Nokea
A patient is required to provide a sample of body excretions per health care provider order. What action can the nurse take when providing proper instructions to lessen the patient's embarrassment?
- A. Instruct patient to provide the specimen behind a screen.
- B. Instruct patient to obtain his or her own specimen.
- C. Instruct patient to return later when he or she is more comfortable.
- D. Instruct patient to use a CNA for assistance to obtain the specimen.
Correct Answer: B
Rationale: With proper instruction, many patients may obtain their own specimen.
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When collecting a stool specimen for a guaiac (occult blood in stool) the nurse should take a specimen from ___ different parts of the stool.
Correct Answer: two
Rationale: The selection of different parts of the stool gives a broader testing range of the specimen.
What health care professional has the responsibility for notifying the health care provider when laboratory and diagnostic studies deviate from the norm?
- A. Laboratory technician
- B. Cooperating health care provider
- C. Nurse
- D. Supervisor
Correct Answer: C
Rationale: It is the nurse's responsibility to notify the health care provider when laboratory and diagnostic studies deviate from the norm.
Following an intravenous pyelogram the nurse should watch the patient closely for a delayed reaction to the dye usually occurring within ___ to ___ hours following the procedure.
Correct Answer: 2, 6
Rationale: Delayed reactions to iodine may not be obvious until 2 to 6 hours postprocedure.
What is the rationale for the nurse to assess a patient's knowledge of an ordered procedure?
- A. To determine difficulties the patient may encounter
- B. To determine the nurse's role in the procedure
- C. To determine health teaching required
- D. To determine anxiety the patient has
Correct Answer: C
Rationale: The nurse will need to assess the patient's knowledge of the procedure to determine the level of health care teaching needed.
What should the nurse do when preparing the patient for an abdominal scan?
- A. Assess laboratory results only for liver function.
- B. Assess patient for allergies to dye or shellfish.
- C. Instruct patient to limit fluid intake immediately following procedure.
- D. Instruct patient to be NPO for 1 hour before scan if contrast medium is used.
Correct Answer: B
Rationale: The patient should be assessed for allergies to dye or shellfish. When a patient has an abdominal scan, laboratory results should be assessed for kidney function. The patient should be instructed to be NPO for 4 hours before the examination if contrast medium is to be used. The patient should be encouraged to consume fluids after the examination.