Nokea
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.
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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.
What should the nurse assess the patient for before administration of contrast media?
- A. Has been NPO.
- B. Is allergic to iodine.
- C. Has emptied the bladder.
- D. Has taken medication.
Correct Answer: B
Rationale: The patient should always be assessed for allergies to iodine before administration of contrast media.
What should the nurse do when preparing the patient for a brain scan?
- A. Allow the patient to wear a wig during the scan.
- B. Allow the patient to wear a partial denture plate during the scan.
- C. Inform the patient that a clicking noise will be heard during the scan.
- D. Keep the patient NPO for 12 hours before scan if contrast dye is used.
Correct Answer: C
Rationale: Before a brain scan, the patient is kept NPO for 4 hours if contrast dye is to be used, the patient is instructed not to wear a wig, hairpins, clips, or partial denture plates, and the nurse informs the patient that a clicking noise is made as the scanner moves.
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.
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.