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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.
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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.
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.
What is the probable source of bright red blood in the stool?
- A. Stomach
- B. Small intestine
- C. Lower gastrointestinal tract
- D. Higher intestinal tract
Correct Answer: C
Rationale: When blood in the stool is bright red, the site of bleeding is most likely from the lower gastrointestinal tract.
What should the nurse do when preparing the patient for an arteriography?
- A. Verify if the patient has been taking anticoagulants.
- B. Keep the patient NPO for 24 hours before the procedure.
- C. Instruct the patient to have a full bladder for the procedure.
- D. Inform the patient that a coldness may be felt when dye is injected.
Correct Answer: A
Rationale: When a patient has an arteriography, the nurse should assess if the patient has been taking anticoagulants. The patient is kept NPO for 2 to 8 hours before the procedure. The nurse informs the patient that a warm flush may be felt when dye is injected. The patient is instructed to void before the arteriography.
After a bone scan the nurse assesses a hematoma at the injection site of the dye. The nurse should apply ___ soaks or compresses.
Correct Answer: warm
Rationale: Heat will speed absorption of collected blood.