Patient Care Procedures Quiz

Questions and Answers

What must be completed before the colonoscopy to indicate the patient has been given full knowledge about what will be done along with its risks and complications?

Patients rights

Informed consent (correct)

Patient protection

Advance directive

What can the nurse implement to assist with reducing anxiety in a patient preparing for a diagnostic examination?

Fill out required paperwork

Answer questions for clarification (correct)

Explain the costs of the examination

Demonstrate use of equipment

What action can the nurse take when providing proper instructions to lessen the patient's embarrassment when providing a sample of body excretions?

Instruct patient to return later when he or she is more comfortable.

Instruct patient to obtain his or her own specimen. (correct)

Instruct patient to use a CNA for assistance to obtain the specimen.

Instruct patient to provide the specimen behind a screen.

What health care professional has the responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm?

Nurse Signup and view all the answers

What is the term for the cleanest part of a voided urine specimen that is collected after voiding is initiated and before it is finished?

Midstream specimen Signup and view all the answers

The nurse must perform catheterization for residual urine within how many minutes following voiding?

10 minutes Signup and view all the answers

From what anatomic location is the specimen obtained for measuring blood glucose levels?

Side of the finger Signup and view all the answers

What type of stool specimen must be sent to the laboratory immediately?

Ova and parasites Signup and view all the answers

What is the probable source of bright red blood in the stool?

Lower gastrointestinal tract Signup and view all the answers

When is the best time for the nurse to attempt to collect a sputum specimen from a patient diagnosed with pneumonia?

In the early morning Signup and view all the answers

What is the best way for the nurse to collect a sputum specimen if the patient is unable to obtain it by coughing?

Perform tracheal suctioning Signup and view all the answers

What should be avoided when collecting a specimen for a wound culture?

Old drainage Signup and view all the answers

What will the nurse use to collect an anaerobic specimen?

Sterile syringe tip Signup and view all the answers

What area will the nurse swab to obtain a specimen for a throat culture?

Pharynx Signup and view all the answers

What type of abnormalities can an electrocardiogram identify?

Those that interfere with electrical conduction Signup and view all the answers

What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure?

To determine health teaching required Signup and view all the answers

What should the nurse assess the patient for before administration of contrast media?

Is allergic to iodine Signup and view all the answers

How frequently will the nurse administer one tablet of Telepaque before a cholecystogram?

Every 15 minutes Signup and view all the answers

How should the nurse keep the patient for the first 1 to 2 hours following a liver biopsy?

On his or her right side Signup and view all the answers

What position will the nurse place the patient in for up to 12 hours after a lumbar puncture to avoid discomfort from post-puncture spinal headache?

Prone Signup and view all the answers

How long will the clamp remain in place when collecting a sterile urine specimen via a catheter port?

30 minutes Signup and view all the answers

What additional assessment indicates that a patient's risk for aspiration has decreased following bronchoscopy?

Gag reflex has returned Signup and view all the answers

What color will a sample turn to indicate that the test for occult blood is positive?

Blue Signup and view all the answers

What should the nurse do when preparing the patient for an abdominal scan?

Assess patient for allergies to dye or shellfish Signup and view all the answers

What should the nurse do when preparing the patient for an arteriography?

Verify if the patient has been taking anticoagulants Signup and view all the answers

What color will the nurse inform the patient his stools will be following a barium enema?

White Signup and view all the answers

What should the nurse do when preparing the patient for an amniocentesis?

Monitor fetal heart tones Signup and view all the answers

What should the nurse do when preparing the patient for a bone scan?

Encourage water intake Signup and view all the answers

What should the nurse do when preparing the patient for a brain scan?

Inform the patient that a clicking noise will be heard during the scan Signup and view all the answers

What should the nurse do when preparing the patient for a bronchoscopy?

Reassure the patient that he or she will be able to breathe during the procedure Signup and view all the answers

When collecting a stool specimen for a guaiac (occult blood in stool), how many different parts of the stool should be taken?

2 Signup and view all the answers

When performing a venipuncture, how long should the tourniquet be left on?

1 to 2 minutes Signup and view all the answers

When initiating a 24-hour urine collection, the nurse asks the patient to void. The nurse then _______ the specimen.

discards Signup and view all the answers

After a bone scan, the nurse applies ______ soaks or compresses to a hematoma at the injection site of the dye.

warm Signup and view all the answers

What should the nurse include when labeling a urine specimen?

Date and time of collection Signup and view all the answers

Study Notes

Informed consent is mandatory before procedures, ensuring patients understand risks and details involved.
It is specific to each procedure, like colonoscopies.

Reducing Patient Anxiety

Answering questions effectively can help reduce patient anxiety during diagnostic examinations.

Specimen Collection Techniques

Proper instruction can enable patients to collect their own specimens, minimizing embarrassment.
A midstream urine specimen is the cleanest portion collected during urination.

Nursing Responsibilities

Nurses are responsible for notifying physicians of abnormal lab or diagnostic results.
During catheterization for residual urine, it should occur within 10 minutes post-voiding.

Blood and Stool Specimens

Blood specimens for glucose levels are collected from the side of the fingertip to reduce discomfort.
Stool specimens for ova and parasites must be sent to the lab promptly for accurate results.

Identifying Blood Source

Bright red blood in stool typically indicates a source from the lower gastrointestinal tract.

Sputum Collection

The ideal time to collect a sputum specimen is early morning before meals.
If a patient struggles to cough up sputum, tracheal suctioning may be required.

Wound Cultures

Do not collect wound culture specimens from old drainage; fresh material is essential for accurate results.

Diagnostic Procedures

Assess for iodine allergies before administering contrast media for tests.
Telepaque, used for cholecystograms, should be administered one tablet every 15 minutes.

Post-Procedure Positioning

Following a liver biopsy, patients should rest on their right side for a couple of hours.
After a lumbar puncture, patients should lie prone for up to 12 hours to mitigate headaches.

Specimen Collection Guidelines

When collecting urine via catheter port, clamp the tubing for 30 minutes before obtaining the specimen.
Assess the patient’s gag reflex after bronchoscopy before allowing food or drink.

Laboratory Results and Colors

A blue test result indicates positive occult blood in emesis.
Following a barium enema, stools will appear white until the contrast is expelled.

Patient Preparation and Education

Monitor vital signs such as fetal heart tones during procedures like amniocentesis.
Encourage hydration prior to bone scans without the need for sedation or fasting.

Electrocardiograms and Test Preparations

EGMs detect abnormalities that interfere with cardiac electrical conduction.
For electroencephalograms (EEGs), encourage food intake while avoiding stimulants like coffee.

Exercise Tolerance and Glucose Testing

Patients undergoing exercise tolerance tests need to stay hydrated but should not consume food.
Instruct patients for a glucose tolerance test to remain NPO except for water.

Sample Labeling and Collection Protocol

Proper labeling of specimens should include date, time, room number, and medical record number.

Post-Collection Care

Apply warm soaks or compresses if a hematoma occurs post-bone scan injection.
During a 24-hour urine collection initiation, discard the first voided specimen to ensure accurate timing.

Stool Specimen Collection

Collect stool specimens for guaiac testing from at least two different areas to ensure reliability.

Tourniquet Use in Venipuncture

When performing venipuncture, do not leave a tourniquet on for longer than 1 to 2 minutes to prevent complications.

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Description

Test your knowledge on essential nursing responsibilities related to informed consent, patient anxiety, specimen collection, and diagnostic testing. This quiz covers important techniques to ensure patient comfort and accurate results during medical procedures.