diagnostic tests Flashcards

1
Q

which do you schedule first?

contrast or non-contrast studies

A

non-contrast

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2
Q

which do you schedule first?

iodine contrast or barium studies

A

iodine contrast

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3
Q

which do you schedule first?

upper GI or lower GI

A

lower GI

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4
Q

do you collect stool specimens before or after barium tests?

A

before

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5
Q

why may gender affect test results?

A

muscle mass

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6
Q

nursing responsibilities during tests

A

know what supplies are needed, help alleviate pt anxiety, immediately transport specimen

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7
Q

nursing responsibilities after tests

A

after care orders, treat complications, report results to MD, follow-up education

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8
Q

which type of blood study is most common?

A

venous

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9
Q

Allen test

A

pt makes fist; nurse holds radial and ulnar arteries; pt releases fist (palm is now white); nurse releases ulnar artery; look for pt to regain color in hand

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10
Q

how long do you hold pressure on site after ABG?

A

5 minutes

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11
Q

what type of syringe do you use for ABG?

A

heparinized

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12
Q

what do you use for a skin puncture?

A

heel, fingers, and a capillary tube

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13
Q

what does a plain tube indicate for venous blood studies?

A

no preservative added

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14
Q

proper order of blood draw tubes?

A

blood cultures, nonadditive tubes, additive tubes

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15
Q

the pt should stop use of what substance prior to electrodiagnostic tests?

A

caffiene

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16
Q

what does an ECG/EKG evaluate?

A

cardiac rhythm, conduction, and damage

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17
Q

what is an EEG used for?

A

dx seizures, tumors, infarctions, and monitor activity of brain during surgery

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18
Q

what does an EMG do?

A

indicates muscle disease from neurologic disease

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19
Q

what are endoscopic studies used for?

A

inspection of internal organs/cavities via a rigid/flexible scope

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20
Q

what do invasive endoscopic studies require?

A

pt consent, NPO 8-12hr, conscious sedation

21
Q

colonoscopy and sigmoidoscopy show which part of the body?

A

portions of large intestine

22
Q

cystoscopy shows which part of the body?

A

urethra, bladder, ureters, and prostate

23
Q

esophagogastroduodenoscopy (EGD) shows which part of the body?

A

esophagus, stomach, and duodenum

24
Q

laparoscopy shows which part of the body?

A

abdominal and pelvic organs

25
Q

what do you do prior to EGD?

A

must be NPO, remove dentures, check gag reflex

26
Q

what is the abdomen filled with during laparoscopy and what is a side effect?

A

CO2, abdominal gas pain

27
Q

what are fluid analysis studies used for?

A

to diagnose brain/SC diseases;

aspirate effusions to decrease swelling, improve breathing, and improve cardiac function

28
Q

is a lumbar puncture a clean or sterile technique?

A

sterile

29
Q

what is the purpose of a lumbar puncture?

A

detects brain or spinal cord cancer, hemorrhage, meningitis, and MS

30
Q

post-lumbar puncture care instructions

A

prone, force fluids, flat for 12hr, send specimen to lab ASAP

31
Q

what is the purpose of paracentesis?

A

decrease abdominal pressure in pts with ascites

32
Q

what does nuclear scanning do?

A

allows anatomic and functional analysis of tissues; creates a color picture with hot and cold spots

33
Q

why is it important to force fluids after nuclear scanning?

A

to eliminate contrast material

34
Q

how does ultrasonography work?

A

it uses sound waves to differentiate between solid and fluid structures

35
Q

M-mode (motion-mode) ultrasound

A

evaluates cardiac wall motion

36
Q

doppler ultrasound

A

vascular study, records sound of blood flow

37
Q

duplex

A

vascular study, records sound of blood flow AND creates an image

38
Q

GB (gallbladder) ultrasound

A

evaluates GB, must be NPO prior to reduce gas for better visualization

39
Q

pelvic ultrasound

A

some procedures may require a full bladder, also a frequently used procedure to evaluate fetal development

40
Q

what does an x-ray show?

A

pictures of body structure with denser objects appearing white, less dense gray, and air spaces black

41
Q

plain film x-ray

A

such as for fractures; done AP, lateral, and oblique

42
Q

fluorscopy

A

senses organs in motion (ie: barium swallow)

43
Q

tomography

A

computer aided 360 degree view in sections: CT scan

44
Q

what medication should be stopped prior to tomography? how long before?

A

metformin/glucophage

48 hours

45
Q

barium studies

A

barium swallow, barium enema, never done if perforation suspected, give laxative after to combat constipation

46
Q

KUB (kidney, ureter, bladder)

A

done prior to barium studies

47
Q

bone density

A

used to dx osteoporosis, remove metal, not done w/in 10days of barium

48
Q

mammography

A

dx breast disorders

49
Q

myelography

A

used to detect disorders of spinal cord, nerve roots