NUR 204 Exam 3 Questions With Complete Solutions
T or F: general anesthesia is used with endoscopic procedures
F, conscious IV sedation is used
What education does the nurse provide the patient prior to an
endoscopic procedure?
-NPO after midnight
-prep for colo
-clear liquids
Post-endoscopic procedure, what does the nurse need to
remember?
-have O2 ready
-check to see if patient can be aroused
-did they have too much sedation?
-can they go home the same day?
What is an ultrasound used for?
provides direct visualization of soft tissues organs by recording
and measuring ultrasonic waves. (e.g. muscles, tendons,
appendix, gallbladder, fetus, tumors, aorta, kidney stones,
spleen)
When is a venous duplex scan done?
Done to determine blockage in blood flow such as a blood clot
that can present as pain or swelling of the extremity. Test
performed in the vascular lab with ultrasound and takes 45
minutes or so. No pre or post procedure care require
,What education does the nurse need to provide the patient prior
to an ultrasound?
there is likely no prep, but certain procedures ask for a full
bladder
What is a paracentesis used for?
removing ascites fluid from the peritoneal cavity
T or F: needle aspirations and biopsies are clean procedures
false, they are sterile procedures
What is a thoracentesis used for?
removes fluid from the pleural space
What is fine needle aspiration used for?
to obtain samples with minimal trauma to the underlying organ
or structure
What other diagnostic test is used to help guide FNA?
ultrasound
When biopsies are obtained via fine needle aspiration, what does
the nurse need to do with the specimen?
-label
-time collected
-bring to lab STAT
How long do patient's need to stay flat after a lumbar puncture?
4-8 hours
,When a patient is receiving a lumbar puncture, what signs and
symptoms does the nurse need to watch for?
-change in color
-RR
-headache
-pain
what is the job of the nurse when a patient receives a punch
biopsy?
bandage biopsy site
What are the assessment steps for procedures?
-pre-procedure assessment
-collect basic health history
-check facility's procedure policies and care specific to each test
-home instructions
What does the pre-procedure assessment involve?
•ID the patient,
•Review medical history,
•Review allergies,
•Consent form,
•Assess vitals,
•medications,
•NPO (when appropriate),
•Preparations (e.g. laxatives, cathartics),
•IV access,
pre-procedure medications)
What is hemoconcentration?
, high concentration of RBC to plasma. May occur if tourniquet is
left on for too long
What is hemolysis?
breakdown of RBCs and resulting release of hemoglobin which
can occur if needle is too small of blood comes out forcefully
T or F: collecting a urine sample can be delegated to UAP
T
When is a random clean voided urine sample ordered?
random urinalysis or drug testing
when Is a clean catch specimen required?
when urine is cultured and examined for bacteria
sterile container is used
The nurse is collecting a urine sample from a foley catheter.
What steps should the nurse take?
clamp the catheter high, wait for urine, take sample
What is the minimum amount of urine needed for specimen
collection?
10 mL
What instructions does the nurse provide to a female patient
collecting a clean catch urine sample?
-wipe front to back 3 times with three separate wipes
-holding labia apart, pee into the toilet first
-then, without stopping the flow of urine, pee into the specimen
cup
T or F: general anesthesia is used with endoscopic procedures
F, conscious IV sedation is used
What education does the nurse provide the patient prior to an
endoscopic procedure?
-NPO after midnight
-prep for colo
-clear liquids
Post-endoscopic procedure, what does the nurse need to
remember?
-have O2 ready
-check to see if patient can be aroused
-did they have too much sedation?
-can they go home the same day?
What is an ultrasound used for?
provides direct visualization of soft tissues organs by recording
and measuring ultrasonic waves. (e.g. muscles, tendons,
appendix, gallbladder, fetus, tumors, aorta, kidney stones,
spleen)
When is a venous duplex scan done?
Done to determine blockage in blood flow such as a blood clot
that can present as pain or swelling of the extremity. Test
performed in the vascular lab with ultrasound and takes 45
minutes or so. No pre or post procedure care require
,What education does the nurse need to provide the patient prior
to an ultrasound?
there is likely no prep, but certain procedures ask for a full
bladder
What is a paracentesis used for?
removing ascites fluid from the peritoneal cavity
T or F: needle aspirations and biopsies are clean procedures
false, they are sterile procedures
What is a thoracentesis used for?
removes fluid from the pleural space
What is fine needle aspiration used for?
to obtain samples with minimal trauma to the underlying organ
or structure
What other diagnostic test is used to help guide FNA?
ultrasound
When biopsies are obtained via fine needle aspiration, what does
the nurse need to do with the specimen?
-label
-time collected
-bring to lab STAT
How long do patient's need to stay flat after a lumbar puncture?
4-8 hours
,When a patient is receiving a lumbar puncture, what signs and
symptoms does the nurse need to watch for?
-change in color
-RR
-headache
-pain
what is the job of the nurse when a patient receives a punch
biopsy?
bandage biopsy site
What are the assessment steps for procedures?
-pre-procedure assessment
-collect basic health history
-check facility's procedure policies and care specific to each test
-home instructions
What does the pre-procedure assessment involve?
•ID the patient,
•Review medical history,
•Review allergies,
•Consent form,
•Assess vitals,
•medications,
•NPO (when appropriate),
•Preparations (e.g. laxatives, cathartics),
•IV access,
pre-procedure medications)
What is hemoconcentration?
, high concentration of RBC to plasma. May occur if tourniquet is
left on for too long
What is hemolysis?
breakdown of RBCs and resulting release of hemoglobin which
can occur if needle is too small of blood comes out forcefully
T or F: collecting a urine sample can be delegated to UAP
T
When is a random clean voided urine sample ordered?
random urinalysis or drug testing
when Is a clean catch specimen required?
when urine is cultured and examined for bacteria
sterile container is used
The nurse is collecting a urine sample from a foley catheter.
What steps should the nurse take?
clamp the catheter high, wait for urine, take sample
What is the minimum amount of urine needed for specimen
collection?
10 mL
What instructions does the nurse provide to a female patient
collecting a clean catch urine sample?
-wipe front to back 3 times with three separate wipes
-holding labia apart, pee into the toilet first
-then, without stopping the flow of urine, pee into the specimen
cup
