Nursing Chapter 34

A client is scheduled for a nuclear imaging test. What should the nurse instruct the client about this test?

A radioisotope will be injected to determine organ functioning as being either hot or cold

A client is scheduled to have abdominal ascites fluid removed. What should the nurse instruct the client about this procedure?

An abdominal paracentesis will be done

A client is prescribed a diagnostic test requiring a 24-hour stool specimen. What should this test indicate to the nurse?

Analyze the stool for dietary products and digestive secretions

The nurse is teaching a client with heart failure about diagnostic tests. Which test should the nurse emphasize in this teaching?

BNP

A client is scheduled for a barium enema. What is the nursing priority for this client?

Cleanse the bowel

A client has just completed a bone marrow biopsy. What should the nurse document about the client at this time?

Clients tolerance of the procedure The site for bleeding Presence of pain and any pain medication received

What should the nurse instruct a client for obtaining a clean voided urine specimen?

Collect the first voided specimen in the morning

The nurse is assisting a client with a diagnostic test. Which role should the nurse expect to perform in the intratest phase?

Collect the specimen

The nurse is providing care to a client during the posttest phase of diagnostic testing. What will the nurse do during this phase?

Compare the previous and current test results Modify nursing interventions as necessary Report the results to appropriate health team members

The nurse needs to collect a specimen from a client; however, the nurse has never collected this type of specimen in the past. What should the nurse do?

Consult the nursing procedure manual

The nurse needs to obtain a sputum specimen from a client. What should the nurse have the client do?

Cough to bring up secretions

The nurse is caring for a client who has just had a lumbar puncture. What should the nurse document about this clients procedure?

Date and time performed The physicians name The color, character, and amount of cerebrospinal fluid withdrawn The clients status after the procedure

What is the responsibility of the nurse when collecting a specimen from a client?

Handle the specimen discreetly

The nurse is reviewing laboratory results for a client. Which diagnostic study determines how well blood glucose levels have been controlled in the client?

Hemoglobin A1c

The nurse is preparing to collect a throat culture from a client. What client response indicates to the nurse that teaching about this test has not been effective?

I need to hyperextend my neck

A client is to have an echocardiogram. Which statement by the client indicates the teaching about the test has been effective?

Im told this test causes no discomfort

A client is having a lumbar puncture. In which position should the nurse place the client?

Lateral with head bent toward the chest and knees flexed onto the abdomen

A client asks the nurse, Why do I have to monitor my blood glucose levels? What is an appropriate response from the nurse?

Monitoring your blood glucose better enables you to manage your diabetes

The nurse is collecting a sputum specimen from a client. Which action should the nurse take during the collection of this specimen?

Offer mouth care

An older client is having difficulty handling the specimen cup for a clean catch urine specimen. What can the nurse do to help this client?

Provide a clean funnel to pour the urine into the specimen cup

Unlicensed assistive personnel (UAP) will be conducting a test on a clients urine. What should the nurse instruct the UAP about the test?

Report the results of the test to the nurse Save the urine, in case the nurse wants to repeat the test

A client is having a timed urine collection done. The unlicensed assistive personnel does not save one specimen. What should the nurse do?

Start the test over

Which return demonstration by a client indicates that teaching about performing a blood glucose monitoring test has been effective?

The client washes the hands

The nurse is reviewing instructions provided to a client about an upcoming cystoscopy. Which client response indicates that no further teaching is required?

The scope is a lighted instrument inserted through the urethra

A client is scheduled for a bronchoscopy. What should the nurse instruct the client about this procedure?

Tissue samples may be taken for biopsy A local anesthetic is sprayed on the throat Informed consent is required for this procedure

A client is being treated for tuberculosis, and the doctor writes an order to collect a sputum specimen. What is the rationale behind this order?

To assess the effectiveness of therapy

The nurse is instructing a female client on how to cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity. What should the nurse instruct this client to do?

Use all towelettes provided Use each towelette once, and discard Clean the perineal area from front to back

Which instruction should the nurse give to the client when a stool specimen is to be collected?

Void before the specimen is collected

A client with tattooed eyeliner is scheduled for an MRI. What should the nurse instruct the client about this diagnostic test?

Wear goggles

The nurse needs to obtain a urine specimen from a client with an indwelling urinary catheter. What should the nurse do when collecting this specimen?

Withdraw 30 mL of urine for a routine urinalysis Send the specimen immediately or refrigerate it for later pickup Clamp the drainage tubing for 30 minutes if there is no urine in the catheter