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Questions and Answers
A delayed reaction to contrast material used in a diagnostic study occurs how many hours after the patient receives it. Record your answer as a range of two whole numbers separated by a hyphen.
hours
A delayed reaction to contrast material used in a diagnostic study occurs how many hours after the patient receives it. Record your answer as a range of two whole numbers separated by a hyphen. hours
2-6
Which descriptors would the nurse use in reference to changes in a patient’s condition after an allergic reaction to contrast media?
Which descriptors would the nurse use in reference to changes in a patient’s condition after an allergic reaction to contrast media?
- Critical, stable, or good
- Satisfactory or unsatisfactory
- Urgent, concerning, or reassuring
- Improving, declining, or unchanged (correct)
Which outcome is applicable to a hypothesis of Anxiety?
Which outcome is applicable to a hypothesis of Anxiety?
- Flushing, itching, and urticaria are absent.
- Patient respirations are easy with a rate within an expected range. (correct)
- Patient remains free of injury related to the diagnostic procedure.
- Patient’s understanding of the diagnostic procedure is free of misconceptions.
Which procedures require the patient to remain NPO (nothing by mouth) until the gag reflex returns?
Select all that apply.
Which procedures require the patient to remain NPO (nothing by mouth) until the gag reflex returns? Select all that apply.
When a patient reports for an invasive diagnostic procedure that involves the use of contrast material, which action would the nurse perform first?
When a patient reports for an invasive diagnostic procedure that involves the use of contrast material, which action would the nurse perform first?
Match the postprocedural care with the relevant procedure.
Match the postprocedural care with the relevant procedure.
Which information would the nurse use to identify a patient before collecting a sample for diagnostic testing?
Select all that apply.
Which information would the nurse use to identify a patient before collecting a sample for diagnostic testing? Select all that apply.
Which steps performed before any specimen collection procedure are critical to patient safety?
Select all that apply.
Which steps performed before any specimen collection procedure are critical to patient safety? Select all that apply.
When a patient must provide a specimen for diagnostic testing at home, which factor is most important for the nurse to assess in the patient?
When a patient must provide a specimen for diagnostic testing at home, which factor is most important for the nurse to assess in the patient?
Which event can result if a tourniquet remains in place for more than a minute during a venous blood draw?
Which event can result if a tourniquet remains in place for more than a minute during a venous blood draw?
Which actions would the nurse take to protect self and others when drawing blood from a patient during a routine annual checkup?
Select all that apply.
Which actions would the nurse take to protect self and others when drawing blood from a patient during a routine annual checkup? Select all that apply.
From which sources can blood be collected for diagnostic testing?
Select all that apply.
From which sources can blood be collected for diagnostic testing? Select all that apply.
Which patient information would be communicated to the laboratory when collecting a clean-catch urine sample to avoid a false-positive result for hematuria?
Which patient information would be communicated to the laboratory when collecting a clean-catch urine sample to avoid a false-positive result for hematuria?
Match the type of urine collection with the appropriate descriptor.
Match the type of urine collection with the appropriate descriptor.
Which action would the nurse take if a patient accidently urinates into the stool collection container?
Which action would the nurse take if a patient accidently urinates into the stool collection container?
Which time of day is best to collect a sputum sample?
Which time of day is best to collect a sputum sample?
Which techniques can be used to obtain a sputum sample if coughing alone is ineffective?
Select all that apply.
Which techniques can be used to obtain a sputum sample if coughing alone is ineffective? Select all that apply.
Place the steps of throat culture collection in the appropriate order.
Place the steps of throat culture collection in the appropriate order.
Which essential information would the nurse include in the hand-off report when a patient is transferred to a recovery area after an invasive procedure?
Which essential information would the nurse include in the hand-off report when a patient is transferred to a recovery area after an invasive procedure?
Which signs would the nurse recognize as indicative of an allergic reaction to a contrast medium?
Which signs would the nurse recognize as indicative of an allergic reaction to a contrast medium?
Which action would the nurse take first when told by a patient arriving for a diagnostic test that requires an 8-hour fast that a glass of ginger ale and a grilled cheese sandwich were eaten 6 hours earlier?
Which action would the nurse take first when told by a patient arriving for a diagnostic test that requires an 8-hour fast that a glass of ginger ale and a grilled cheese sandwich were eaten 6 hours earlier?
Which procedure calls for neurologic assessment of the patient to evaluate for complications?
Which procedure calls for neurologic assessment of the patient to evaluate for complications?
Which direction would the nurse give to a patient who has had a thoracentesis?
Which direction would the nurse give to a patient who has had a thoracentesis?
Before an invasive diagnostic procedure, which elements of patient care are the nurse’s responsibility?
