Nursing Fundamentals Flashcards
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Questions and Answers

What can happen if a diabetic patient has taken his/her normal dose of insulin but has been NPO since midnight?

go into insulin shock

When lifting a patient, what must you remember?

keep your back straight

If you determine that a patient is in need of CPR, what should be your first response?

call for help

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

<p>hypovolemic shock</p> Signup and view all the answers

Which of the following describes a paraplegic?

<p>Paralyzed from the waist down</p> Signup and view all the answers

A professional assessment of a patient's health will require which of the following?

<p>Observe his physical condition, Note his mental state, Be aware of his cultural background</p> Signup and view all the answers

Which of the following is an example of good body mechanics?

<p>Bend from the knees</p> Signup and view all the answers

Which of the following would be considered an example of negative non-verbal communication?

<p>Standing with your arms crossed</p> Signup and view all the answers

Which of the following best describes the Fowler position?

<p>Feet lower than head</p> Signup and view all the answers

What is the most common work-related problem among health care workers?

<p>back problems from improper lifting</p> Signup and view all the answers

While radiographing a patient with chest tube drainage, which of the following actions must be taken?

<p>keep drainage tube below chest</p> Signup and view all the answers

For a patient with I.V. therapy, how high above the vein should the container of solution be kept?

<p>18-20&quot;</p> Signup and view all the answers

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

<p>Cardiogenic shock</p> Signup and view all the answers

If CPR is NOT started within _______ of cardiac arrest, there will be brain damage due to lack of oxygen.

<p>1-3 minutes</p> Signup and view all the answers

While in an operating room, what precautions can be taken to minimize the explosive hazard?

<p>Clean the x-ray equipment, Wear covers over shoes, Wear cap over head</p> Signup and view all the answers

Which of the following sites would be best for IV therapy?

<p>the arm</p> Signup and view all the answers

"Touching a patient without permission" is the legal definition of what?

<p>battery</p> Signup and view all the answers

What stage of grieving is the terminally ill patient in when he/she begins to deal with his/her pain or illness?

<p>acceptance stage</p> Signup and view all the answers

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

<p>anaphylactic shock</p> Signup and view all the answers

Which of the following procedures would require an informed consent form to be completed?

<p>cerebral angiogram</p> Signup and view all the answers

What is the normal range of diastolic pressure for adults?

<p>60-90 mm Hg</p> Signup and view all the answers

A written page or spoken word are examples of which of the following components of communication?

<p>channel</p> Signup and view all the answers

Which of the following conditions would be considered "easy to penetrate"?

<p>Degenerative arthritis</p> Signup and view all the answers

Which of the following conditions would be considered "hard to penetrate"?

<p>Osteosclerosis</p> Signup and view all the answers

When is an IV considered to be infiltrated?

<p>When solution is leaking into tissue</p> Signup and view all the answers

What is the most severe form of convulsive seizures?

<p>Grand mal</p> Signup and view all the answers

Which of the following may cause a patient to faint?

<p>All of the above</p> Signup and view all the answers

A patient in a diabetic coma needs which of the following?

<p>more insulin</p> Signup and view all the answers

According to the American Heart Association's guidelines, what is the correct order for administering basic life support (CPR)?

<p>circulation, airway, breathing (CAB)</p> Signup and view all the answers

When transferring a patient from a wheelchair to the x-ray table, which action would you do first?

<p>put wheelchair at a 45-degree angle to the table</p> Signup and view all the answers

A radiographer's primary responsibility is to which of the following?

<p>The patient's needs</p> Signup and view all the answers

While in the operating room, which of the following is NOT considered a sterile area?

<p>The anesthetist</p> Signup and view all the answers

An unconscious patient whose skin is dry and has a fruity odor on his/her breath is a classic example of what?

<p>diabetic coma</p> Signup and view all the answers

According to Elizabeth Kubler-Ross, what is the first stage of the grieving process?

<p>denial</p> Signup and view all the answers

During a myelogram, what position is the patient in when his head is put lower than his feet?

<p>trendelenburg</p> Signup and view all the answers

If a patient's I.V. site becomes puffy and swollen, what should the radiographer do?

<p>clamp off the IV</p> Signup and view all the answers

What should be your first action if a patient is bleeding profusely from an open leg wound?

<p>apply direct pressure to the wound</p> Signup and view all the answers

If a patient convulses in the x-ray department, the radiographer should do which of the following?

<p>prevent injury to the patient</p> Signup and view all the answers

The "threat of touching a person in a harmful manner" is the legal definition of what?

<p>assault</p> Signup and view all the answers

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

<p>have the patient lie down</p> Signup and view all the answers

Which of the following is NOT a legal right of a patient in the radiology department?

