Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NUR 102- Test 5 > Diagnostic/Laboratory tests > Flashcards

Diagnostic/Laboratory tests Flashcards

1
Q

Diagnostic/Laboratory tests

What does a chest x-ray provide?

A

It provides information regarding the anatomic locations and appearance of the lungs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Diagnostic/Laboratory tests

What are the nursing implementations for a pre-procedure chest x-ray?

A
  • Remove all jewelry and other metal objects from the chest area
  • Assess client’s ability to inhale and hold breath
  • Question women of childbearing age about pregnancy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Diagnostic/Laboratory tests

What are the nursing implementations for a post-procedure chest x-ray?

A
  • Assist the client to dress

* Advise the client exposure is minimal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Diagnostic/Laboratory tests

What does a CT scan provide?

A

A cross sectional visualization of examined tissue. It identifies slight variations in tissue thickness (i.e., lesions).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a pre procedure CT scan?

A

The test may or may not use contrast dye:

Inquire about allergies to shellfish, iodine, seafood)
Advise of flushing and warm sensation when contrast is administered.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a post procedure CT scan?

A

Encourage fluids to excrete contrast. ( contrast can damage the kidneys)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Diagnostic/Laboratory tests

What does an MRI identify?

A

Subtle changes in tissue structure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a pre procedure MRI?

A

Remove jewelry and metals
Asked about previous surgeries (for implantable metal)
Inquire about possible claustrophobia.
Assess ROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Diagnostic/Laboratory tests

What is a VQ scan? What is used to perform this scan?

A

Ventilation & perfusion

Evaluates the blood flow to the lungs (perfusion) and determines patency or abnormalities of the pulmonary airways.

A radioisotope may be injected to affect the blood flow.
Radioactive gas is inhaled.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a pre procedure VQ scan?

A
  • Obtain inform consent
  • Assess for allergies to dye
  • Assess breathing methods
  • Remove jewelry from chest area
  • Establish an IV access
    Advise radioisotope has minimal damage.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a post procedure VQ scan?

A
  • Monitor reaction to the radionuclide. (Increased pulse & respirations, Flushing; can be signs of a reaction.)
  • Use rubber gloves for 1st 24h when discarding urine. Wash hands thoroughly with soap and water after gloves are removed.
  • Instruct client to wash hands thoroughly with soap and water
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Diagnostic/Laboratory tests

What is a pulmonary angiogram?

A

An invasive procedure that uses iodine, radiopague or contrast inserted through a catheter in the femoral vein or pulmonary artery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a pre procedure pulmonary angiogram?

A
  • Obtain inform consent.
  • Assess for allergies to iodine, seafood, or radiopaque dye.
  • Maintain NPO for 8h prior to the procedure.
  • Monitor VS.
  • Monitor coagulation studies (PT, PTT, INR). If elevated then risk for bleeding is increased.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Diagnostic/Laboratory tests

What are the nursing implementations of a post procedure pulmonary angiogram?

A
  • Monitor VS
  • Monitor peripheral neurovascular status (start distal, check pulses bilaterally, cap. refill, check for warmth)
  • Assess insertion site for bleeding
  • Monitor for delayed reaction to the dye (increased respirations, pulse, flushing)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Diagnostic/Laboratory tests

What is the normal RBC range in adults?

A

4.2-6.1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Diagnostic/Laboratory tests

What is the function of hemoglobin?

A

It transports oxygen.

18
Q

Diagnostic/Laboratory tests

What is the normal hemoglobin range in adults?

A

12-18

19
Q

Diagnostic/Laboratory tests

What type of manifestation will show in low hemoglobin levels?

A

It will show a respiratory manifestation. Dehydration and smokers causes high Hgb levels.

20
Q

Diagnostic/Laboratory tests

What is the normal hematocrit range in adults?

A

37-52

Hint: multiply hemoglobin by 3

21
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 16

A nurse is caring for a client following a bronchoscopy. Which of the following client findings should the nurse report to the charge nurse?

A. Blood-tinged sputum.
B. Dry nonproductive cough.
C. Sore throat.
D. Bronchospasms.

A

D. Bronchospasms.

Rationale:
All other options are expected findings.

22
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 16

A new licensed nurse has set up the client’s room for a thoracentesis. Which of the following pieces of equipment should the nurse include? (Select all that apply.)

A. Oxygen equipment
B. Incentive spirometer
C. Pulse oximeter
D. Thoracentesis tray
E. Telemetry monitor
A

A. Oxygen equipment
C. Pulse oximeter
D. Thoracentesis tray

23
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 16

A nurse is preparing to receive a client from surgery who has had a chest tube inserted. Which of the following items should the nurse have available in the client’s room? (Select all that apply.)

