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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.
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The process for collecting a blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 seconds. From what anatomic location is the specimen obtained?
- A. Tip of the finger
- B. Cubital fossa
- C. Side of the finger
- D. Center of the thumb
Correct Answer: C
Rationale: The specimen should be collected from the side of the selected finger to avoid painful fingertip sticks.
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.
The patient is to be catheterized for residual urine. The nurse must perform this catheterization within how many minutes following voiding?
- A. 40 minutes
- B. 30 minutes
- C. 20 minutes
- D. 10 minutes
Correct Answer: D
Rationale: Catheterization is performed within 10 minutes of the patient voiding to check for residual urine.
When initiating a 24-hour urine collection the nurse asks the patient to void. The nurse then ___ the specimen.
Correct Answer: discards
Rationale: The first voided specimen of a 24-hour collection is discarded.
A patient is unable to obtain a sputum specimen by coughing and expectorating. What is the best way for the nurse to collect this specimen?
- A. Ask the patient to spit.
- B. Direct the patient to turn, cough, and breathe deeply.
- C. Perform tracheal suctioning.
- D. Perform a bronchoscopy.
Correct Answer: C
Rationale: Some patients cannot expectorate and must have the trachea suctioned to obtain a specimen.