<p>To ask for and receive extra studies</p> Signup and view all the answers

When inserting an enema tip, what position is the patient in?

<p>Sim's</p> Signup and view all the answers

Which of the following individuals is responsible for getting a patient's informed consent?

<p>physician</p> Signup and view all the answers

Which of the following should be done when moving a patient with a broken arm?

<p>support the entire arm</p> Signup and view all the answers

Which of the following would describe an ambulatory patient?

<p>One that is able to walk</p> Signup and view all the answers

Where should a patient's urinary bag be kept while transferring him/her from the stretcher to the x-ray table?

<p>below the bladder</p> Signup and view all the answers

If someone needs to hold a patient during a radiographic procedure, who should be asked?

<p>the patient's family member</p> Signup and view all the answers

What is the usual rate of flow for an adult IV in use?

<p>20 drops per minute</p> Signup and view all the answers

The patient in insulin shock who is still conscious requires which of the following?

<p>something with sugar</p> Signup and view all the answers

What is the best way to move a heavy object?

<p>push it</p> Signup and view all the answers

Which of the following symptoms would you expect to see if a patient was in shock?

<p>All of the above</p> Signup and view all the answers

According to Maslow's hierarchy, which of the following is a person's most basic need?

<p>Physiological needs</p> Signup and view all the answers

A patient with a head injury should be kept in which of the following positions?

<p>semi-erect</p> Signup and view all the answers

What is the proper procedure for turning a disabled patient on an x-ray table?

<p>turn the patient towards you</p> Signup and view all the answers

Study Notes

Insulin and Diabetes Management

  • Diabetic patients can go into insulin shock if they take insulin and are NPO (nothing by mouth).
  • Patients with diabetic coma require additional insulin for stabilization.

Patient Handling and Body Mechanics

  • Maintain a straight back while lifting patients to prevent injury.
  • Bend from the knees when lifting to utilize proper body mechanics.

Emergency Preparedness

  • Call for help immediately if CPR is necessary.
  • Apply direct pressure to profuse bleeding wounds for immediate care.

Types of Shock

  • Hypovolemic shock occurs due to severe blood loss, such as from a knife or gunshot wound.
  • Cardiogenic shock results from the heart's inability to pump enough blood.
  • Anaphylactic shock can develop from severe allergic reactions, often related to medical situations.

Patient Assessment and Communication

  • A comprehensive assessment encompasses observation of physical condition, mental state, and cultural background.
  • Effective communication must include consideration of non-verbal cues, like avoiding crossed arms.

Patient Positions

  • Fowler position is characterized by feet being lower than the head.
  • Trendelenburg position involves the head being lower than the feet.
  • Semi-erect position is preferred for patients with head injuries.
  • Informed consent is required for certain procedures, such as a cerebral angiogram.
  • Battery is defined as touching a patient without permission; assault is the threat of harmful contact.

Vital Signs and IV Management

  • Normal adult diastolic pressure ranges between 60-90 mm Hg.
  • I.V. solution containers should be kept 18-20 inches above the vein for proper flow.

Seizures and Neurological Events

  • Grand mal seizures represent the most severe form of convulsive episodes.
  • In cases of convulsions, prioritizing patient safety is crucial to prevent injuries.

Patient Handling Techniques

  • When transferring patients from a wheelchair to a table, align the wheelchair at a 45-degree angle for safer movement.
  • Support the entire arm when someone has a broken arm to avoid further injury.

Patient Rights and Responsibilities

  • Patients have rights in a healthcare setting but cannot demand extra studies.
  • A radiographer's primary responsibility is to cater to the patient’s needs.

Hygiene and Safety Precautions

  • To minimize explosive hazards in the operating room, maintain cleanliness of equipment and wear appropriate attire.

Miscellaneous Medical Knowledge

  • IVs are considered infiltrated if fluids leak into surrounding tissue.
  • A patient's urinary bag should be positioned below the bladder during transfers.

Psychological Stages of Grief

  • Denial is the first stage in the grieving process, as identified by Kubler-Ross.
  • Acceptance occurs when terminally ill patients begin reconciling their condition.

Basic Life Support Guidelines

  • CPR order according to AHA: Circulation, Airway, Breathing (CAB).
  • Essential first actions in emergencies include positioning the patient lying down if they exhibit signs of dizziness.

General Patient Care

  • Keep a patient's drainage tube below the chest during radiography to prevent backflow.
  • Care for a conscious patient in insulin shock with a source of sugar to restore balance.

IV Flow Rates

  • The typical flow rate for an adult IV is about 20 drops per minute.

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Test your knowledge on essential nursing principles with these flashcards. Cover topics such as patient care, emergency responses, and diabetes management. Perfect for nursing students preparing for exams or clinical practice.

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