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UNITEK LVN. specimen collection Questions and Answers 100% Solved
UNITEK LVN. specimen collection
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UNITEK LVN. specimen collectionLab results - answer nurse’s responsibility to review for abnormalities
Never use - answer old drainage for wound sample/culture
swabbing wound for culture - answer irrigate wound with normal saline
and then swab with Q tip as deep in wound as you can go for swabbing for wound
culture
24 hour urine specimen - answer a urine specimen consisting of all urine voided in a 24-
hour period. If 1st void flushed, you need to start again by notifying MD. At at any point
during the 24 hours if one specimen flushed, you need to re-start
Glucose test - answer Measurement of the amount of glucose (sugar) in the blood - side
of finger
Only tiny drop of blood needed as the glucometer will suction the blood
Before you administer contrast - answer Must check for allergies to iodine/seafood
Always clean labia - answerfront to back
informed consents - answerIt is Dr. who should explain procedures initially, how
procedure will be performed and benefits/risk to pt and responsible family member.
It is nurse's responsibility to re-enforce and explain info, confirm pt understands it(extra
support). Vertify that written consent is not always necessary for individual test -
informed verbal consent may be adequate but ask if a call needs to be made to family
member.
PT has right to refuse treatment.
diagnostic examination - answerA physical examination that assists the physician to
make a diagnosis. It is the one way a diagnosis can be established.
Diagnostic examinations - answerIf Dr. hears crackles when listening to chest, a chest
x-ray will be ordered
X-ray would confirm pneumonia
CAT/MRI diagnostic tests - answerare tools to figure out condition of a patient and put
their story together
,Informed consent before diagnostic procedure - answerIf pt wants nurse to clarify
something the Dr. has told pt, it is best for nurse to ask Dr. to return and re-explain
procedure than nurse saying wrong thing/wrong info and pt then refuses procedure.
Best response: Tell me what the Dr. said to you that you need clarifying?
Nurse's responsibilities - diagnostic examination - answerReinforce physician's
explanation of procedure
confirm pt's comprehension
verify written consent is not always necessary for individual test - informed verbal
consent may be adequate
Anticipate the needs of the physician and have proper supplies ready
Keep pt informed of procedural details that could cause discomfort
Assist pt throughout procedure
special care with older adults
maintain confidentiality when disclosing test results
remove all metal jewelry for MRI and xrays
preparing pt for diagnostic examinations - answerNurse must be prepared to answer
questions that pt needs clarification on procedure.
An informed pt will be more cooperative during any test e.g. lumbar puncture in back -
pt needs to be still so nurse has to coach them to relax. Pt most likely to relax if pt trusts
the nurse.
Pt needs to be told that nothing can be taken by mouth NPO after midnight
Breakfast held until after examination
special room required / piece of equipment is required for the test
medication is needed before or during the test
ALLERGIES to iodine/shellfish - Nurse needs to find out allergies before contrast media
test e.g. CT scan with contract
Why ask for allergy to shellfish/iodine before administering contrast media? - answerIV
quickest way to circulate solutions through body. Dangerous if allergic to shellfish/iodine
specimen - answersmall sample of material needed for laboratory examination
Urinaysis - answera diagnostic test that gives a good idea about what is going on in the
kidneys. look at physical properties, different species different properties.
urine culture
Serum creatinine, BUN
Acid phosphatase, prostate-specific antigen levels: Cancer markers
Urodynamic test: strength and flow of urine
Ultrasonography: Bladder, Kidney, Prostate
Cystoscopy: visualize inside of bladder
, UA/urine samples must be stored in fridge until picked up
sputum specimen - answerA specimen of expectorant material from the mouth -
forcefully expelled from the lungs and placed in a sterile container (e.g step throat)
wound culture - answerperformed on wound exudate to determine the presence of
microorganisms and to identify the specific type
Throat culture - sterile applicator to collect from pharynx and tonsils - determines causal
organisms eg. mRSA to rule out an infection process
Determines type of treatment eg. Antibiotic
Aerobic organisms are BEST characterized as - answeroxygen requiring. Grow in
superficial wounds exposed to air
Grow within body cavities
Specimen collected by using sterile syringe tip to aspirate visible drainage from the
inner wound, expelling any air from syringe, injecting the syringe contents into a special
vacuum container with culture medium
Labeling throat culture - answerBe specific
Time
Type of specimen
Requisition slip (Dr. name on it)
Pt response - chart
Pt teaching - chart
Most important part of procedure - answerPt safety - ensure precautions in place and no
signs of distress
colonoscopy - answervisual examination of the colon
bronchoscopy - answervisual examination of the bronchi by camera inside body
Nursing Diagnosis - answerAnxiety
Knowledge deficit
Infection, risk of
Pain, acute
Gas exchange, impaired
Breathing pattern, ineffective airway clearance (sputum)
When setting up sterile field - answerEverything must be on sterile barrier
Must swab penis
Lubricate
Insert catheter
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