UNIT 2C Flashcards
It is always obtained before, during, and after a procedure
Vital Signs
Does not use informed consent
Non-invasive Procedures
Non-Invasive Procedure only needs informed consent when there is a?
why is it?
injection of a contrast medium or dye
to check if the patient is allergic to iodine
These kind of procedures always requires an informed consent
Invasive Procedures
What are the the three diagnostic Procedures?
Non-invasive Procedures
Invasive Procedures
Laboratory Test
What are the non-invasive procedures?
Radiography or X-ray
Upper GI Series or Barium Swallow
Lower GI Series or Barium Enema
Ultrasound (UTZ)
Computer Tomography (CT) Scan
Magnetic Resonance Imaging (MRI)
What should you take into consideration when you conduct radiography or X-Ray?
No jewelry, belts
What are the clinical indicators of the radiography or X-Ray?
pregnancy
During pre-procedure of the Upper GI series, what should the patient do?
Nothing per orem- post midnight
During the Upper GI series the client drinks what?
Barium Sulphate
What should you do after or post-procedure or Upper GI series?
Encourage oral fluid
What are the objective data?
Diagnostic procedures
Vital Signs
Physical Assessments
These are the procedures that will help us diagnose the patient
Diagnostic procedure
For Lower GI Series or Barium Enema, what should you do
before:
during:
after:
Before- 1-2 days low residue diet, NPO-PM, cleansing enema, BaSO4 enema
Post procedure: EOF, laxative as ordered
Cleansing enema is done in what part of your body?
Rectum
If OB Utrasound, the bladder must be?
Empty
If KUB Ultrasound, the bladder must be?
Full
Ultrasound uses what?
Ultrasonography
CT scan enables you to see
Cross section of the organ
Before during the MRI, what should you consider?
Assess for claustrophobia
Clinical indicators: metal object and implants
Arrange the following based on the image produced
CT Scan
X-ray or Radiography
MRI
X-ray or radiography
CT scan
MRI
What are the different Invasive Procedures?
Lumbar Puncture or Spinal Tap
Abdominal Paracentesis
Thoracentesis
Bone Marrow Biopsy
Liver Biopsy
Before doing the invasive procedures, what must be obtained first?
Blood coagulation parameters (platelet count, clotting time)
Measure how quick can a patient form a clot
Blood coagulation parameters
Possible complication of the invasive procedure is
Bleeding
In the Lumbar puncture, what is the position of the patient?
Fetal position
This is done to check if the patient is suspected of meningitis
Lumbar puncture or Spinal Tap
Where must the needle be injected in the lumbar puncture?
L3-L4
L4-L5
Why should the patient lay flat on bed for 6-8 after after the umbar puncture or spinal tap procedure?
-To prevent spinal headache
-No Pillow
This is indicated for patient with ascites
Abdominal Paracentesis
Excessive fluid in the peritonium
Ascites
What is the position of the patient undergoing Abdominal Paracentesis?
High-Fowler’s
Before and After Abdominal Paracentesis, the nurse must
Weigh the client
Measure abdominal girth
Empty bladder
What are the client instructions for Thoracentesis?
NO
Talking, laughing, sneezing, coughing, deep breathing
What is the position of the patient in Thoracentesis?
Straddling on a chair
Leaning forward on an overbed table
Side lying with HOB elevated
What should you do before bone marrow biopsy?
Empty bladder
What should you do after bone marrow biospy?
Assess for complications (bleeding and hematoma formation)
For liver biopsy what should you do before conducting the procedure?
2 hours NPO
What is the position of the patient during Liver biopsy?
Supine position with RUQ exposed
What should the patient do after liver biopsy procedure?
Right side-lying with small pillow u der biopsy site for several hours
What should one do after endoscopy, bronchoscopy, and laryngoscopy?
Check for GAG reflex
What is the position of the pt during colonoscopy, anoscopy, and proctosigmoidoscopy?
Left Sim’s Position
What are the side effects of colonoscopy, anoscopy, and proctosigmoidoscopy?
Bloating
Mild
Crampy abd pain
MCV
Mean Corpuscular Volume
MCH
Mean corpuscular hemoglobin
MCHC
Mean Corpuscular Hemoglobin Concentration
RDW
Red Cell Distribution Width
What are the different stool exams?
Guaiac test
OPEH
Fat analysis
Used to test if there is any blood present in the stool
Guaiac test
What are the different techniques to collect urine?
MSCC-Mid Stream Clean Catch Specimen
Timed Specimen
Specimen for Urine Culture and Sensitivity
What are the different sputum specimen?
Random specimen
AFB (Acid-fast bacillus) smear
