Exam 24: Diagnostic Tests and Specimen Collection

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A patient is having an MRI for a knee injury. During the test, he complains of burning in his upper thigh and swelling. Which of the following is the most probable cause of this complaint?

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C

A patient is scheduled to have a blood chemistry profile drawn at 8 AM tomorrow. The note should be added on the care plan and report provided to the oncoming shift to withhold food and drink after:

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B

The nurse is aware that a patient who is to have a colonoscopy is requested to stop taking drugs that contain iron for ______ days prior to the test.

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3
Drugs containing iron are held 3 days before a colonoscopy because iron salts can obscure the film. Iron can also cause constipation, which makes the cleansing of the bowel more difficult.

A patient who has undergone endoscopy is fully awake and asks the nurse for something to drink. After confirming that liquids are allowed on the primary care provider order sheet, the nurse should:

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The nurse informs the patient who is to have an electroencephalogram (EEG) that the technician will try to stimulate seizure activity by asking the patient to: (Select all that apply.)

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The nurse evaluates a prothrombin time (PT/INR) for a patient who is taking heparin. The nurse's initial action should be to:

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A patient who is on an anticoagulant (Coumadin) asks, "What did the primary care provider mean when he said I was to have my blood tested every 2 weeks?" The nurse explains, "It is important to monitor the effects of the drug to see how long it takes your blood to clot. The blood test the primary care provider was talking about is the:

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A patient wants to know what was meant when the doctor said that his white blood cell (WBC) count had a shift to the left. The nurse explains that a shift to the left indicates:

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The nurse is to collect a sample of blood for a laboratory test. Arrange the sequence of a phlebotomy. (Separate letters by a comma and space as follows: A, B, C, D, E, F, G, H.) A) Place vacutainer tube inside holder. B) Press tube stopper onto needle. C) Puncture site. D) Apply tourniquet and cleanse site. E) Label tube. F) Fill tube completely. G) Loosen tourniquet and apply pressure to site. H) Perform hand hygiene and apply gloves.

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A major concern for an 86-year-old patient who has been NPO for 8 hours prior to a diagnostic test would be:

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The nurse obtaining a wound culture would:

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The statement made by a patient that would delay a scheduled CT scan would be:

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The patient who has just returned to the unit after an angiography test should be assessed immediately for:

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The nurse is aware that patients who are not candidates for magnetic resonance imaging (MRI) include patients with: (Select all that apply.)

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The nurse instructing in the collection of a midstream urine catch would tell the patient to first cleanse the external genitalia and then to:

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The primary care provider has ordered the collection of a 24-hour urine specimen. The nurse's instructions to the patient for proper collection of the urine specimen include: (Select all that apply.)

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To improve the comfort of an older adult patient who is to be in the radiology department for several hours, the nurse should send a(n):

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A patient has undergone cystoscopy and has a Foley catheter in place on return to the nursing unit. Immediately after the procedure, the nurse expects the urine color to be:

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The nurse preparing a patient for a magnetic resonance imaging (MRI) should determine if the patient has:

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A patient asks why the blood glucose meter directions state to wipe away the first drop of blood. The most informative response by the nurse would be:

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