Healthcare Administration Quiz
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Questions and Answers

Which method ensures the correct medication is administered?

  • Rely on memory
  • Check with another nurse
  • Assume the label is correct
  • Check the label three times (correct)

What is one of the primary functions of anticoagulants?

  • Reduce nausea and vomiting
  • Relieve allergic reactions
  • Prevent blood clotting (correct)
  • Enhance pain relief

Which route of administration is classified as parenteral?

  • Intramuscular (correct)
  • Oral
  • Vaginal
  • Sublingual

Which of the following medications is used primarily as a bronchodilator?

<p>Albuterol (C)</p> Signup and view all the answers

When should a medication container be saved during an examination?

<p>Until the patient has finished with the exam (A)</p> Signup and view all the answers

What is an important consideration when performing a portable chest radiograph?

<p>The exam should be performed erect whenever possible. (B)</p> Signup and view all the answers

In the PACU, which is a common practice due to the state of the patients?

<p>Patients may still be groggy from anesthesia. (B)</p> Signup and view all the answers

What is the recommended action when handling a baby in the NICU?

<p>Use gloves and ensure the nurse is present. (D)</p> Signup and view all the answers

Which of the following is NOT a typical responsibility in the ICU/CCU?

<p>Perform orthopedic exams independently. (C)</p> Signup and view all the answers

What should a radiographer be particularly aware of in an ER trauma situation?

<p>Be alert to the needs of other team members for access to the patient. (C)</p> Signup and view all the answers

Which condition is characterized by a high-pitched sound during inspiration due to an obstruction in the trachea or larynx?

<p>Stridor (C)</p> Signup and view all the answers

What is the term for a temporary loss of consciousness caused by a lack of blood flow to the brain?

<p>Syncope (A)</p> Signup and view all the answers

Which type of shock is caused by a bacterial infection, particularly by gram-negative bacteria?

<p>Septic (C)</p> Signup and view all the answers

Which of the following indicates an abnormal condition characterized by a lack of oxygen?

<p>Anoxia (C)</p> Signup and view all the answers

What is the most accurate definition of hemorrhage?

<p>Loss of a large amount of blood in a short time (A)</p> Signup and view all the answers

Which condition is described as a failure of the lungs to expand completely?

<p>Atelectasis (B)</p> Signup and view all the answers

What term describes difficulty in breathing that may result from heart or lung conditions?

<p>Dyspnea (A)</p> Signup and view all the answers

Which of the following conditions involves damage to the brain due to violent shaking?

<p>Concussion (D)</p> Signup and view all the answers

What kind of injury occurs when a severe blow to the head causes damage to the side of the brain opposite the impact?

<p>Contrecoup injury (C)</p> Signup and view all the answers

Which condition involves the presence of air in the pleural space, potentially leading to lung collapse?

<p>Pneumothorax (B)</p> Signup and view all the answers

During a suspected cervical spine injury, what action should be taken regarding the patient?

<p>Stabilize the cervical spine and keep the collar in place (A)</p> Signup and view all the answers

What is the correct order of burn depth classification from least to greatest severity?

<p>First &gt; Second &gt; Third &gt; Fourth (C)</p> Signup and view all the answers

What is the appropriate initial treatment for a nosebleed that lasts longer than 15 minutes?

<p>Seek medical assistance (C)</p> Signup and view all the answers

What describes the process used to move a patient with a suspected spinal injury safely onto a table?

<p>Three-person log roll method (A)</p> Signup and view all the answers

Which of the following best describes a thrombus?

<p>A localized blood clot that forms in a blood vessel (C)</p> Signup and view all the answers

What is the recommended position for a patient experiencing vertigo or syncope?

<p>Trendelenburg position (D)</p> Signup and view all the answers

What does the term 'duration of action' refer to in pharmacokinetics?

<p>Length of time drug is effective (D)</p> Signup and view all the answers

Which factor does NOT affect pharmacokinetics?

<p>Meteorological events (D)</p> Signup and view all the answers

What characterizes a toxic effect of a drug?

<p>Poisonous outcomes and harmful effects (D)</p> Signup and view all the answers

Which of the following is considered an idiosyncratic reaction?

<p>Unanticipated extreme fatigue (A)</p> Signup and view all the answers

What is the purpose of the Six Rights in medication administration?

<p>To ensure patient safety and effective treatment (D)</p> Signup and view all the answers

Which of the following is an example of a systemic complication from a drug reaction?

<p>Severe allergic reaction (anaphylaxis) (D)</p> Signup and view all the answers

What does the term 'lowest ineffective concentration' indicate?

<p>Point when drug begins to be excreted (B)</p> Signup and view all the answers

Which scenario best describes the 'synergistic effect' of drug action?

<p>Two drugs enhance each other's effects (A)</p> Signup and view all the answers

What is the primary purpose of a suprapubic catheter?

<p>To relieve urinary retention when transurethral catheterization is not possible (C)</p> Signup and view all the answers

What must be done to prevent catheter-associated urinary tract infections (CAUTI)?

