kozier and Erb chapter 34

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

1. Clients tolerance of the procedure. 3. The site for bleeding. 5. Presence of pain and any pain medication received.

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

1. Date and time performed. 2. The physicians name 4. The color, character, and amount of cerebrospinal fluid withdrawn. 5. The clients status after the procedure.

What will the nurse do during the post-test phase of diagnostic testing for a client?

2. Compare the previous and current test results. 4. Modify nursing interventions as necessary. 5. Report the results to appropriate health team members.

The nurse is instructing a female client 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?

2. Use all towlettes provided. 3. Use each towlette once, and discard. 5. Clean the perineal area from front to back.

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

4. Report the results of the test to the nurse. 5. Save the urine, in case the nurse wants to repeat the test.

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.

What information should the nurse provide to a client who is scheduled to have abdominal ascites fluid removed?

An abdominal paracentesis will be done

A doctors order for a 24-hour stool specimen collection indicates to the nurse that the physician needs to:

Analyze the stool for dietary products and digestive secretions.

The nurse will instruct a client about a blood test specific for heart failure which is:

BNP

What is the nursing priority for a client who is to have a barium enema?

Cleanse the bowel.

Which of the following instructions should be given to the client for obtaining a clean voided urine specimen?

Collect the first voided specimen in the morning.

Which role would the nurse perform in the intratest phase?

Collect the specimen.

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

Consult the nursing procedure manual.

When collecting a sputum specimen, the nurse should have the client:

Cough to bring up secretions

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

Handle the specimen discreetly.

Which diagnostic study will determine how well blood glucose levels have been controlled in a client?

Hemoglobin A1c

What client response would indicate to the nurse that instruction about a throat culture 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.

For a lumbar puncture, the nurse should place the client in which position?

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? An appropriate response from the nurse would be:

Monitoring your blood glucose better enables you to manage your diabetes.

Which of the following steps should the nurse perform when obtaining a sputum 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

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 returned demonstration by the client indicates an accurate understanding of performing a blood glucose monitoring test?

The client washes the hands.

Which of the following replies from a client indicates that no further teaching is required regarding a cystoscopy?

The scope is a lighted instrument inserted through the urethra

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

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

Void before the specimen is collected.

What should the nurse instruct a client with tattooed eyeliner who is scheduled for an MRI?

Wear goggles.