Nokea
A sputum specimen is ordered on a patient diagnosed with pneumonia. When is the best time for the nurse to attempt to collect this specimen?
- A. At bedtime
- B. After lunch
- C. In the early morning
- D. After breakfast
Correct Answer: C
Rationale: Early morning before a meal is the best time to collect a sputum specimen.
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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.
What should the nurse do when preparing the patient for an amniocentesis?
- A. Restrict food intake.
- B. Restrict fluid intake.
- C. Monitor fetal heart tones.
- D. Inform patient results will be available immediately.
Correct Answer: C
Rationale: When a patient has an amniocentesis, fetal heart tones should be monitored. There are no fluid or food restrictions, and the patient should be told to contact her health care provider to obtain results, which are usually available after 2 weeks.
The process for collecting a blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 seconds. From what anatomic location is the specimen obtained?
- A. Tip of the finger
- B. Cubital fossa
- C. Side of the finger
- D. Center of the thumb
Correct Answer: C
Rationale: The specimen should be collected from the side of the selected finger to avoid painful fingertip sticks.
What should the nurse do when preparing the patient for an arteriography?
- A. Verify if the patient has been taking anticoagulants.
- B. Keep the patient NPO for 24 hours before the procedure.
- C. Instruct the patient to have a full bladder for the procedure.
- D. Inform the patient that a coldness may be felt when dye is injected.
Correct Answer: A
Rationale: When a patient has an arteriography, the nurse should assess if the patient has been taking anticoagulants. The patient is kept NPO for 2 to 8 hours before the procedure. The nurse informs the patient that a warm flush may be felt when dye is injected. The patient is instructed to void before the arteriography.