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Patient Care Chapter 19

front 1

A sign or symptom of shock is:

calmness

dry skin

increasing blood pressure

pallor

back 1

pallor

front 2

Administration of iodinated contrast media may induce:

none of the above

concussion

diabetes

anaphylactic shock

back 2

anaphylactic shock

front 3

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

shock

laryngeal edema

nausea

urticaria

back 3

laryngeal edema

front 4

Nausea is both a psychologic and a physiologic reaction.

true

false

back 4

true

front 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

back 5

Unconscious but reflexive

front 6

The condition in which excessive insulin is present is called:

seizure

cardiac arrest

hypoglycemia

anaphylactic shock

back 6

hypoglycemia

front 7

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

anaphylactic.

hypovolemic.

septic.

vasogenic.

back 7

hypovolemic

front 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.

back 8

Have the patient lie down.

front 9

The medical term for a nosebleed is:

aura

syncope

epistaxis

vertigo

back 9

epistaxis

front 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.

back 10

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

front 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.

back 11

all of the above.

front 12

Bleeding outside the vessel is called hemorrhage.

true

false

back 12

true

front 13

The medical term for fainting is:

aura

vertigo

epistaxis

syncope

back 13

syncope

front 14

Wound dehiscence is a common postoperative occurrence.

true

false

back 14

false

front 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

back 15

2, 3, and 5 only

front 16

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

true

false

back 16

true

front 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.

back 17

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

front 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.

back 18

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

front 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.

back 19

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

front 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

back 20

maintain an open airway

front 21

The medical term for dizziness is:

aura

syncope

epistaxis

vertigo

back 21

vertigo

front 22

The medical term for a temporary suspension of consciousness is:

aura.

syncope.

vertigo.

epistaxis.

back 22

syncope

front 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.

back 23

All of the above are correct.

front 24

A sign or symptom of a diabetic coma is:

all of the above

excessive thirst

excessive saliva

shallow breathing

back 24

excessive thirst

front 25

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

Cardiogenic

Septic

Anaphylactic

Hypovolemic

back 25

Anaphylactic

front 26

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

true

false

back 26

false

front 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

back 27

Backboard

front 28

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

Septic

Anaphylactic

Cardiogenic

Hypovolemic

back 28

Hypovolemic

front 29

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

crash

first aid

code

red

back 29

crash

front 30

Symptoms of a head injury include:

respiratory distress.

change in state of consciousness.

both a and b.

increased appetite

back 30

both a and b.

front 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.

back 31

to do both a and b.

front 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

back 32

Cardiogenic

front 33

CPR is indicated in all situations involving cardiac arrest.

true

false

back 33

false

front 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

back 34

all of the above

front 35

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

hamburger

none of the above

orange juice

peanut butter

back 35

orange juice

front 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.

back 36

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

front 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.

back 37

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

front 38

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

lethargy

irritability

slowing respiration

increased pulse rate

back 38

increased pulse rate

front 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

back 39

shock

front 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.

back 40

both devices determine the patient’s cardiac rhythm.

front 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.

back 41

All of the above are correct.

front 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.

back 42

use an extraordinary level of aseptic technique.

front 43

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

lethargy.

pallor.

fibrillation.

syncope.

back 43

fibrillation

front 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.

back 44

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

front 45

A stroke is the same thing as cardiac arrest.

false

true

back 45

false

front 46

All of the following are related EXCEPT:

airway.

circulation.

breathing.

compression.

back 46

compression

front 47

A myocardial infarction can lead to cardiogenic shock.

true

false

back 47

true

front 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.

back 48

modified for infants to include back slaps and chest thrusts.

front 49

Levels of consciousness range from alert to comatose.

true

false

back 49

true

front 50

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

false

true

back 50

false

front 51

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

Peanut butter

Hamburger

Buttered toast

Orange juice

back 51

Orange juice

front 52

Which is not a sign or symptom of a CVA?

slurred speech

loss of vision

none of the above

paralysis

back 52

none of the above

front 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.

back 53

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

front 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.

back 54

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

front 55

Anaphylactic shock is what type of shock?

neurogenic

hypovolemic

cardiogenic

vasogenic

back 55

vasogenic