Nokea
New health care provider orders are transcribed for a patient to receive a colonoscopy. What must be completed before the colonoscopy to indicate the patient has been given full knowledge about what will be done along with its risks and complications?
- A. Patients' rights
- B. Advance directive
- C. Informed consent
- D. Patient protection
Correct Answer: C
Rationale: Informed consent states that the patient must fully understand and be aware of the risks and complications of what is to be done.
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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.
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.
The nurse is obtaining a throat culture. What area will the nurse swab with a cotton-tipped applicator?
- A. Larynx
- B. Oral mucosa
- C. Pharynx
- D. Trachea
Correct Answer: C
Rationale: The nurse should swab the tonsillar area (pharynx) with a sterile cotton-tipped applicator to obtain a specimen for a throat culture.
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.
A patient has just had a liver biopsy. What should the nurse do immediately following this procedure?
- A. Assist the patient up to a chair.
- B. Keep the patient on his or her left side.
- C. Assist the patient with ambulation.
- D. Tell the patient to avoid coughing.
Correct Answer: D
Rationale: The nurse should tell the patient to avoid coughing or straining, which may cause increased intraabdominal pressure. Immediately following a liver biopsy, the patient is kept on bed rest for 24 hours. The patient should lie on his or her right side for about 1 to 2 hours.