Chapter 14 special examinations and tests (Recommended reading) ❌
Which nursing action is essential before performing a chest roentgenogram (X-ray)? -Make sure that the client does not eat food. -Remove the client's metal necklace. -Have the client swallow contrast dye. -Administer a dose of pain medication.
-Remove the client's metal necklace.
Discuss how the procedure for a sigmoidoscopy or another test or examination may differ if performed on an outpatient basis rather than in a hospital.
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How might diminished mentation(The capacity to understand), reduced strength and stamina, and pain affect the performance of a diagnostic examination or test?
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How my pelvic examination be different if the person being examined as a victim of rape?
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When assisting with a pelvic examination during which a Pap smear will be obtained, place the following steps the nurse should follow in the order in which they are performed. Use all the statements. -Hand the examiner a brush applicator. -Deposit the applicator in a chemical fixative solution. -Place the client in a lithotomy position. -Lubricate the examiner's gloved fingers. -Provide the examiner with a vaginal speculum.
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Which of the following nursing actions are correct when measuring a client's capillary blood glucose? Select all that apply. -Plan to perform the test 1 hour before a meal. -Check that the test strip code matches the one programmed in the glucometer. -Have the client wash his or her hands with soap and water before the test. -Pierce the central pad of the thumb or fingers with the lancet. -Cover the test spot on the test strip completely with a drop of blood
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Which of the following nursing instructions is most appropriate if a specimen for a Pap (Papanicolaou) test will be obtained at the time of a pelvic examination? -Do not douche for several days before your appointment. -Stop using any and all forms of contraception temporarily. -Drink at least 1 quart of liquid 1 hour before your appointment. -Take a mild laxative the night before your scheduled appointment.
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Explain why it is important for clients to have a sigmoidoscopy.
ASK OLANDER : 50+ year old people need sigmoidoscopes to check for colon cancer. This is a very common procedure.
Soft tissue examination that uses sound waves in ranges beyond the human hearing
Echography/ultrasonography
Examination of the electrical activity in the heart
Electrocardiography
Examination of the energy emitted by the brain
Electroencephalography
Examination of the energy produced by stimulated muscles
Electromyography
Visual examination of internal structures
Endoscopy
Form of radiography that displays an image in real time
Fluoroscopy
Process of adding dye to a microscopic specimen
Gram staining
Procedure that involves the insertion of a needle between lumbar vertebrae in the spine but below the spinal cord itself
Lumbar puncture
What is the name of the unit responsible for radionuclide imaging?
Nuclear medicine department
Procedure for withdrawing fluid from the abdominal cavity
Paracentesis
Diagnostic procedures that use x-rays
Radiography
Samples of tissue or body fluids
Specimens
Following the nurse's preparation of a client who is scheduled for a sigmoidoscopy, which of the following indicates that a client needs more teaching? -The client says an anesthetic will be given before the examination. -The client says a light meal is allowed the evening before the examination. -The client says a flexible scope will be inserted into the rectum. -The client says prescribed medications may be taken in the morning.
The client says an anesthetic will be given before the examination.
How can I nurse respond to a client who is uncertain about having a lumbar puncture because of the fear of paralysis from trauma to the spinal cord.
The needle will be inserted below the spinal cord. Therefore the needle will not actually be inserted where the spinal cord is.
What is the name of the reflex that occurs when circulating blood is diverted to the legs rather than the head resulting in dizziness and fainting.
Vasovagal response
