Lab questions

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?

"I'm told this test causes no discomfort."

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 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 caring for a client who is recovering from surgery. Which intervention should the nurse implement to decrease the client's possibility of developing hypercalcemia?

Assist the client to ambulate around the room at least three times daily.

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

BNP

A client on diuretic therapy has a serum potassium level of 3.4 mg/dL. Which food should the nurse encourage this client to choose from the dinner menu?

Cantaloupe

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? Select all that apply. Client's tolerance of the procedure Bowel sounds The site for bleeding Status of deep tendon reflexes Presence of pain and any pain medication received

Client's 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 providing care to a client during the posttest phase of diagnostic testing. What will the nurse do during this phase? Select all that apply. Provide emotional and physical support to the client. Compare the previous and current test results. Prepare the client for the test. Modify nursing interventions as necessary. Report the results to appropriate health team members.

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 client's procedure? Select all that apply. Date and time performed The physician's name The client's ability to void after the procedure The color, character, and amount of cerebrospinal fluid withdrawn The client's status after the procedure

Date and time performed The physician's name The color, character, and amount of cerebrospinal fluid withdrawn The client's status after the procedure

Ten minutes after the transfusion of a unit of packed red blood cells was initiated, the client complains of a headache. The nurse assesses that the client has slight shortness of breath and feels warm to the touch. What action by the nurse is priority?

Discontinue the transfusion.

The client is admitted to the acute care unit with a phosphorus level of 2.3 mg/dL. Which nursing intervention would support this client's homeostasis?

Encourage consumption of milk and yogurt.

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 suspects that a client's body is attempting to correct an acid-base imbalance. How will this imbalance be corrected?

Kidney regulation is powerfully effective.

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 tells the nurse about passing out after following a fasting diet for 5 days. Which acid-base imbalance should the nurse expect to assess in this client?

Metabolic acidosis

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 client's urine. What should the nurse instruct the UAP about the test? Select all that apply. Nothing, because the UAP can perform urine testing. Remind the UAP to tell the client the results of the test. Notify the physician with the results of the test. Report the results of the test to the nurse. Save the urine, in case the nurse wants to repeat 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 has experienced a narcotic overdose. What acid-base imbalance should the nurse expect to observe in this client?

Respiratory acidosis

The nurse needs to instruct the UAP to report the results to the nurse and save the urine.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.

A client has had a subclavian central venous catheter inserted. What should the nurse assess as a priority for this client's care?

Tachycardia

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 client's arterial blood gas report reveals a pH of 6.58. How does the nurse evaluate this value

This value is incompatible with life.

A client is scheduled for a bronchoscopy. What should the nurse instruct the client about this procedure?Select all that apply. Tissue samples may be taken for biopsy. Eating will not be permitted for 12 hours. A local anesthetic is sprayed on the throat. Bed rest for 8 hours is necessary after the test. Informed consent is required for 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? Select all that apply. Clean the perineal area using a circular motion. Use all towelettes provided. Use each towelette once, and discard. Clean the perineal area from back to front. Clean the perineal area from front to back.

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? Select all that apply. Withdraw 30 mL of urine for a routine urinalysis. Perform catheter care before obtaining the specimen. Apply sterile gloves before retrieving the urine specimen. 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.

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.

A client is admitted to the hospital after vomiting for 3 days. Which arterial blood gas results should the nurse expect to find in this client?

pH 7.47; PaCO2 43; HCO3 28