<p>Maintain the catheter below the level of the bladder (B)</p> Signup and view all the answers

What condition is treated with a ventriculoperitoneal shunt?

<p>Hydrocephalus (D)</p> Signup and view all the answers

What is the role of surgical drains in post-operative care?

<p>To remove pus, blood, or other fluids from surgical sites (A)</p> Signup and view all the answers

Which statement is true regarding the administration of medications by technicians in NJ?

<p>Technicians are responsible for errors made during drug administration. (C)</p> Signup and view all the answers

What is one of the main reasons for administering drugs?

<p>To cure diseases (C)</p> Signup and view all the answers

Which condition may require a suprapubic catheterization?

<p>Benign prostatic hypertrophy (BPH) (D)</p> Signup and view all the answers

What can a ventriculoperitoneal shunt series X-ray help to identify?

<p>Calcifications around the ventricular catheter (D)</p> Signup and view all the answers

Flashcards

Contrecoup Injury

Brain injury on the opposite side of the head from the impact, caused by the brain bouncing back and forth.

Concussion

Mild to moderate brain injury, often causing brief loss of consciousness.

Pneumothorax

Air trapped in the space between the lung and the chest wall, causing the lung to collapse.

Hemothorax

Blood in the space between the lung and the chest wall, caused by bleeding.

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Thoracotomy

Surgical procedure that involves making an incision in the chest wall to access the chest cavity.

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Thoracentesis

Procedure to remove fluid from the space between the lung and the chest wall using a needle.

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Epistaxis

Nosebleed.

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Vertigo

A sensation of dizziness or spinning.

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Lethargy

Feeling unusually tired or drowsy, lacking alertness.

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Pallor

Unnatural paleness of the skin, lack of color.

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Anuria

Absence or lack of urine production.

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Dyspnea

Difficult or painful breathing.

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Hemorrhage

Loss of a large amount of blood in a short time, internally or externally.

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Stridor

High-pitched, abnormal sound caused by an obstruction in the airway (trachea or larynx).

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Syncope

Brief lapse in consciousness caused by temporary lack of oxygen to the brain (fainting).

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Portable Chest X-ray: Positioning

When taking a portable chest x-ray, position the patient erect whenever possible. This allows for accurate visualization of air and fluid levels in the lungs.

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PACU Considerations

Patients in the Post Anesthesia Care Unit (PACU) are still recovering from anesthesia. They may have oxygen, catheters, and drainage tubes. Be careful handling them.

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NICU X-ray Precautions

When taking x-rays of infants in the Neonatal Intensive Care Unit (NICU), use gloves, enlist a nurse for assistance, shield the baby, and take extra care with lead markers.

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ICU/CCU X-ray Challenges

Taking x-rays in Intensive Care/Coronary Care units (ICU/CCU) involves navigating limited space, life-sustaining equipment, and frequent monitoring. Consult with the patient's nurse and use appropriate lifting techniques.

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ER Trauma X-ray Priorities

In emergency room trauma situations, the most common x-rays are of the chest and pelvis. Be aware of the patient's condition, potential blood or secretions, and the need for other medical team members to access the patient.

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What is 'The Right Drug'?

Ensuring the medication administered is safe and accurate by checking the label three times, verifying the correct name, checking the expiration date, and showing the container to the person administering the drug.

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What are Enteral Routes?

Enteral routes of administration involve delivering medication through the gastrointestinal tract, including oral, rectal, and through a tube.

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What are Parenteral Routes?

Parenteral routes of administration involve delivering medication outside of the gastrointestinal tract, through injection. This category includes subcutaneous, intramuscular, intradermal, and intrathecal.

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What is the Sublingual route?

The sublingual route involves administering medication under the tongue.

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What is the Transdermal route?

The transdermal route involves administering medication through the skin.

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Pharmacokinetics

The study of how the body absorbs, distributes, metabolizes, and excretes drugs.

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Onset of Action

The time it takes for a drug to reach a therapeutic effect.

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Peak Concentration

The highest level of drug concentration in the body.

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Half-Life

The time it takes for the drug concentration in the body to reduce by half.

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Therapeutic Effect

The desired or intended effect of a drug.

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Toxic Effect

Harmful or poisonous effects of a drug.

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Idiosyncratic Reaction

An unusual or unexpected reaction to a drug.

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Allergic Reaction

An immune system response to a drug, causing negative symptoms.

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CAUTI

Catheter-associated urinary tract infection, a common and serious hospital-acquired infection.

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Suprapubic Catheter

A catheter inserted through the abdomen into the bladder, used when a traditional catheter is impossible or risky.

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Tissue Drain

A tube placed near a surgical incision to remove fluid, like blood or pus, preventing build-up and complications.

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Ventriculoperitoneal Shunt

A surgical procedure that drains excess cerebrospinal fluid from the brain to the abdomen, treating hydrocephalus.

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Hydrocephalus

A condition where there is too much cerebrospinal fluid (CSF) in the brain and spinal cord.

