Nokea
Following a liver biopsy the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours. How should the nurse keep the patient for the first 1 to 2 hours?
- A. On his or her left side
- B. On his or her back
- C. On his or her right side
- D. In high Fowler's position
Correct Answer: C
Rationale: The nurse should keep the patient on his or her right side for 1 to 2 hours.
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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.
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 is the term for the cleanest part of a voided urine specimen that is collected after voiding is initiated and before it is finished?
- A. Sterile specimen
- B. "Caught" specimen
- C. Midstream specimen
- D. Patient-collected specimen
Correct Answer: C
Rationale: A midstream urine specimen is collected after voiding is initiated and before it is completed.
What should the nurse encourage the patient to consume when preparing for an electroencephalogram (EEG)?
- A. Tea
- B. Food
- C. Cola
- D. Coffee
Correct Answer: B
Rationale: Food intake should be encouraged, but coffee, tea, and colas should be eliminated before an EEG.
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.