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RADT_150_Unit_8_Exam - RADT 150 Patient Care in Radiography...

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Unformatted text preview: RADT 150 Patient Care in Radiography II Unit 8 Exam Intravenous Drug Administration Technique (Venipuncture) 2 8.0 Intravenous Drug Administration Technique (Venipuncture) Directions: 1. Write your name and the date on your Scantron form. Identify the subject as the course number (for example, RADT 101) along with the test number (for example, Unit 1). 2. For each of the questions below, select the best answer to the question. 3. Using a No. 2 pencil, fill in the appropriate answer on the answer sheet. 4. Erase unwanted answers completely. Questions with two or more filled in answer spaces are graded as incorrect. 5. Answer all questions. 6. You have a maximum 15 minutes to complete the following 25 questions. (Note this time factor approximates the amount of time you would be allowed to answer the same number of questions on the Registry examination in radiography) --------------------------------------------------------------------------------------1. Which of the following is not a reason the IV route of administration is used? A. B. C. D. E. 2.. An immediate response is critical. Dehydrated patients need fluid and electrolyte replacement. Parenteral nutrition or chemotherapy Allows patient slow respond to medication if needed Injecting ROCM in radiographic examinations Which of the following is most common types of IV fluids? A. B. C. D. Normal saline 5% solution of water Salt Nutrition 3 3. A(n) ______________is puncture of a vein. A. B. C. D. 4. A needle with plastic projections on either side that aid in holding the needle during Venipuncture. Attached to the needle is a short length of tubing with a hub that attaches to a syringe. A. B. C. D. E. 5. C. D. The IV unit is inserted into the vein The catheter is advanced by slipping it forward over the needle The catheter is secured with tape The IV unit is inserted into the artery A small adapter with a diaphragm that is attached to an IV catheter when one or more injection is anticipated. A. B. C. D. 7. Injection set Phlebotomy set Hypodermic needle set Butterfly set Dragonfly set Which of the following is not a steps for inserting the catheter? A. B. 6. Intramuscular injection Topical injection Venipuncture Subcutaneous puncture Butterfly needle Intermittent injection port Over-needle catheter Heparin stopper Which of the following pieces of equipment are needed when infusing a large volume of fluid? A. B. C. D. IV pole Hypodermic needle Heparin lock Big needle 4 8. What way that IV solutions are available? 1. 2. 3. 4. 9. E. Invert and hang on the IV pole The cover at the other end of the IV tubing is removed The clamp is opened The fluid is allowed to run into a basin until the tubing is free of bubbles The clamp is steel open and the tip uncovered to keep it sterile and ready Anterior hand Anterior feet Antecubital space Posterior forearm Which of the following can caused by over use of veins? A. B. C. D. 12. 1, 2 Which veins are easiest to locate and puncture? A. B. C. D. 11. B. C. D. A. 1, 3 2, 4 3, 4 Which of the following is not a step that is followed once the bottle or plastic bag is prepared? A. B. C. D. 10. Bottles Glass jars Plastic bags Glass cups Amputation Nothing Sclerosis Permanent Immobility A condition characterized by hardening of tissue is defined as? A. B. C. D. Inflammation Hematoma Sclerosis Extravasation 5 13. What can happen if antecubital IV lines remain in place for some time? A. B. C. D. 14. Which of the following is not the reason for why the antecubital veins are used in the imaging department? A. B. C. D. 15. True False Which of the following can happen if the elbow is flexed while a needle in is still in place? A. B. C. D. 17. The IV line is usually placed only for the duration of the procedure A vein of adequate size is essential when a bolus of contrast will be delivered at a rapid rate This vein is usually required on small children This vein is usually required on elderly patients because it’s easy to see A flexible IV catheter should not be used when an IV line is placed in an antecubital vein. A. B. 16. They may harden the tissue around the elbow They may become uncomfortable which inhibits the patient's ability to flex the elbow Vein may become overused and cause scarring and sclerosis Big amount of IV fluid may run into the vein Nothing can happen Death This is normal Vein rupture A collection of extravasated blood trapped in the tissues of the skin or in an organ, resulting from trauma or incomplete hemostasis after surgery is defined as A. B. C. D. Hematoma Extravasation Rupture of tissue Hypodermis 6 18. Which of the following is not a step for initiating an IV line? A. B. C. D. E. 19. Which of the following is not a step for administering IV medications? A. B. C. D. E. 20. B. C. D. Small amount of alcohol is injected through the port to prevent blood from inflammation A small amount of flush solution is injected through the port to prevent blood from coagulating inside the catheter The system is flushed immediately after it is established The system is flushed after each use, with saline or heparin solution Which of the following features is not important in the needleless system? A. B. C. D. 22. Check the patient's ID band Check the medication label Draw up as much medication as you think is needed The access port is cleansed with alcohol The medication is injected through the port Which of additional steps for IV medication administration are not followed when using an intermittent injection port? A. 21. Wash your hands Identify correct patient Put on gloves Leave the tourniquet, preventing IV flow Ask the patient to remain still during the procedure Self-healing rubber substance It can be repeatedly penetrated by blunt plastic cannulas Does not damage the integrity of cannulas Less expensive than sharp metal cannulas What is one way you can minimize the possibility of extravasation? A. B. C. D. You cannot minimize the possibility Check the backflow to insure proper placement Push the needle in further Numb the injection site first 7 23. Which of the following is not a step that is necessary if extravasation occurs? A. B. C. D. 24. When is medication administration recorded in the patient's chart? A. B. C. D. 25. Remove the needle and apply pressure Continue the injection quickly Apply hot packs File an incident report Never recorded Only when medication is given by a technologist Only when medication is given by a radiologist Always recorded Which of the following should be charted when medications is given? A. B. C. D. Time of day it was given How many people helped give it The color of the medication The patient’s attitude ...
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