Lab tests

The nurse is preparing a client for the administration of a tuberculin skin test. The nurse determines that which body areas are appropriate for intradermal injections?

-Inner aspect of the forearm -Dorsal aspect of the upper arm -Away from heavy pigmentation

A client is scheduled for a myelogram, and the nurse reinforces a list of instructions to the client regarding preparation for the procedure. Which instructions should the nurse include in the list?

-Jewelry will need to be removed. -An informed consent will need to be signed. -Nonalcoholic fluid intake should be increased after the procedure.

The nurse is assisting in preparing a client for a cardiac catheterization. The nurse understands that it is important to check the client's record for which history?

Allergy to shellfish

A pulmonary angiography is scheduled for a client suspected of having a pulmonary embolism. The nurse understands that which actions are an appropriate preprocedure care intervention?

-Obtain a signed informed consent form. -Prepare the anticipated entry site for local anesthesia. -Inquire whether the client has any allergies to shellfish. -Ask whether client has ever experienced an allergy to any contrast media.

The nurse prepares a client for the lumbar puncture procedure by which interventions?

-Review the coagulation laboratory studies. -Observe the lower lumbar area for skin infections. -Check to see the client has a signed consent for the procedure.

The nurse is providing a list of instructions to a client who is scheduled to have an electroencephalogram (EEG). Which instructions should the nurse place on the list?

-Tea and coffee are restricted on the day of the test. -The test will take between 45 minutes and 2 hours. -The hair should be washed the evening before the test.

A tuberculin skin test is administered to an individual infected with human immunodeficiency virus (HIV). Seventy-two hours later, the nurse checks the test site and documents the results as positive, indicating that the individual has been exposed to tuberculosis. Which findings did the nurse identify to make this interpretation?

An area of induration at the test site measuring 7 mm ***Normally, an area of induration greater than 15 mm is considered positive in low-risk individuals. However, an area of induration that measures 5 mm or greater in people with HIV infection is considered positive.

What laboratory test would rule out a past streptococcal infection in the child?

Antistreptolysin titer

The nurse assists the primary health care provider in performing a lumbar puncture on a 3-year-old child with leukemia suspected of central nervous system (CNS) disease. In which position should the nurse place the child during this procedure?

Lateral recumbent with the knees flexed to the abdomen and head bent with the chin resting on the chest

A client has just undergone a gastroscopy. Which action should be taken by the nurse as the essential postprocedure nursing intervention?

Monitoring for the gag reflex

A client with a tentative diagnosis of gastroesophageal reflux disease (GERD) is going to undergo ambulatory pH monitoring. The nurse assists in the procedure and should bring which item to the bedside?

Nasogastric (NG) tube

The client is having a lumbar puncture (LP) performed. The nurse should place the client in which position for the procedure?

Side-lying, with legs pulled up and chin to the chest

A client who has undergone a barium enema is being readied for discharge from the ambulatory care unit. Which instruction should the nurse include in instructions to the client?

The barium will cause the stools to be clay colored, but then the stool becomes normal colored.

The nurse is reinforcing instructions to a client who is to have a gallium scan about the procedure. The nurse should include which item as part of the instructions?

The gallium will be injected intravenously 2 to 3 hours before the procedure. ***is similar to a bone scan, but with an injection of gallium isotope instead of technetium-99m (99mTc).

Abdominal ultrasonography is prescribed for a client who is pregnant. The nurse provides information to the client regarding the procedure and makes which statement?

You will be positioned on your back and turned slightly to one side with your head elevated."

The nurse notes that the person who draws the blood sample from the radial artery performs an Allen's test first. The nurse recognizes that this is being done to determine the adequacy of which circulations?

-Ulnar circulation -Radial circulation

The nurse is completing the laboratory requisition that will accompany an arterial blood gas (ABG) specimen sent to the laboratory for analysis. The nurse understands that which data will be needed by the laboratory for adequate evaluation of the specimen?

-The date the specimen was drawn -The time the specimen was drawn -Any supplemental oxygen the client is receiving -The client's temperature

A client has just undergone endoscopy. Which is the essential postprocedure nursing intervention?

Check the gag reflex before giving oral foods or fluids.

The clinic nurse reads the results of a tuberculin skin test performed on a 5-year-old child. The results indicate an area of induration measuring 8 mm. Which correct interpretation should the nurse make about these results?

-Negative ****Induration measuring 15 mm or greater is considered a positive result in a child 4 years

The nurse reinforces what information to a client who is scheduled for an electromyogram (EMG)?

Electrodes will be inserted into the skeletal muscles.

A client is scheduled for an oral cholecystography. The nurse should plan to obtain what type of diet for the evening meal before the test?

Fat-free

A client is scheduled for a digital subtraction angiography (DSA). The nurse tells the client that the test is directed toward which outcome?

Providing information about the blood vessels

A bone marrow aspiration is scheduled for a client suspected of having leukemia. What intervention does the nurse anticipate will be done to protect the aspiration site and client from becoming infected?

The site will be cleansed thoroughly with an antiseptic and allowed to air dry before the procedure.

A client with leukemia who had a bone marrow aspiration is thrombocytopenic. The nurse gives which instruction to the family as the client is discharged to home?

Watch the puncture site for bleeding for the next several days.

A client with Crohn's disease is seen by the primary health care provider, and a complete blood count (CBC) has been prescribed. The nurse reinforces instructions to the client who will be reporting to the laboratory in the morning to have the blood test drawn. The nurse gives the client which information about this test?

No special preparation is necessary.