Fowler position
E) Asphyxiation

D) Fowler position