Question 1

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?
Standard Text: Select all that apply.

Accepted Answer

The nurse should instruct the client to use all towelettes provided, use each towelette once and discard it, and clean the perineal area from front to back to prevent contamination from the anal area.

Question 2

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

Accepted Answer

A) The nurse should document the client's tolerance of the procedure, including any discomfort or pain experienced during or after the biopsy.
C) It is important to document the site for bleeding to monitor for any post-procedure bleeding complications.
E) The nurse should document any pain the client experienced during or after the procedure and any pain medication administered to manage the pain.

Question 3

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?

Accepted Answer

Providing a clean funnel to pour the urine into the specimen cup can help the older client who is having difficulty handling the cup. This is a non-invasive and simple solution that can be implemented quickly. It is important to maintain the client's privacy while assisting them with the collection process. If the client is still unable to collect the specimen, other options such as catheterization or asking the physician to obtain the specimen may be considered. Documenting that the specimen could not be obtained is not a preferred option as it does not address the client's needs.

Question 4

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

Accepted Answer

The answer of Unlicensed assistive personnel (UAP)will be conducting a...

Question 5

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

Accepted Answer

A nuclear imaging test involves the injection of a radioisotope to determine organ functioning as being either hot or cold. This is done through the emission of gamma rays, which are detected by a special camera. The other options do not accurately describe a nuclear imaging test.

Question 6

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

Accepted Answer

The nurse should document the date and time of the lumbar puncture procedure, the name of the physician who performed it, the color, character, and amount of cerebrospinal fluid withdrawn, and the client's status after the procedure. It is not necessary to document the client's ability to void after the procedure, although the nurse should assess and monitor this.

Question 7

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?

Accepted Answer

Consulting the nursing procedure manual is the best choice for the nurse to gain knowledge on how to collect the specific type of specimen from the client. This ensures that the nurse will comply with proper protocol and ensure patient safety. The nurse shouldn't delegate the task to unlicensed assistive personnel as it goes beyond their scope of practice and can put the patient's health at risk. Notifying the physician or asking another nurse may also delay the collection of the specimen and can also put the patient at risk.

Question 8

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

Accepted Answer

The accuracy of a timed urine collection depends on collecting all urine produced during the specified time period. Missing a specimen compromises the test's validity, so it must be restarted.

Question 9

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?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse needs to obtain a urine...

Question 10

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

Accepted Answer

A bronchoscopy involves the insertion of a flexible tube with a camera and light into the lungs to examine them. Tissue samples may be taken for biopsy during this procedure. A local anesthetic is usually sprayed on the throat to ease discomfort during the procedure. Informed consent is required before administering the procedure. Eating will generally not be permitted for a few hours prior to the test, but a full 12 hours may not be required. Bed rest after the test is not usually necessary.

Quiz 34: Diagnostic Testing

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? Standard Text: Select all that apply.

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

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?

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

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

The nurse is caring for a client who has just had a lumbar puncture.What should the nurse document about this client's procedure? Standard Text: 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?

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

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