RCIS(graded A+)Correctly answered to pass 2023

RCIS(graded A+)Correctly answered to pass 2023You have just completed an echocardiogram. Your patient asks you to interpret the results of his diagnostic examination. Your response as a healthcare professional should be to: a. Say you don't know how to interpret results b. Explain that the physician will interpret it and report the results c. Explain that the final results are inconclusive d. Honestly interpret it to the best of your ability - correct answer ANSWER b. Explain that the physician will interpret it and report the results. One of the 10 principles of professional conduct adopted by the ARRT is "Radiologic Technologists shall not diagnose, but in recognition of their responsibility to the patient, they shall provide the physician with all information they have relative to radiologic diagnosis for patient management." We do not possess all the information or training necessary to diagnose the patient. Diagnosis, pathology and treatment are the physician's final responsibility. We can often reinforce his comments, clarify things and respond to our patient's questions, but always with the qualification that the physician has the final say. See: Torres, chapter on "The Radiologic Technologist and professionalism" Prior to any cardiac invasive procedure the ultimate responsibility for obtaining informed consent lies with the: a. Patient's primary care physician (GP) b. The operating physician (Cardiologist) c Circulating nurse assigned to the case d. Patient and his/her family - correct answer ANSWER b. The operating physician (Cardiologist). The ultimate responsibility for obtaining permission is the operating physician's, usually the operating cardiologist. The cath lab staff are responsible for checking that the consent is on the chart, properly signed, and that the information on the form is correct. See: Allmers, Review for Surgical Tech. Exam, chapter on "Fundamentals" A recommended position for a patient in acute pulmonary edema is: a. Prone position, to encourage maximum rest, thus decreasing respiratory and cardiac rates b. Sitting up position to facilitate breathing and decrease venous return c. Trendelenburg position, to drain blood from leg veins into the heart . d. Recovery position, lateral with upper leg flexed and forward, and upper hand across the chest with back of hand held supporting his cheek. - correct answer ANSWER b. Sitting up position to facilitate breathing and decrease venous return. A patient with dyspnea is usually uncomfortable in a lying supine position (orthopnea). This is because gravity increases fluid in the lungs which increases edema in CHF patients. They often have less difficulty breathing when placed in either a semi- sitting (mid- Fowler's) position 30o, sitting (high- Fowler's) position 45o, or reverse Trendelenburg position (body tilted head up). See: Medical Dictionary When charting in the medical record you should: a. Avoid generalizations like "appears, inadvertently, seems to..." b. Avoid writing with fountain pens with liquid ink c. Avoid documenting routine safety measures d. Chart care as you are planning it, not after it is given - correct answer ANSWER a. Avoid generalizations like "appears, inadvertently, seems to..." Kern says: "Information in the medical record should reflect only accurate facts regarding the particular patient. Avoid generalizations and speculating by charting only what you see, hear, feel, and smell. Do not use words such as inadvertently, unfortunately, appears, resembles, and the like.... Chart after the delivery of care, not before. Never make an entry in anticipation of something to be done...The chart note should identify precautionary or protective measures that have been taken for the safety of the patient, including the use of side rails and restraints." Charting should always be done with a permanent ink pen, although especially runny ink may smear. See: Kern, chapter on "Documentation in the Cardiac Catheterization Laboratory" To be legally valid, what is the LATEST that the patient should sign the informed consent form? a. Before administration of preoperative medications (such as demerol) b. Before administration of conscious sedation (such as Versed) c Before any invasive incisions or percutaneous punctures are made d. Before any interventions are made (PTCA, Stent...) - correct answer ANSWER a. Before administration of preoperative medications. Consent forms must be signed before the administration of preoperative medications. This is to ensure that the patient fully understands and is informed about the procedure and the risks involved. If his mind is clouded by preoperative medications such as demerol the consent is not legally valid. See: Allmers, Review for Surgical Tech. Exam, chapter on "Fundamentals" A patient's informed consent: a. Authorizes all routine hospital procedures b. Protects patient from high risk procedures .c Protects the operating physician and