What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?
- A. Restrict water intake before the test.
- B. Encourage exercise before the test.
- C. Keep patient NPO 8 hours before the test.
- D. Instruct patient to have a full bladder for the test.
Correct Answer: C
Rationale: A patient having a glucose tolerance test should be kept NPO for 8 hours before the test except for water consumption so that they can provide urine samples. The patient should empty their bladder before the examination.
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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.
Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic specimen?
- A. Sterile cotton applicator
- B. Sterile culture tube
- C. Sterile syringe tip
- D. Sterile glass rod
Correct Answer: C
Rationale: To collect an anaerobic specimen deep in a body cavity, the nurse uses a sterile syringe tip.
What type of stool specimen must be sent to the laboratory immediately?
- A. Occult blood
- B. Ova and parasites
- C. Infection
- D. Fats
Correct Answer: B
Rationale: A stool specimen for the presence of ova or parasites must be taken to the laboratory immediately.
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 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.
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