Nokea
The nurse is preparing a patient for a barium enema. What color will the nurse inform the patient his stools will be following this procedure?
- A. Blue
- B. White
- C. Green
- D. Brown
Correct Answer: B
Rationale: Immediately following a barium enema, a patient's stools are white until all of the barium is expelled.
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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.
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.
When performing a venipuncture the tourniquet should be left on no more than ___ to ___ minutes.
Correct Answer: 1, 2
Rationale: Occluding the vein for longer than 1 or 2 minutes may cause damage to the vein or cause it to rupture.
The nurse is preparing to collect a urine specimen. What will this nurse include when labeling this specimen?
- A. Date and time of collection
- B. Identification of last name only
- C. Room number
- D. Medical record number
- E. Insurance information
Correct Answer: A,C,D
Rationale: When labeling a specimen date and time of collection, room number and medical record number should be included. Patient should be identified by full name. Insurance information is not necessarily included.
The nurse is collecting a specimen for a wound culture. What should be avoided when collecting this specimen?
- A. A dressing
- B. Deep in the wound
- C. The outer edge of the wound
- D. Old drainage
Correct Answer: D
Rationale: The nurse should not collect a wound culture from old drainage.