Before an invasive diagnostic procedure, which elements of patient care are the nurse’s responsibility?
Which responsibilities related to the collection of routine specimens for diagnostic testing are generally considered to be part of the nursing role?
Which responsibilities related to the collection of routine specimens for diagnostic testing are generally considered to be part of the nursing role?
To whom is the nurse responsible for communicating test results?
To whom is the nurse responsible for communicating test results?
A patient arrives for an invasive diagnostic procedure and indicates that preprocedure NPO (nothing by mouth) instructions have not been followed. Which actions would the nurse take?
A patient arrives for an invasive diagnostic procedure and indicates that preprocedure NPO (nothing by mouth) instructions have not been followed. Which actions would the nurse take?
Which questions would the nurse ask to evaluate the patient’s ability to comply with the prescribed regimen of self-monitoring blood glucose?
Which questions would the nurse ask to evaluate the patient’s ability to comply with the prescribed regimen of self-monitoring blood glucose?
Match the patient with the related difficulty in obtaining a blood sample.
Match the patient with the related difficulty in obtaining a blood sample.
Which information would unlicensed assistive personnel (UAP) report to the nurse when performing blood glucose testing on a patient?
Which information would unlicensed assistive personnel (UAP) report to the nurse when performing blood glucose testing on a patient?
Which instructions from the nurse to unlicensed assistive personnel (UAP) delegated to obtain a midstream clean-catch urine specimen are appropriate?
Which instructions from the nurse to unlicensed assistive personnel (UAP) delegated to obtain a midstream clean-catch urine specimen are appropriate?
Which information should unlicensed assistive personnel (UAP) collecting a stool sample provide the nurse immediately after collection?
Which information should unlicensed assistive personnel (UAP) collecting a stool sample provide the nurse immediately after collection?
Which question would the nurse ask a patient who collects a urine specimen at home?
Which question would the nurse ask a patient who collects a urine specimen at home?
Place the following steps of the sputum collection procedure in the appropriate order.
Place the following steps of the sputum collection procedure in the appropriate order.
In which aspects of a procedure for collecting a sputum specimen should unlicensed assistive personnel (UAP) be educated?
In which aspects of a procedure for collecting a sputum specimen should unlicensed assistive personnel (UAP) be educated?
Which measures would the nurse take to avoid stimulating the patient’s gag reflex when obtaining a throat culture?
Which measures would the nurse take to avoid stimulating the patient’s gag reflex when obtaining a throat culture?
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Study Notes
Delayed Reactions to Contrast Material
- Delayed reactions to contrast material occur between 4-72 hours after administration
Allergic Reactions to Contrast Media
- Descriptors for changes in a patient's condition after an allergic reaction to contrast media include:
- Hives
- Wheezing
- Swelling
- Itching
Anxiety
- An outcome applicable to a hypothesis of anxiety includes:
- Patient states anxiety is reduced post-procedure
Procedures Requiring NPO Status
- Procedures requiring patients to remain NPO until the gag reflex returns include:
- Esophagogastroduodenoscopy (EGD)
- Bronchoscopy
Patient Identification for Diagnostic Testing
- The nurse would use the following information to identify a patient before collecting a sample for diagnostic testing:
- Patient's name
- Patient's date of birth
- Patient's medical record number
Specimen Collection Safety
- Steps critical to patient safety before any specimen collection procedure include:
- Hand hygiene
- Verifying the correct patient
- Explaining the procedure to the patient
Specimen Collection at Home - Assessment
- When a patient provides a specimen for diagnostic testing at home, the most important factor for the nurse to assess is:
- Patient's ability to follow instructions
Venous Blood Draw - Tourniquet Risk
- Leaving a tourniquet in place for more than a minute during a venous blood draw can result in hemoconcentration
Venous Blood Draw - Nurse Safety
- Actions the nurse should take to protect self and others when drawing blood include:
- Wearing gloves
- Disposing of needles and other sharps appropriately
- Using a sharps container
- Applying a tourniquet for a minimal amount of time
- Being aware of and managing the risk of bloodborne pathogen transmission
Blood Sources for Diagnostic Testing
- Sources from which blood can be collected for diagnostic testing include:
- Vein
- Artery
- Capillary
Clean-Catch Urine Sample - Patient Information
- Patient Information communicated to the laboratory to avoid a false-positive result for hematuria:
- Last menstrual period
Urine Collection Types
- Urine collection types:
- Random urine sample - May be collected at any time
- Clean-catch midstream specimen - Requires specific cleaning procedures
