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Ch. 23 Specimen Collection Flashcards | StudBud
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Ch. 23 Specimen Collection
Which is essential before taking CXR
COLLECTING A STOOL SPECIMEN
Ch. 23 Specimen Collection
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1
COLLECTING A STOOL SPECIMEN
Collect stool from commode or bedpan
Place labeled card in bag and send to lab, document
How to obtain a stool sample
Apply a thin smear on to the test area(take sample from center of stool
2
Which is essential before taking CXR
Remove pt's metal necklace before
Pt NPO for 24 hours before procedure
Have pt swallow contrast medium
3
Normal urine should contain bloody mucous
False
True
4
The provider ordered an aerobic culture from a pt’s leg wound. Where on the wound would the nurse obtain this culture
From old dry dressings
From wound secretions
Deep inside wound cavity
5
Nurse’s Responsibilities
Verify that written consent is not always necessary for an individual test
All of these
Informed verbal consent may be adequate.
Physician's explanation of the procedureConfirm that the pt comprehends it
6
Pts should lie in what position after lumbar puncture to avoid headache
Semi Fowlers
Supine
Dorsal recumbent
7
What is the next step performed by the nurse after a specimen has been obtained?
Send it to laboratory.
Properly identify it.
Check the order for specific prerequisites.
8
In teaching pt how to collect blood for glucose test, they should
Allow the blood specimen to drop onto the test strip
Use the center of the finger for the puncture
Milk the finger to obtain an ample amount
9
The provider has ordered a sputum specimen to be collected on a pt. Which statement is an appropriate teaching for pt
“You cannot drink any fluid until the specimen is obtained.”
“We will have to wait for the respiratory department to help.”
“The sputum cannot contain any saliva.”
10
Stool specimens are collected and examined for a variety of reasons
Observe the amount, color, consistency, and presence of bacteria
Determine the presence of infection, bleeding, or hemorrhage
Both Red and blue
11
Pt reports black, tarry stool. This most likely is caused by
Lower in the GI tract
Higher in the GI Tract
Hemorrhoids
12
Nurse should do serial neurovascular assessments on LE?
Cardiac catherization
EKG
Paracentesis
Bone scan
13
When assessing pt for dx test, check for these
All of these
Ability to assume proper position
Base line VS
Pt's knowledge level and ability to understand
14
Pt will be catheterized for residual urine. Nurse should
Catheterize when pt's bladder is full
Use clean technique
Catheterize pt within 10 min of voiding
15
Pt seems restless and confused after bronchoscopy, nurse would
Check medication list
Pulse ox reading and RR
Check pt's cognitive status
16
Best method for midstream urine sample
Use a clean specimen cup
Void into the toilet, stop, and then continue into cup
Collect at least 200mL of urine
17
A pt has been sched for an invasive dx test. When writing a care plan, which patient problem would be most appropriate?
Risk for anxiety regarding dx procedure
Impaired skin integrity
Ineffective coping regarding procedure
18
Types of needles for venipunctures that are acceptable are
Butterfly
Syringe
Vacutainer
All of these
19
A patient is to obtain a stool sample at home for a Hematest. Which teaching is most appropriate?
The stool specimen is not to be mixed with urine.
Do not take specimen cards home.
Obtain enough to fill a cup.
20
Which test result is of greatest concern?
Low platelet count
High glucose level
Low sodium level
21
Use smaller gauge needles on elderly and children
True
False
22
What is important for the nurse to assess when preparing a patient for an invasive test with contrast media?
Number of medications the patient is taking
The scheduled time of the test
Any allergies to iodine
23
When a urine specimen is needed, how should the nurse instruct the staff to collect it?
Use a bedpan or fracture pan
Use a bedside commode.
Place a collection hat to the front of the toilet.
24
Which meds can increase blood sugar
Corticosteroids
Antipsychotics
Diuretics
All of these
25
Postop pt is having SOB and dizziness. Which lab test is ordered?
BUN
RBC count
WBC count
26
Pt is admitted for sepsis and pneumonia. Which is done first?
Blood cultures from two sites
CXR
Antibiotics
27
Pt had a colonoscopy 2 hrs ago and is reporting pain, nurse should
Take VS and compare w/baseline
Perform DRE
Palpate abd for tenderness and distention
Both blue and yellow
28
Which lab test confirms ineffective and effective tx
WBC cell count
Culture and Sensitivity
Electrolyte levels
29
Pt due to give sputum specimen is informed to
Drink extra water day before
Obtain sample first thing in the am
Pt inf. that sputum comes from bronchial tree
All of the above
30
On evaluation of pt after venipuncture which is abnormal
Light bleeding
Tingling sensation down the arm
Large lump under skin at site
31
Which can negatively affect attempts to obtain blood glucose?
All of these
Environmental temperature
Problems with peripheral circulation
Technique used
32
Tourniquets may be left on longer than 1-2 min
True
False
33
Do not eat these 2-3 days before occult blood test, cantaloupe, red meat, uncooked broccoli, beets, horseradish,carrots
False
True
34
Hemoccult stool test will turn what color if positive for blood
Red
Brown
Blue
35
Avoid veins that are
All of these
Small and narrow
Sclerosed veins are hard
Do not rebound
36
Occult means hidden
False
True
37
Label should include the following
All of these
date of collection, time
healthcare provider’s name
Patient’s name & age, sex, room
38
Pt should be in which position for thoracentesis?
Supine w/arms above the head
Dorsal recumbent
Sitting up, leaning over table
39
After barium swallow, monitor pt for
Monitor and encourage fluids
Red and blue
Fever
Bowel movements
40
What is the term for a urine specimen that is obtained by catheterization within 10 minutes after the patient voids
Midstream urine specimen
Residual urine specimen
24-hour urine specimen
41
Pts have the right to accept or refuse.
Sometimes true
Always true
True unless provider states otherwise
42
When preparing a patient for an electrocardiogram (ECG), which is the best position for the patient to be in?
Supine
Prone
Side lying