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Pharmacology

The science of drugs, including their origins, characteristics, and uses.

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Why Administer Drugs?

Drugs are given to relieve symptoms, prevent disease, cure illness, or diagnose conditions.

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Legally Liable

A person who administers drugs is responsible for any errors that might occur.

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Study Notes

Emergency Response/Dealing with Acute Situations

  • Emergency Defined: A situation where a patient's condition or medical status suddenly changes, requiring immediate action.

  • Objectives:

    • Preserve life
    • Prevent further harm to the patient
    • Quickly obtain medical assistance

  • Trauma Units:

    • Level I: Highly trained staff 24/7 for all types of traumatic injuries; helicopter rescue units present. Radiography and OR personnel are on duty.
    • Level II: ED doctors, nurses, radiologic technologists, and CT technicians on duty 24/7. OR staff is available.
    • Level III: Smaller hospitals with night staff on-call; serious injuries are diverted to Level I or II facilities.

  • Disaster:

    • A large-scale event that threatens public health (e.g., natural disasters, pandemics, plane crashes).
    • Hospitals have disaster plans and drills to manage and prioritize patient care.

  • Emergency Patient Care:

    • Physical: Patient may exhibit fainting, trembling, nausea, vomiting.
    • Psychological: Crying, hysteria, urge to talk.
    • Delayed reactions possible.
    • Watch for clothing changes, glassware, and prioritize multiple victims based on their condition.

  • Crash Cart:

    • Wheeled container of equipment and drugs frequently required during emergencies.
    • Location of crash cart should be known.
    • Contents include: defibrillator, backboard, bag-valve mask, blood collection tubes, and other essential supplies.

Equipment Commonly Found on the Code Cart

  • Needles and syringes
  • Paper and checklists
  • Protective personal equipment
  • Scissors
  • Sterile and non-sterile gloves
  • Stethoscope
  • Suction bottle
  • Tongue blades

Respiratory Emergencies

  • Airway Obstruction: Identify the symptoms and apply appropriate procedures, like the Heimlich maneuver (for adults choking), in infants and children, turn the child prone and administer back blows and chest thrusts.
  • Stridor: A harsh sound during inhalation, indicating possible upper airway obstruction.
  • Respiratory Arrest: Cessation of breathing; requires immediate intervention.
  • Reactive Airway Diseases: Conditions like asthma, bronchospasm may trigger difficulty breathing.

Head Injuries

  • Severe blow to the head: Can cause brain injuries (e.g., concussion, contrecoup injury).
  • Concussion: Mild traumatic brain injury (TBI) with temporary loss of consciousness.

Chest Injuries

  • Flail chest: Fractured ribs that cause instability in the chest wall.
  • Pneumothorax: Air in the pleural space, potentially causing lung collapse.
  • Hemothorax: Blood in the pleural space.

Spinal Injuries

  • Suspected cervical spine injury requires careful immobilization with a cervical collar.
  • Use the three-person log roll method when moving a patient.

Extremity Fractures

  • Compound fractures: The bone breaks through the skin.
  • Closed fractures: The bone breaks, but the skin remains intact.
  • Stabilize both the proximal and distal joints when transporting.

Wounds/Burns

  • Open wounds: Identify and treat as needed; ensure there is no fresh bleeding.
  • Burn classification: Categorized based on cause, extent, and depth of tissue damage.

Minor Medical Emergencies

  • Nausea/vomiting: Provide a basin and reassurance.
  • Nosebleed (epistaxis): Apply pressure to stop the bleeding.
  • Dizziness/Syncope: Place the patient in a recumbent position.

Key Terms

  • Edema: Swelling caused by fluid buildup.
  • Lethargy: Extreme tiredness.
  • Pallor: Paleness of the skin.
  • Hemoptysis: Coughing up blood.
  • Anuria: Absence of urine production.
  • Dyspnea: Difficulty in breathing.
  • Concussion: Injury to the brain from a blow to the head.
  • Thrombus/embolus: A clot in the blood.

Bedside Radiography

  • CCU, PACU, MICU, TICU, NICU: Types of intensive care units.
  • STAT: Urgent procedure.
  • Portable Radiography: Performed when patient transfer is impossible due to severe illness or injury.

ER Trauma

  • Chest and pelvis x-rays: Most common trauma cases.
  • Immobilization: Support the injured areas to prevent further harm.

Orthopedic Exams

  • Open fracture: Bone protrudes through the skin.
  • Closed fracture: Bone breaks but doesn't pierce the skin.
  • Immobilization is essential during transports in case of fractures.

IV Catheters

  • Types: Peripheral (short-term use), central (long-term use).
  • Locations: Peripherally inserted central catheter (PICC), Port.

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RT 101 Module B Exam 3 Prep: Emergency Response/Bedside PDF

Description

Test your knowledge on important healthcare administration practices and procedures. This quiz covers medication administration, anticoagulant functions, and important considerations for various medical situations, such as in the PACU and NICU. Perfect for aspiring healthcare professionals and students.

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