Question 1

A client has just completed a bone marrow biopsy.What should the nurse document about the client at this time?
(Select all that apply)
A)Client's tolerance of the procedure
B)Bowel sounds
C)The site for bleeding
D)Status of deep tendon reflexes
E)Presence of pain and any pain medication received

Accepted Answer

The nurse should document the client's tolerance of the procedure, check the biopsy site for bleeding, and note the presence of pain and any pain medication received. These are directly related to the procedure and its potential immediate effects on the patient.

Question 2

The nurse is instructing a female client on how to cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity.What should the nurse instruct this client to do?
(Select all that apply)
A)Clean the perineal area using a circular motion.
B)Use all towelettes provided.
C)Use each towelette once,and discard.
D)Clean the perineal area from back to front.
E)Clean the perineal area from front to back.

Accepted Answer

The correct instructions for cleansing the perineum before collecting a clean catch urine specimen include using all the towelettes provided (B), using each towelette once and then discarding it (C), and cleaning the perineal area from front to back (E) to avoid contamination from the anal area.

Question 3

Unlicensed assistive personnel (UAP)will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test?
(Select all that apply)
A)Nothing,because the UAP can perform urine testing.
B)Remind the UAP to tell the client the results of the test.
C)Notify the physician with the results of the test.
D)Report the results of the test to the nurse.
E)Save the urine,in case the nurse wants to repeat the test.

Accepted Answer

The UAP should report the results of the test to the nurse and save the urine in case the nurse wants to repeat the test.

Question 4

A client is having a timed urine collection done.The unlicensed assistive personnel does not save one specimen.What should the nurse do?
A)Continue with the test,and document that one specimen is missing.
B)End the test immediately,and send what is collected to the laboratory.
C)Document that the test cannot be completed.
D)Start the test over.

Accepted Answer

For a timed urine collection, accuracy and completeness are crucial. If a specimen is missed, the test results could be inaccurate. Therefore, the best action is to start the test over to ensure the collection is complete and accurate.

Question 5

The nurse is caring for a client who has just had a lumbar puncture.What should the nurse document about this client's procedure?
(Select all that apply)
A)Date and time performed
B)The physician's name
C)The client's ability to void after the procedure
D)The color,character,and amount of cerebrospinal fluid withdrawn
E)The client's status after the procedure

Accepted Answer

These elements are crucial for comprehensive documentation after a lumbar puncture. The date and time provide a timeline, the physician's name identifies who performed the procedure, the characteristics of the cerebrospinal fluid give insight into potential complications or findings, and the client's status post-procedure helps in monitoring for adverse effects such as headaches or infection. The client's ability to void is not directly related to a lumbar puncture and is not typically documented as part of this specific procedure.

Question 6

The nurse needs to collect a specimen from a client;however,the nurse has never collected this type of specimen in the past.What should the nurse do?
A)Notify the physician.
B)Ask another nurse to collect the specimen.
C)Consult the nursing procedure manual.
D)Delegate the collection of the specimen to unlicensed assistive personnel.

Accepted Answer

The nurse should consult the nursing procedure manual to ensure correct and safe collection of the specimen. It is important to follow established procedures and protocols to prevent potential harm to the client and the healthcare team. It is not appropriate to delegate this task to unlicensed assistive personnel as it requires the skill and knowledge of a licensed healthcare professional. Notifying the physician or asking another nurse to collect the specimen may not be necessary if the nursing procedure manual provides sufficient guidance.

Question 7

The nurse needs to obtain a urine specimen from a client with an indwelling urinary catheter.What should the nurse do when collecting this specimen?
(Select all that apply)
A)Withdraw 30 mL of urine for a routine urinalysis.
B)Perform catheter care before obtaining the specimen.
C)Apply sterile gloves before retrieving the urine specimen.
D)Send the specimen immediately or refrigerate it for later pickup.
E)Clamp the drainage tubing for 30 minutes if there is no urine in the catheter.

Accepted Answer

A) Withdrawing 30 mL of urine is appropriate for a routine urinalysis. D) Sending the specimen immediately or refrigerating it is necessary to preserve the sample. E) Clamping the drainage tubing allows urine to accumulate if there is none in the catheter.

Question 8

A client is scheduled for a bronchoscopy.What should the nurse instruct the client about this procedure?
(Select all that apply)
A)Tissue samples may be taken for biopsy.
B)Eating will not be permitted for 12 hours.
C)A local anesthetic is sprayed on the throat.
D)Bed rest for 8 hours is necessary after the test.
E)Informed consent is required for this procedure.

Accepted Answer

A bronchoscopy is a medical procedure in which a flexible tube with a light and camera on the end is inserted down the patient's throat into the lungs. The tube can be used to collect tissue samples (biopsy), remove fluid, or clear blockages. Before the procedure, the patient will receive a local anesthetic spray to numb the throat, but they will be conscious during the procedure. Informed consent is required, and the patient should not eat for several hours before the test. Bed rest is not typically necessary after the procedure.

Question 9

A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?
A)It is the use of a magnetic field to produce an image of a body part or organ.
B)A radioisotope will be injected to determine organ functioning as being either hot or cold.
C)It produces a three-dimensional image of an organ.
D)It is more sensitive than an x-ray image.

Accepted Answer

Nuclear imaging involves the injection of a radioisotope that will collect in a specific organ or tissue to determine its functioning, either by appearing as hot (greater uptake) or cold (less uptake) on the resulting image. The other options do not accurately describe nuclear imaging.

Question 10

An older client is having difficulty handling the specimen cup for a clean catch urine specimen.What can the nurse do to help this client?
A)Provide a clean funnel to pour the urine into the specimen cup.
B)Document that the specimen could not be obtained.
C)Catheterize the client for the specimen.
D)Ask the physician to obtain the specimen.

Accepted Answer

Providing a clean funnel to pour the urine into the specimen cup can help the client who is having difficulty handling the cup. This ensures that the urine specimen is not contaminated and can be tested accurately.

Quiz 34: Diagnostic Testing

A client has just completed a bone marrow biopsy.What should the nurse document about the client at this time? (Select all that apply)

The nurse is instructing a female client on how to cleanse the perineum before collecting a clean catch urine specimen for culture and sensitivity.What should the nurse instruct this client to do? (Select all that apply)

Unlicensed assistive personnel (UAP) will be conducting a test on a client's urine.What should the nurse instruct the UAP about the test? (Select all that apply)

A client is having a timed urine collection done.The unlicensed assistive personnel does not save one specimen.What should the nurse do?

The nurse is caring for a client who has just had a lumbar puncture.What should the nurse document about this client's procedure? (Select all that apply)

The nurse needs to collect a specimen from a client;however,the nurse has never collected this type of specimen in the past.What should the nurse do?

The nurse needs to obtain a urine specimen from a client with an indwelling urinary catheter.What should the nurse do when collecting this specimen? (Select all that apply)

A client is scheduled for a bronchoscopy.What should the nurse instruct the client about this procedure? (Select all that apply)

A client is scheduled for a nuclear imaging test.What should the nurse instruct the client about this test?

An older client is having difficulty handling the specimen cup for a clean catch urine specimen.What can the nurse do to help this client?