10TYK. The
nurse needs to collect a sputum specimen to identify the presence of
tuberculosis (TB). Which nursing action(s) is/are indicated for this
type of specimen? Select all that apply.
1. Collect the specimen in the evening.
2. Send the specimen immediately to the laboratory.
3. Ask the client to spit into the sputum container.
4. Offer mouth care before and after collection of the sputum specimen.
Collect a specimen for 3 consecutive days.
Get Solution
1CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urineas dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
When measuring the client’s capillary blood glucose, you do not obtain enough blood to cover the indicator square on the reagent strip. What could be possible reasons and what should you do?
Get Solution
1TYK. The nurse would call the primary care provider immediately for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 x 103/mL3
4. Platelets = 300 X 103/mL3
Get Solution
2TYK. The nurse would call the primary care provider immediately for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 x 103/mL3
4. Platelets = 300 X 103/mL3
Get Solution
3CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
The primary care provider orders IV fluids and an antibiotic with the first dose to be given STAT. You have not obtained the urine specimen yet Which has priority (e.g., starting the IV, administrating the antibiotic, or obtaining the urine specimen) and why?
Get Solution
3TYK. The client has a urinary health problem. Which procedure is performed using indirect visualization?
1. Intravenous pyelography (IVP)
2. Kidneys, ureter, bladder (KUB)
3. Retrograde pyelography
4. Cystoscopy
Get Solution
4CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
Three days later, the client has the following laboratory results: Hot = 39.2 and WBC = 10.8 x 103/mL3. What do those results indicate to you?
Get Solution
4TYK. Which noninvasive procedure provides information about the physiology or function of an organ?
1. Angiography
2. Computerized tomography (CT)
3. Magnetic resonance imaging (MRI)
4. Positron emission tomography (PET)
Get Solution
5CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
The abdominal x-ray shows a possible mass. An MRl of the abdomen is ordered. The client is quite anxious because she has heard from her friend that the procedure is difficult for people who are claustrophobic. How will you respond?
Get Solution
5TYK. When assisting with a bone marrow biopsy, the nurse should take which action?
1. Assist the client to a right side-lying position after the procedure.
2. Observe for signs of dyspnea, pallor, and coughing.
3. Assess for bleeding and hematoma formation for several days after the procedure.
4. Stand in front of the client and support the back of the neck and knees.
Get Solution
6TYK. During an assessment, the nurse learns that the client has a history of liver disease. Which diagnostic tests might be indicated for this client? Select all that apply.
1. Alanine aminotransferase (ALT)
2. Myoglobin
3. Cholesterol
4. Ammonia
5. Brain natriuretic peptide or B-type natriuretic peptide (BNP)
Get Solution
7TYK. The nurse practitioner requests a laboratory blood test to determine how well a client has controlled her diabetes during the past 3 months. Which blood test will provide this information?
1. Fasting blood glucose
2. Capillary blood specimen
3. Glycosylated hemoglobin
4. GGT (gamma-glutamyl transferase)
Get Solution
9TYK. A primary care provider is going to perform a thoracentesis. The nurse’s role will include which action?
1. Place the client supine in the Trendelenburg position.
2. Position the client in a seated position with elbows on the overbed table.
3. Instruct the UAP to measure vital signs.
4. Administer an opioid analgesic.
Get Solution
1. Collect the specimen in the evening.
2. Send the specimen immediately to the laboratory.
3. Ask the client to spit into the sputum container.
4. Offer mouth care before and after collection of the sputum specimen.
Collect a specimen for 3 consecutive days.
Get Solution
1CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urineas dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
When measuring the client’s capillary blood glucose, you do not obtain enough blood to cover the indicator square on the reagent strip. What could be possible reasons and what should you do?
Get Solution
1TYK. The nurse would call the primary care provider immediately for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 x 103/mL3
4. Platelets = 300 X 103/mL3
Get Solution
2TYK. The nurse would call the primary care provider immediately for which laboratory result?
1. Hgb = 16 g/dL for a male client
2. Hct = 22% for a female client
3. WBC = 9 x 103/mL3
4. Platelets = 300 X 103/mL3
Get Solution
3CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
The primary care provider orders IV fluids and an antibiotic with the first dose to be given STAT. You have not obtained the urine specimen yet Which has priority (e.g., starting the IV, administrating the antibiotic, or obtaining the urine specimen) and why?
Get Solution
3TYK. The client has a urinary health problem. Which procedure is performed using indirect visualization?
1. Intravenous pyelography (IVP)
2. Kidneys, ureter, bladder (KUB)
3. Retrograde pyelography
4. Cystoscopy
Get Solution
4CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
Three days later, the client has the following laboratory results: Hot = 39.2 and WBC = 10.8 x 103/mL3. What do those results indicate to you?
Get Solution
4TYK. Which noninvasive procedure provides information about the physiology or function of an organ?
1. Angiography
2. Computerized tomography (CT)
3. Magnetic resonance imaging (MRI)
4. Positron emission tomography (PET)
Get Solution
5CTC. A 68-year-old woman is admitted with fever, nausea, vomiting, and abdominal pain. She informs you that she is a “borderline diabetic” and "only has to watch what she eats.” She tells you that she has not eaten for 3 days and has had difficulty “keeping liquids down.” While doing the nursing history, she describes her urine as dark and foul smelling. Upon further questions, she states she does have some burning upon urination. She describes her abdominal pain as constant, generalized, and rates it as a 5 or 6 on a scale of 0 to 10. The primary care provider called in the following orders:
CBC and electrolytes STAT
Capillary blood glucose STAT and q4h
VS and TPR q4h
Urine specimen for C&S
CXR
Flat plate abdominal x-ray.
The abdominal x-ray shows a possible mass. An MRl of the abdomen is ordered. The client is quite anxious because she has heard from her friend that the procedure is difficult for people who are claustrophobic. How will you respond?
Get Solution
5TYK. When assisting with a bone marrow biopsy, the nurse should take which action?
1. Assist the client to a right side-lying position after the procedure.
2. Observe for signs of dyspnea, pallor, and coughing.
3. Assess for bleeding and hematoma formation for several days after the procedure.
4. Stand in front of the client and support the back of the neck and knees.
Get Solution
6TYK. During an assessment, the nurse learns that the client has a history of liver disease. Which diagnostic tests might be indicated for this client? Select all that apply.
1. Alanine aminotransferase (ALT)
2. Myoglobin
3. Cholesterol
4. Ammonia
5. Brain natriuretic peptide or B-type natriuretic peptide (BNP)
Get Solution
7TYK. The nurse practitioner requests a laboratory blood test to determine how well a client has controlled her diabetes during the past 3 months. Which blood test will provide this information?
1. Fasting blood glucose
2. Capillary blood specimen
3. Glycosylated hemoglobin
4. GGT (gamma-glutamyl transferase)
Get Solution
9TYK. A primary care provider is going to perform a thoracentesis. The nurse’s role will include which action?
1. Place the client supine in the Trendelenburg position.
2. Position the client in a seated position with elbows on the overbed table.
3. Instruct the UAP to measure vital signs.
4. Administer an opioid analgesic.
Get Solution
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