Diagnostic Test EVOLVE

A licensed practical nurse (LPN) is providing follow-up teaching after a client underwent an upper gastrointestinal (GI) series with Gastrografin used for contrast. The nurse instructs the client that which may occur from the Gastrografin?

Diarrhea

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 health care provider prescribes a 24-hour urine collection for vanillylmandelic acid (VMA). The nurse instructs the client in the procedure for the collection of the urine. Which statement by the client would indicate a need for further teaching?

"I can take any medications if I need to before the collection."

Which statement by the client should cause the nurse to suspect that the thyroid test results drawn on the client this morning may be inaccurate?

"I had a radionuclide test done 3 days ago."

The nurse informs a client that a Papanicolaou smear will be done at the next scheduled clinic visit, and the nurse provides instructions to the client regarding preparation for this test. Which statement by the client indicates an understanding of the procedure?

"If I have my period at the time of my next scheduled visit, I will not be able to have the test done."

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? Select all that apply.

1. Jewelry will need to be removed. 2. An informed consent will need to be signed. 4. The procedure will take approximately 45 minutes.

A client is to have an upper gastrointestinal (GI) series. Which nursing action should be done concerning the procedure?

Administer a laxative after the procedure because barium was administered.

The nurse is caring for the client who is going to have an arthrogram using a contrast medium. Which data collected by the nurse should be of highest priority?

Allergy to iodine or shellfish

A client suspected of having an abdominal tumor is scheduled for a computed tomography (CT) scan with dye injection. The nurse should tell the client which about the test?

The dye injected may cause a warm, flushing sensation.

A client is scheduled for blood to be drawn from the radial artery for an arterial blood gas (ABG) determination. The nurse assists with performing Allen's test before drawing the blood to determine the adequacy of which?

Ulnar circulation

The nurse is caring for a client scheduled for magnetic resonance imaging (MRI). Which instruction does the nurse reinforce to the client?

Earplugs can be worn if the noise from the machine is uncomfortable.

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

The nurse has just confirmed that a client has been scheduled for a mammogram for the following week. The nurse reinforces that the client should take which action? Select all that apply.

2. Avoid applying skin lotion on the day of the test. 3. Remove any necklaces before presenting 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? Select all that apply.

2. Tea and coffee are restricted on the day of the test. 3. The test will take between 45 minutes and 2 hours. 4. The hair should be washed the evening before the test.

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? Select all that apply.

2. The client's temperature 3. The date the specimen was drawn 4. The time the specimen was drawn 5. Any supplemental oxygen the client is receiving

The nurse reinforces postoperative liver biopsy procedures to a client. Which should the nurse tell the client?

Lie on the right side for 2 hours.

An ultrasound of the gallbladder is scheduled for the client with a suspected diagnosis of cholecystitis. Which should the nurse explain to the client about this test?

The test requires the client to lie still for short intervals.

The client has just undergone computed tomography (CT) scanning with a contrast medium. Which statement by the client demonstrates an understanding of postprocedure care?

"I should drink extra fluids for the remainder of the day."

The nurse has provided instructions to a client scheduled for a mammography regarding the procedure. Which statement by the client indicates an understanding of the procedure?

"I should not wear deodorant on the day of the test."

The nurse reinforces instructions to a client who is to return to the health care provider's office in 1 week for a patch test to identify the allergen causing the dermatitis. The nurse provides which instruction to the client?

Discontinue the prescribed antihistamine 2 days before the test.

The nurse is assisting in performing an arterial blood gas (ABG) analysis on a client. The nurse initially implements which intervention after the blood gas is drawn to minimize the risk for uncontrolled bleeding

Applying pressure to the site

The nurse is observing a nursing student preparing to obtain a throat culture on a client suspected of having a beta-hemolytic Streptococcus infection. Which action indicates the need for further teaching regarding collecting this specimen? Select all that apply.

The student places the collection swab initially at the back of the client's tongue. The student asks the client to tilt the head forward and to open the mouth.

The nurse assists the 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

The nurse is reinforcing teaching to a client about an upcoming colonoscopy procedure. The nurse should include in the instructions that the client will be placed in which position for the procedure?

Left Sims' position

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

A gastric analysis is prescribed for a client with a suspected diagnosis of tuberculosis (TB). The nurse understands that the test is relevant in confirming this diagnosis because of which related fact?

People can frequently swallow small amounts of sputum.

A client who has undergone barium enema is being readied for discharge. The nurse determines that the client has understood discharge instructions when the client makes which statement?

"I will be sure the barium passes and watch for my stools to return to normal."

A client has a prescription to receive purified protein derivative (PPD) 0.1 mL intradermally (tuberculin skin test). The nurse prepares to administer the PPD and obtains a tuberculin syringe with a 26-gauge, 5/8-inch needle. Which technique should the nurse use to insert the needle?

Almost parallel to the skin with bevel side up

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

1. Shave the anticipated entry site. 2. Obtain a signed informed consent form. 3. Inquire whether the client has any allergies to shellfish. 4. Ask whether client has ever experienced an allergy to any contrast media.

A client undergoing diagnostic testing for cancer is scheduled for magnetic resonance imaging (MRI). The nurse reinforces to the client which information about the procedure?

Expect the MRI machine to make loud noises.

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 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

A client will undergo a barium swallow to confirm a diagnosis of a hiatal hernia. In preparation for the test, which instruction should the nurse provide the client?

Avoid eating or drinking after midnight before the test.

A client has had a bone scan procedure. The nurse determines that the client understands the elements of follow-up care if the client states which postprocedural care?

Drink plenty of water for a day or two following the procedure.

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

Electrodes will be inserted into the skeletal muscles.

The nurse is assisting the health care provider in performing a lumbar puncture. The nurse prepares for the procedure by placing the client in which position?

Fetal position

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? Select all that apply.

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

A client who has been prescribed indomethacin (Indocin) for gout is asked to provide a stool sample for guaiac testing. The nurse explains that the purpose of the test is to make which determination?

Occult blood

The nurse is preparing to care for a client following a lumbar puncture. The nurse plans to place the client in which position immediately after the procedure

Prone with a pillow under the abdomen

A client is scheduled for a digital subtraction angiography. The nurse supports the client's understanding that the test is directed toward which outcome?

Providing information about the blood vessels

A clinic nurse has given a client the materials needed to test the stool for occult blood as part of a routine screening for colorectal cancer. When the client asks the nurse whether there are any special precautions that must be followed in doing this test, the nurse tells the client to avoid eating which food for at least a day before performing the test?

Red meat

The nurse is assigned to care for a client who has just returned to the nursing unit following a renal biopsy. The nurse plans to do which action to properly care for this client for the remainder of the shift?

Test the urine for occult blood.

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.

A client with ascites is scheduled for a paracentesis. The nurse is assisting the health care provider in performing the procedure. Which position should the nurse assist the client into for this procedure?

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