Nokea
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.
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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.
The nurse explains that electrocardiograms are graphic representations of electric impulses generated by the heart. What type of abnormalities can an electrocardiogram identify?
- A. Those that produce a cardiac cycle
- B. Those that interfere with electric conduction
- C. Those that result from an interrupted blood flow
- D. Those that interfere with heart contraction
Correct Answer: B
Rationale: Electrocardiograms identify abnormalities that interfere with electric conduction.
The nurse is preparing a patient for a diagnostic examination. What can the nurse implement to assist with reducing anxiety?
- A. Explain the costs of the examination.
- B. Demonstrate use of equipment.
- C. Answer questions for clarification
- D. Fill out required paperwork.
Correct Answer: C
Rationale: The nurse must be prepared to answer questions that the patient may have to reduce anxiety and give valid information.
What should the nurse do when preparing the patient for a bone scan?
- A. Sedate the patient.
- B. Restrict food intake.
- C. Restrict fluid intake.
- D. Encourage water intake.
Correct Answer: D
Rationale: Before a bone scan, the patient is encouraged to drink several glasses of water. No fasting or sedation is required before a bone scan.
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.