Foundations of Nursing Chapter 23: Specimen collection & Diagnostic Testing | Exam Already Graded A+

diagnostic examination - - performed by health care provider at the patient's bedside,or in a room specially equipped for therapeutic or diagnostic purposes Nurse responsibilities (diagnostic procedure) - - assessing the patient's knowledge of the procedure and preparing the patient for it - assissting the health care provider with the procedure - caring the patient after test are completed - nurse's knowledge and organization of the procedure ensure that is caried out smoothly - nurses are responsible for knowing the guidelines for and potential complications of diagnostic examination - nurses should anticipate the needs of MD who performs the procedure, having supplies ready, and assisting the patient through the procedure - provide support and information to patients to tolerate procedures - be aware of sociocultural variations that affect patient's response and willingness to participate in various procedure Patient's rights and protection during their care - * informed consent - patient, parent, guardian (legally designated heath care power of attorney) fully understands the procedure will be during a test, surgery, or medical procedure and understand the risk and implication before legally consent it. * explaining a procedure - method of which will be performed, potential benefits and risks are primarily the health care provider's responsibility. Reinforcement of MD'S explanation is a role of RN* Questioning for procedures - Nurses are prepared to any questions of the patient to clarify the requirements for examination such as patient is NPO, patient will be in a special room or equipment required for the test, and medication needed before and during the test. * Consent for treatment (admission) - Patient retains legal right to withdraw verbal or written at any time and refuse care for treatment - Some test do not require the completion of additional consent such as HIV testing and invasive procedure. Abdominal Scan - Before Procedure - order prescribe test - explain procedure - obtain informed consent - Assess lab results for kidney function - NPO for 4 hours - Assess allergies to dye;shellfish (if allergic, perform w/o dye) - Assess if claustrophobia (may give antianxiety drug) - provide emesis basin (nausea( - inform pt may experience (salty taste, flushing, warmth) when injecting dye After Procedure - evaluate patient (reaction to dye) - Encourage oral fluid intake - report results - diarrhea is possible Amniocentesis -