Galen College of Nursing Fundamental Concepts and Skills
for Nursing Practice I.
what considerations should you consider when doing diagnostic testing - CORRRECT
ANS>>•What type of sample is needed and how will it be collected?
•Does the client need to stop oral intake for a certain number of hours before procedure?
(NPO)
•Does the test include administration of contrast dye?
•Will medications be given or withheld?
•How long will the test take?
•Is a consent form required?
what does a complete blood count include? - CORRRECT ANS>>•Hgb
•Hct
•Erythrocytes
•RBC
•Leukocyte count
•Differential white blood cell count
what does a basic metabolic panel (BMP) include? - CORRRECT ANS>>•BUN
•Creatinine
•Potassium
•Sodium
•Calcium
•Chloride Glucose
what does comprehensive metabolic panel (CMP) include? - CORRRECT ANS>>Includes
everything in BMP in addition to:
•Liver Enzymes
•Protein
•Albumin
•Bilirubin+
why is a capillary blood specimen performed? - CORRRECT ANS>>Commonly performed
for blood glucose levels (Accu-Chek)
what are the steps to performing an capillary blood specimen (Accu-Chek)? - CORRRECT
ANS>>•Hold in dependent position
•Wipe finger site with alcohol and allow to dry completely before puncturing. wipe away
the first drop. side of fingertip
, where do you perform the capillary blood specimen in infants? - CORRRECT ANS>>the
heel of the foot
what are the reasons for testing feces? - CORRRECT ANS>>•Occult blood
•Analyze dietary products and digestive secretions
•Detect presence of ova and parasites
•Detect presence of bacteria or viruses
how is a stool specimen collected? - CORRRECT ANS>>•Defecate in a clean bedpan or
bedside commode
•Do not contaminate specimen with urine. Void before specimen collection
•Do not place toilet tissue in the bedpan - contents can affect lab analysis
•Notify nurse as soon as possible so fresh specimen can be sent to lab
guaiac smear - CORRRECT ANS>>presence of blood could indicate ulcers, inflammation,
or tumors
what does steatorrhea mean? and what is an indication of - CORRRECT ANS>>fat in the
stool - indicates a small intestine issue.
what does clean-voided mean - CORRRECT ANS>>first morning void(urine)
clean catch(mid-stream) - CORRRECT ANS>>•First clean perineum with antiseptic wipes
•Begin urine stream, pause and place container under urine stream
timed urine specimen - CORRRECT ANS>>begins after discarding first specimen and
ends with a final voiding at the end of the time period. If client accidentally forgets to
save urine specimen, you must start the collection over again. put urine in ice or
refrigerator
normal ph for urine - CORRRECT ANS>>normal range is 6
why do we test urine for glucose - CORRRECT ANS>>diabetes
why do we test urine for ketones - CORRRECT ANS>>the diabetes is poorly controlled
why do we test urine for proteins - CORRRECT ANS>>could indicate kidney
issue(glomerulonephritis)
why do we test urine for occult blood - CORRRECT ANS>>indicative of kidney or urinary
tract damage
specific gravity testing - CORRRECT ANS>>#of solutes in urine
•High = fluid volume deficit/dehydration
•Low = fluid volume overload/overhydration
what is an anoscopy - CORRRECT ANS>>viewing of the anus