A. Pulse oximeter
B. Sterile saline
C. Rubber-tipped clamps
D. Suction source
E. Sterile gloves.
A

A. Pulse oximeter
B. Sterile saline
C. Rubber-tipped clamps
D. Suction source

24
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 16

A nurse is caring for a client who has a chest tube. While collecting data from the client, the nurse notices that the chest tube has accidentally been removed from the client’s chest. Which of the following is the first acton the nurse should take?

A. Notify the provider.
B. Cover the insertion site with dry sterile gauze.
C. Tape or clamp all connections.
D. Check the client’s respiratory status.

A

B. Cover the insertion site with dry sterile gauze.

25
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 16

A nurse is checking the functioning of a chest drainage system. Which of the following are expected findings?

A. Gentle bubbling in the suction control chamber.
B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration.
C. Exposed sutures at insertion site without a dressing.
D. Drainage system is upright at chest level.
E. Fluid level is marked in drainage chamber with date and time.

A

A. Gentle bubbling in the suction control chamber.
B. Rise and fall in the level of water in the water seal chamber with inspiration and expiration.
E. Fluid level is marked in drainage chamber with date and time.

26
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 17

Which of the following is correct in regard to using a nasal cannula as a form of oxygen delivery? (Select all that apply.)

A. Delivers FiO2 at 24% to 44%
B. Easy to apply and comfortable for the client.
C. Does not allow ambulation
D. Flow rate is set at 1 to 6 L/min
E. Cannula is difficult to dislodge
A

A. Delivers FiO2 at 24% to 44%
B. Easy to apply and comfortable for the client.
D. Flow rate is set at 1 to 6 L/min

27
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 17

Which of the following are early signs of hypoxemia? (Select all that apply.)

A. Confusion and stupor
B. Pale skin and mucous membranes
C. Bradycardia
D. Hypertension
E. Restlessness
A

B. Pale skin and mucous membranes
D. Hypertension
E. Restlessness

28
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 17

A nurse is caring for a client who has dyspnea. In which of the following positions should the nurse place the client?

A. Supine
B. Dorsal recumbent
C. Fowler’s
D. Lateral

A

C. Fowler’s

29
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 17

The nurse is caring for a client on oxygen therapy. Which of the following actions should the nurse take to ensure safe administration? (Select all that apply)

A. Post “Oxygen in Use” signs to alert others.
B. Know where the closest fire extinguisher is located.
C. Have client wear synthetic or wool fabrics.
D. Check that all electric machinery is grounded.
E. Use alcohol or acetone products.

A

A. Post “Oxygen in Use” signs to alert others.
B. Know where the closest fire extinguisher is located.
D. Check that all electric machinery is grounded.

30
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 18

The nurse is caring for a client with an endotracheal tube. Which of the following indicate that the client needs suctioning? (Select all that apply.)

A. Spontaneous cough
B. Cyanosis
C. SaO2 greater than 95%
D. Trachypnea
E. Visualization of secretions
A

B. Cyanosis
D. Trachypnea
E. Visualization of secretions

31
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 18

Which of the following is the most effective method for clearing secretions in the airway?

A. Endotracheal suction
B. Oropharyngeal suction
C. Deep breathing and coughing
D. Nasopharyngeal suction

A

C. Deep breathing and coughing

32
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 18

A nurse is assigned an adult client who needs oropharyngeal suctioning. Which of the following actions should the nurse take?

A. Set wall suction between 120 to 150 mm Hg.
B. Apply suction after the catheter has been fully inserted.
C. Perform continuous suction for 20 to 25 seconds.
D. Insert catheter in line with the center of the tongue.

A

B. Apply suction after the catheter has been fully inserted.

33
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 18

A nurse is caring for a client diagnosed with pneumonia and currently receiving mechanical ventilation. The nurse prepares to perform endotracheal suctioning. Which of the following are appropriate guidelines? (Select all that apply.)

A. Set wall suction to 10 mm Hg to ensure adequate suction.
B. Apply intermittent suction while inserting and withdrawing the catheter.
C. Provide hyperoxygenation to the client with 100% FiO2 before suctioning.
D. Clear the catheter and save for later use.
E. Maintain surgical aseptic technique.

A

C. Provide hyperoxygenation to the client with 100% FiO2 before suctioning.
E. Maintain surgical aseptic technique.

34
Q

Diagnostic/Laboratory Tests - ATI Med Surg Chapter 18

A nurse is caring for a client following a tracheotomy 2 days ago. The nurse enters the room and notices that the tracheostomy tube is no longer in place. The priority action for the nurse is to

A. call for assistance.
B. assess respiratory rate and effort, SaO2, and color/cyanosis.
C. obtain an obturator and a spare tracheostomy tube and prepare for reinsertion.
D. administer oxygen through the stoma.

A

A. call for assistance.

Rationale:
This is within the first 72 hours after surgery, the tracheostomy tract has not matured, so replacement might be difficult.

NUR 102- Test 5 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions