Podcast
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?
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?
What can the nurse implement to assist with reducing anxiety in a patient preparing for a diagnostic examination?
What can the nurse implement to assist with reducing anxiety in a patient preparing for a diagnostic examination?
What action can the nurse take when providing proper instructions to lessen the patient's embarrassment when providing a sample of body excretions?
What action can the nurse take when providing proper instructions to lessen the patient's embarrassment when providing a sample of body excretions?
What health care professional has the responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm?
What health care professional has the responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm?
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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?
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?
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The nurse must perform catheterization for residual urine within how many minutes following voiding?
The nurse must perform catheterization for residual urine within how many minutes following voiding?
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From what anatomic location is the specimen obtained for measuring blood glucose levels?
From what anatomic location is the specimen obtained for measuring blood glucose levels?
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What type of stool specimen must be sent to the laboratory immediately?
What type of stool specimen must be sent to the laboratory immediately?
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What is the probable source of bright red blood in the stool?
What is the probable source of bright red blood in the stool?
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When is the best time for the nurse to attempt to collect a sputum specimen from a patient diagnosed with pneumonia?
When is the best time for the nurse to attempt to collect a sputum specimen from a patient diagnosed with pneumonia?
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What is the best way for the nurse to collect a sputum specimen if the patient is unable to obtain it by coughing?
What is the best way for the nurse to collect a sputum specimen if the patient is unable to obtain it by coughing?
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What should be avoided when collecting a specimen for a wound culture?
What should be avoided when collecting a specimen for a wound culture?
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What will the nurse use to collect an anaerobic specimen?
What will the nurse use to collect an anaerobic specimen?
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What area will the nurse swab to obtain a specimen for a throat culture?
What area will the nurse swab to obtain a specimen for a throat culture?
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What type of abnormalities can an electrocardiogram identify?
What type of abnormalities can an electrocardiogram identify?
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What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure?
What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure?
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What should the nurse assess the patient for before administration of contrast media?
What should the nurse assess the patient for before administration of contrast media?
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How frequently will the nurse administer one tablet of Telepaque before a cholecystogram?
How frequently will the nurse administer one tablet of Telepaque before a cholecystogram?
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How should the nurse keep the patient for the first 1 to 2 hours following a liver biopsy?
How should the nurse keep the patient for the first 1 to 2 hours following a liver biopsy?
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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?
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?
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How long will the clamp remain in place when collecting a sterile urine specimen via a catheter port?
How long will the clamp remain in place when collecting a sterile urine specimen via a catheter port?
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What additional assessment indicates that a patient's risk for aspiration has decreased following bronchoscopy?
What additional assessment indicates that a patient's risk for aspiration has decreased following bronchoscopy?
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What color will a sample turn to indicate that the test for occult blood is positive?
What color will a sample turn to indicate that the test for occult blood is positive?
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What should the nurse do when preparing the patient for an abdominal scan?
What should the nurse do when preparing the patient for an abdominal scan?
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What should the nurse do when preparing the patient for an arteriography?
What should the nurse do when preparing the patient for an arteriography?
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What color will the nurse inform the patient his stools will be following a barium enema?
What color will the nurse inform the patient his stools will be following a barium enema?
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What should the nurse do when preparing the patient for an amniocentesis?
What should the nurse do when preparing the patient for an amniocentesis?
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What should the nurse do when preparing the patient for a bone scan?
What should the nurse do when preparing the patient for a bone scan?
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What should the nurse do when preparing the patient for a brain scan?
What should the nurse do when preparing the patient for a brain scan?
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What should the nurse do when preparing the patient for a bronchoscopy?
What should the nurse do when preparing the patient for a bronchoscopy?
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When collecting a stool specimen for a guaiac (occult blood in stool), how many different parts of the stool should be taken?
When collecting a stool specimen for a guaiac (occult blood in stool), how many different parts of the stool should be taken?
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When performing a venipuncture, how long should the tourniquet be left on?
When performing a venipuncture, how long should the tourniquet be left on?
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When initiating a 24-hour urine collection, the nurse asks the patient to void. The nurse then _______ the specimen.
When initiating a 24-hour urine collection, the nurse asks the patient to void. The nurse then _______ the specimen.
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After a bone scan, the nurse applies ______ soaks or compresses to a hematoma at the injection site of the dye.
After a bone scan, the nurse applies ______ soaks or compresses to a hematoma at the injection site of the dye.
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What should the nurse include when labeling a urine specimen?
What should the nurse include when labeling a urine specimen?
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Study Notes
Informed Consent
- 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.
