Obtaining a capillary blood specimen to measure blood glucose, you should - Answers ensure there is
good blood flow at the puncture site
True or False
When testing for fecal occult blood, a green color indicates a guaiac positive result. - Answers False
A RN instructing a female patient on obtaining a clean catch urine specimen should stress to: -
Answers Void a small amount of urine before collecting the specimen
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by - Answers
using a syringe to withdraw urine from the catheter tubing port
An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: - Answers KUB
What is an echocardiogram? - Answers Visualization of the structures of the heart by using ultrasound
What does MRI stand for? - Answers Magnetic Resonance Imaging
Thoracentesis is removal of fluid from: - Answers pleural space
While assisting with a thoracentesis the nurse should do all of the following EXCEPT: - Answers Have
the patient cough periodically during the procedure
A noninvasive method of estimating bladder volume would be: - Answers Bladder Scanner
Your urine should smell - Answers aromatic
What is a normal urine output per hour? - Answers 30 mL
Urge incontinence is due to - Answers an overactive bladder
Stress incontinence is when - Answers urine leaks when you laugh, cough or sneeze
The presence of ketones in the urine indicates - Answers rapid breakdown of fat
The nurse who teaches a client about preventing UTIs would include which statement? - Answers Void
immediately after sexual intercourse
How much space should you leave from the tip of the penis and the drainage tube when applying a
condom cath? - Answers 1 Inch
The nurse understands that a straight catheterization: - Answers empties the bladder and the
catheter is immediately removed
The purpose of a three way Foley after a TURP is to - Answers Irrigation
A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? - Answers
Advance the catheter another 2 inches (5 cm)
Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter? -
Answers Lower than the level of the bladder
What are the causes of constipation? - Answers poor bowel habits
diet low in fiber
chronic use of laxatives
What indicates a correct understanding of the use of laxatives for constipation? - Answers Laxatives
should only be taken for a few days.
Which position is the patient placed in for the administration of an enema? - Answers Sims
When giving an enema, you should insert the tube 7-10 cm (3-4 inches). True or False? - Answers True
When changing the colostomy appliance, cut the opening in the skin barrier no more than ____ larger
than the stoma. - Answers 1/8 inch
The best time to change a pouching system is in the morning or 2 to 4 hours after meals. True or False
- Answers True
An unlicensed assistive personnel (UAP) reports to the nurse that a client being fed experienced
coughing and choking when swallowing. The client states, "It feels like the food is stuck in my throat."
What does the nurse suspect is happening with this client? - Answers The client is having dysphagia.
While undergoing a soapsuds enema, the client complains of mild abdominal cramping. The nurse
should: - Answers lower the bag
The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by: - Answers
syringe to withdraw from cath port
limiting fluids has what effect on urine? - Answers raises specific gravity
The nurse is alert to the possibility that for 24 to 48 hours after the postoperative procedure, clients
may experience the following as a result of the anesthetic used during the surgery: - Answers paralytic
ilyus
before fecal occult test eat - Answers bread
, diagnosis of Alteration in urinary elimination, retention. On assessment, the nurse anticipates that
this client will exhibit: - Answers a feeling of pressure and voiding of small amounts.
diarrhea patients should consume - Answers lean meats
A colonoscopy is ordered and the patient has questions about the examination. Before the
colonoscopy, the nurse teaches the patient that: - Answers light sedation is normally used
In an assessment of a client with overflow incontinence, the nurse expects to find that the client has: -
Answers constant dribbling of urine
A nurse is monitoring a client's fluid intake. For breakfast, the client consumed 8 oz of milk, 10 oz of
water, 4 oz of flavored gelatin, 1 scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. The
nurse should record the fluid intake as: - Answers 660 mLs
24 hour urine needs to be restarted in the event that: - Answers client voids in the toilet
Which interventions prevent or minimize the risk factors in clients at risk for spiration? - Answers
Feeding the patient small bites.
Keeping suction equipment nearby.
Positioning the client upright at 90 degrees.
Providing liquids with a thickening agent.
The client receiving a tube feeding develops diarrhea. The nurse should: - Answers adjust rate of
infusion
Critical care element for clients with ileostemy - Answers skin care
Why would a nurse order a guaiac test - Answers blood in stool
most important question for MRI - Answers Any metal in body?
considerations for diagnostic procedures - Answers what type of sample?
NPO?
Contrast?
Medications?
Duration of test
consent?
what is included in the CBC - Answers Hgb
Hct
Erythrocytes
RBC
Leukocytes
diff wbc
Components of BMP (basic metabolic panel) - Answers BUN
Creatinine
Potassium
Sodium
Calcium
Chloride
Glucose
Components of a CMP (Comprehensive Metabolic Panel) - Answers Liver
Proteins
albumin
bilirubin
obtaining capillary specimens - Answers warm finger
dependent position
antiseptic swab to clean-no alcohol
wipe away first drop
reasons for testing feces - Answers occult blood
analyze diet and digestion
parasites
bacteria/virus
collecting fecal sample - Answers clean bedpan/bedside commode
do not contaminate with urine
no toilet paper
send fresh specimen
steatorrhea - Answers fat in the feces