Exam 44: Diagnostic Procedures

The patient is a 56-year-old man who has terminal cirrhosis and severe ascites.He is lethargic but is demonstrating signs of discomfort and respiratory distress.The physician has spoken with the patient's wife and has obtained consent to perform an abdominal paracentesis on the patient.After the physician leaves to prepare for the procedure, the wife asks the nurse whether the procedure is really necessary.The nurse should respond by saying this:

A specialized form of angiography in which a catheter is inserted into the left or right side of the heart via a major peripheral vessel to study pressures within the heart, cardiac volumes, valvular function, and patency of coronary arteries is known as ______________.

The nurse is alert to a possible delayed reaction to the dye injected during an angiography.For which response should she monitor the patient?

The nurse is caring for a patient who has just undergone a bronchoscopy and has been in recovery for the last 15 minutes.The nurse should be especially watchful for which of the following? (Select all that apply.)

A nurse should contact the physician to postpone intravenous moderate sedation if the patient:

What action should the nurse take after an angiography?

A _____________ involves the introduction of a needle into the subarachnoid space of the spinal column.The purpose of this test is to measure pressure in the subarachnoid space; obtain cerebrospinal fluid (CSF) for visualization and laboratory examination; and inject anesthetic, diagnostic, or therapeutic agents.

An _______________ permits visualization of the vasculature of an organ and the organ's arterial system.

_____________________ is often used for diagnostic or surgical procedures that do not require complete anesthesia in acute care, surgical care, and outpatient care settings.

The nurse is discussing the patient's upcoming elective lumbar puncture, and explains that the patient will probably need to undergo computed tomography of the brain before the procedure is done.What is the reason for this?

When explaining about a lumbar puncture, the nurse informs the patient that during the procedure, he or she will be asked to:

During an electrocardiogram, the patient should anticipate that:

In which position is the patient usually placed for a thoracentesis?

The patient has undergone a cardiac catheterization.It has been 2 hours since the catheter and sheath have been removed.Which of the following would be a concern for the nurse recovering the patient after the procedure? (Select all that apply.)

Under which circumstances should a nurse contact the physician to postpone an angiography?

You are caring for a patient who has received moderate sedation for a procedure at the bedside.Which task can you delegate to the nurse assistant during this procedure?

Both aspiration and biopsy diagnose and differentiate which of the following? (Select all that apply.)

The patient will be undergoing moderate intravenous ( IV ) sedation.The nurse needs to assess which of the following during the procedure? (Select all that apply.)

_____________________ apply manual compression to prevent bleeding at the arterial site.

The physician needs to visually examine a patient's esophagus, stomach, and duodenum.The nurse anticipates that the physician will order: