Specimen review pt 2

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1. A nurse is reinforcing teaching a client who is scheduled for a barium swallow to evaluate dysphagia. Which of the following statements should indicate to the nurse that the client understands the instructions?

- "I will drink plenty of fluids after the test."

1. A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse make?

- "It helps eliminate the barium".

A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make?

- "The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible."

1. A nurse is preparing a client for magnetic resonance imaging (MRI). Which of the following statements should the nurse include when reinforcing teaching?

- "You'll have to remove metal objects such as watches and body jewelry."

In the assessment of a patient's urine sample, what would be considered an abnormal finding?

- Bloody mucus.

1. A nurse is caring for a client who is to have a chest x-ray. Which of the following teachings should the nurse reinforce with the client prior to the procedure?

- Front, back, and side views of the chest will be taken during the test.

1. A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following?

- Gag reflex.

1. When is it best to collect a sputum sample from a patient?

- In the morning, upon awakening.

1. A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the actions should the nurse take?

- Instruct the pt. to EMPTY the bladder.

The health care provider has ordered a stool specimen for blood that is not possible to see with the naked eye. What does this exam detect?

- Occult blood.

1. A nurse is caring for a client following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

- Provide oral fluids; - Monitor for nausea; - Check level of consciousness; - Check sensation in the toes

1. A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the procedure?

- Sitting, leaning forward, over the bedside table.

A nurse is reinforcing teaching with a client who is to have a bone marrow aspiration and biopsy. The nurse should tell the client that, in addition to the iliac crest, a common site for this procedure is which of the following?

- Sternum.

A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid. Which of the following clinical manifestations should indicate to the nurse the client is experiencing a complication and the provider should be notified immediately?

Increased heart rate

1. A nurse is reinforcing teaching with a client who has diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions?

Use the SIDE of the fingertip as the puncture site.


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