X-Ray (Xray)

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Outline

Overview

  1. X-ray
    1. Diagnostic test
    2. View inside matter of body
    3. Radiation

Nursing Points

General

  1. Electromagnetic wave radiation
    1. Tissues absorb differently
    2. More dense show as white (bones)
    3. Air shows as black (inside lungs)
    4. Fat and muscle grey
  2. Purpose
    1. Broken bones
    2. Suspicion of lung disease (pneumonia)
    3. Digestive issues (constipation and pain)
    4. Confirm placement of tubes or devices

Assessment

  1. Before
    1. Inform patient of procedure
    2. Ask if pregnant (may cause damage to unborn child)
    3. Answer any questions
    4. Ask for informal consent (no signiture needed)
    5. Empty bladder (full may interfere with picture)

Therapeutic Management

  1. During
    1. Position patient according to body part being viewed
    2. Protective lead shielding
      1. Areas of body not being viewed
    3. Encourage patient to stay still during X-ray
  2. After
    1. Remove protective shielding
    2. No special cares

Nursing Concepts

  1. Communication ->clear explanation to patient
  2. Patient-centered care ->positioning depends on area of body to be viewed
  3. Safety -> radiation protection

Patient Education

  1. Do not move during X-ray
  2. Radiologist will read the X-ray
  3. Physician will provide results

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Transcript

Hey guys! In this lesson we will explore what an X-ray is, why the patient might have one, and what your role as the nurse is. 

So an X-ray is a diagnostic test that allows us to view matter inside the body by using electromagnetic wave radiation. Let’s explore how this works. 

So tissue absorbs the electromagnetic waves differently, so they show differently on the X-ray picture. More dense tissue like bones show as white like here, air shows as black like here in the lungs, and fat and muscle show greyish colored. Now why would we need to do an X-ray?

So of course if there is a suspected broken bone like in the arm, an X-ray should show the break. Any suspicion of lung disease like pneumonia can be visualized like in this X-ray where it is greyish and foggy looking in the lungs. If a patient has digestive issues like severe constipation and abdominal pain, the doctor may order an X-ray to look inside for any disease processes. Another common reason for an X-ray is if a tube or device was placed in the body like an NG tube where you will have to make sure the tip of the NG is in the stomach. Now let’s discuss what you as the nurse will do to prepare the patient for an X-ray. 

When the doctor orders an X-ray, you will inform the patient of what it is and why they are getting one. Make sure the patient isn’t pregnant as the radiation can harm the unborn child. Answer any questions that the patient has about the test, and if there is something you don’t know, call down and ask a radiology technician. Get informed consent, meaning ask the patient if they are agreeable to having the X-ray. No signature is needed because this is noninvasive. Lastly, make sure the patient empties the bladder so that the radiologist will get a clear picture without a full bladder in the way. Now let’s move on to the procedure. 

You will assist with positioning the patient according to the body part being viewed. A protective lead shield will be placed over sensitive areas of the body that aren’t being viewed to avoid unnecessary radiation. Encourage the patient to stay still during the X-ray so that a clear picture is taken. You will not remain in the room, but instead step out so that you aren’t exposed to the radiation. 

When the X-ray is over, you will remove the protective shielding. There are no special cares required after the X-ray. Let’s explore patient education next. 

So explain the importance of staying still during the procedure so that another X-ray isn’t needed to clarify. Let the patient know that a radiologist will interpret the X-ray picture so that the doctor can read the results, and the physician will explain the results to the patient. 

Alright, so the priority nursing concepts for a patient with an X-ray are communication, patient-centered care, and safety. 

Alright, let’s review the key points. So an X-ray is a diagnostic test that uses electromagnetic radiation waves to diagnose disease or verify line or device placement inside of the body. Before the X-ray, explain the procedure to the patient, obtain informal consent, and ask the patient to empty their bladder. During the procedure, position the patient according to the area being looked at, and place protective shielding on the parts of the body not being looked at. After the X-ray, remove the shielding. There isn’t any special care that the patient will need after the procedure. Let the patient know that the radiologist interprets the X-ray, and the doctor will provide the results to the patient. 

Alright, that’s it on X-ray nursing considerations! Now go out and be your best self today, and as always, happy nursing!

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S25 Week 2 Study Plan (Cardiac, Resp, GI/GU, Neuro, Diagnostics, Pre-op)

Concepts Covered:

  • Respiratory Disorders
  • Acute & Chronic Renal Disorders
  • Oncology Disorders
  • Preoperative Nursing
  • Musculoskeletal Trauma
  • Renal Disorders
  • Upper GI Disorders
  • Neurological Emergencies
  • Cardiac Disorders
  • Pregnancy Risks
  • Urinary Disorders
  • Vascular Disorders
  • Lower GI Disorders
  • Noninfectious Respiratory Disorder
  • Intraoperative Nursing
  • Neurologic and Cognitive Disorders
  • Central Nervous System Disorders – Brain
  • Circulatory System
  • Postoperative Nursing
  • Liver & Gallbladder Disorders
  • Infectious Respiratory Disorder
  • Central Nervous System Disorders – Spinal Cord
  • Emergency Care of the Cardiac Patient
  • Peripheral Nervous System Disorders
  • Female Reproductive Disorders
  • Shock
  • Emergency Care of the Neurological Patient
  • Respiratory Emergencies

Study Plan Lessons

X-Ray (Xray)
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Computed Tomography (CT)
Informed Consent
Lung Sounds
Alveoli & Atelectasis
Magnetic Resonance Imaging (MRI)
Preoperative (Preop)Assessment
Gas Exchange
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology for Pancreatitis
Preoperative (Preop) Education
Cerebral Angiography
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Preoperative (Preop) Nursing Priorities
Cardiovascular Angiography
Preload and Afterload
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Echocardiogram (Cardiac Echo)
Performing Cardiac (Heart) Monitoring
Ultrasound
Biopsy
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
General Anesthesia
Levels of Consciousness (LOC)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Dialysis & Other Renal Points
Local Anesthesia
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Routine Neuro Assessments
Adjunct Neuro Assessments
Moderate Sedation
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Malignant Hyperthermia
Intracranial Pressure ICP
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Cerebral Perfusion Pressure CPP
Nursing Care and Pathophysiology for Crohn’s Disease
Normal Sinus Rhythm
Post-Anesthesia Recovery
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Postoperative (Postop) Complications
Sinus Bradycardia
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Sinus Tachycardia
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Discharge (DC) Teaching After Surgery
Pacemakers
Nursing Care and Pathophysiology of Pneumonia
Atrial Fibrillation (A Fib)
Miscellaneous Nerve Disorders
Premature Ventricular Contraction (PVC)
Ventricular Tachycardia (V-tach)
Ventricular Fibrillation (V Fib)
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology of Hypertension (HTN)
Artificial Airways
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Airway Suctioning
Nursing Care and Pathophysiology for Menopause
Stroke Assessment (CVA)
Nursing Care and Pathophysiology for Cardiomyopathy
Stroke Therapeutic Management (CVA)
Stroke Nursing Care (CVA)
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Hypovolemic Shock
Seizure Causes (Epilepsy, Generalized)
Nursing Care and Pathophysiology for Cardiogenic Shock
Seizure Assessment
Chest Tube Management
Nursing Care and Pathophysiology for Distributive Shock
Seizure Therapeutic Management
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Meningitis
Hemodynamics
Nursing Care and Pathophysiology for Parkinsons