- 24-hour urine collection - Requires collection of all urine over a defined time period
- Catheterized urine specimen- Collected directly from the bladder
Accidental Urine Contamination
- If a patient accidentally urinates into the stool collection container, the nurse should:
- Discard the specimen and provide a new collection container
Sputum Sample Collection Time
- The best time of day to collect a sputum sample is:
- Upon awakening
Sputum Sample Collection Techniques
- Techniques that can be used to obtain a sputum sample if coughing alone is ineffective include:
- Incentive spirometry
- Deep breathing exercises
- Chest percussion
Throat Culture Collection
- Order of throat culture collection steps:
- Obtain sterile swab
- Don gloves
- Depress tongue with tongue blade
- Swab tonsil and posterior pharyngeal wall
- Place swab in transport medium
- Remove gloves
- Document procedure
Post-Procedure Patient Transfer Report
- Essential information for the hand-off report after a patient is transferred to a recovery area following an invasive procedure:
- Patient's vital signs
- Pain level
- Location and type of procedure performed
- Any complications encountered
Allergic Reaction to Contrast Medium
- Signs indicative of an allergic reaction include:
- Hives
- Wheezing
- Swelling
- Itching
- Anaphylaxis
Pre-Procedure NPO Violation
- If a patient arriving for a diagnostic test requiring an 8-hour fast states they ate a ginger ale and grilled cheese 6 hours earlier, the nurse should:
- Notify the physician immediately
Neurologic Assessment Post-Procedure
- The procedure that calls for neurologic assessment to evaluate for complications after completion:
- Lumbar puncture
Thoracentesis Patient Instructions
- Instructions the nurse would give a patient after a thoracentesis:
- Lie on the affected side for 2-4 hours to promote healing
Nurse Responsibilities Before Invasive Procedures
- Nurse responsibilities before invasive procedures include:
- Verifying informed consent
- Checking allergies
- Monitoring vital signs
- Preparing the patient for the procedure
- Ensuring proper equipment is available
- Providing patient education about the procedure
Specimen Collection Responsibilities
- Responsibilities related to routine specimen collection generally within the nursing role:
- Labeling and transporting specimens
- Documenting the collection
- Performing the collection
- Ensuring specimen integrity
Communication of Test Results
- The nurse is responsible for communicating test results to:
- The physician
NPO Violation Pre-Procedure
- If a patient arrives for an invasive diagnostic procedure and indicates that they have not followed pre-procedure NPO instructions, the nurse should:
- Notify the physician
- Determine the time and contents of the last meal
- Assess for any potential complications
- Document the situation
Blood Glucose Self-Monitoring Compliance
- Questions to evaluate a patient's ability to comply with self-monitoring blood glucose:
- "Have you had any trouble with your blood glucose monitoring?"
- "Are you comfortable performing your blood glucose test?"
- "Do you have all the necessary supplies for your blood glucose monitoring?"
Blood Sample Collection Difficulty
- Difficulty in obtaining a blood sample:
- Patient with edema in the hands and arms - May need to use an alternative site such as the feet or ankles
- Patient who is obese - More subcutaneous fat, making it difficult to find the vein
- Patient with small and fragile veins - May need to use a smaller gauge needle
Blood Glucose Testing - UAP Reporting
- Unlicensed assistive personnel (UAP) should report to the nurse:
- Any difficulty performing the test
- Any abnormal blood glucose readings
Midstream Clean-Catch Urine Specimen - UAP Instructions
- Instructions for unlicensed assistive personnel (UAP) to obtain a clean-catch specimen:
- Provide the patient with the collection container and instructions on proper cleaning technique
- Ensure patient's privacy
Stool Collection - UAP Reporting
- UAP should report:
- The type of stool
- The time and date of collection
- Any abnormal findings
Home Urine Specimen Collection - Nurse Question
- The nurse should ask:
- "Have you collected a urine specimen first thing in the morning?"
Sputum Collection Procedure - Order of Steps:
- Obtain sterile container
- Explain procedure and deep breathing techniques
- Ensure adequate lighting and privacy
- Review patient's history for any respiratory conditions
- Don gloves
- Have patient rinse mouth with water
- Have patient cough deeply and expectorate into specimen container
- Remove gloves and wash hands
Sputum Collection Procedure - UAP Education
- UAP should be educated on:
- Procedure steps
- Specimen collection and handling
- Patient education
Throat Culture - Avoiding Gag Reflex
- To avoid stimulating the gag reflex when obtaining a throat culture, the nurse should:
- Use a tongue depressor to gently depress the tongue
- Use a sterile swab to gently swab the tonsils and posterior pharyngeal wall
- Avoid touching the uvula
- Instruct the patient to breathe through their nose
- Have the patient focus on something else
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