Chapter 15 fundamentals – Flashcards
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The nurse is responsible for
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Assessing the patients knowledge of the procedure and preparing the patient for it
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The doctor is supposed too get
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Consent and explain consent
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Consent for treatment upon admission at the Heath care facility
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Encompasses most diagnostic tests and procedures
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Nursing responsible include anticipating the needs of the Heath care provider who performs the procedure
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Having proper supplies ready and assisting the patient through the procedure
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Arteriography
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Insert dye in artery
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Bone scan
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Radioactive
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Barium enema
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Looking at colon
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Bronchoscopy
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Looking in lungs, cancer, fluid, biopsy
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Contraindicated
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Not allowed; pregnancy means no x-rays
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Its the doctors responsibility
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to get consent and explain why there needs to be consent
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Nurses responsibility to check
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expiation dates and check if patients are allergic to iodine
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The patient needs to know
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what to do before surgery and how to get prepped
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Properly label
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all specimens
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Midstream urine sample
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its collected after voiding is initiated and before voiding is completed
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24 hour specimen needs to be kept
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on ice
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First collection of a 24 hour urine
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needs thrown away
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Last collection of a 24 hour specimen
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needs thrown away
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Always get blood glucose
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half an hour before meals
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No red meat in stool for
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3 days
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We do stool tests for 3 days and we can
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send it to the doctor threw mail
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During a sputum specimen you cant have
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saliva just hockers
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Culture test
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bacteria
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sensitivity test
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antibiotic
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cytology
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cancer
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acid-fast bacillus
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TB
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Obtaining a would culture
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aerobic organisms
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When doing a specimen collection you cant
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touch lips, teeth, tongue, or cheeks
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Anaerobic organisms
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without oxygen
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The nurse determines that the teaching about guaiac test of stool is understood when the patient states "This test can detect the presence of
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Hidden blood
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A practitioner orders a urine specimen for culture and sensitivity via a straight catheter for a patient. What should the nurse do when collecting the urine specimen?
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Use a sterile specimen container
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A nurse is caring for a patient who is having urine collected for a 24 hour urine test. During the afternoon of the testing period, the patient forgets and accidently voids in the toilet, but tells the nurse right away. What should the nurse do?
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Start the test again in the morning
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A nurse is caring for a patient who is admitted to the hospital with upper gastrointestinal bleeding. For which clinical indicator associated with gastrointestinal bleed should the nurse assess the patient?
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Black, tarry stool
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A nurse is caring for a patient who has an order for a stool specimen. What should the nurse do when collecting the specimen?
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Collect several inches of formed feces to ensure an adequate sample.
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Arteriogram
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We are injecting dye into artery, checking for blocks; priority is to check for allergies; coagulation studies. Need consent, afterwards check for vitals and bleeding.
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If patient has shock
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BP goes down and pulse goes up
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EEG
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Measures brain activity; wash hair before. Doctors may withdrawal medicine, withhold caffeine before test. One can also do a 24 hour test
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Bone marrow aspiration
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needle into bone, consent needed, lay steal; afterwards check for bleeding and check vitals
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Endoscopy gastroscopy
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Light looking into your stomach; get consent, do coagulation studies, check gag reflexes before eating and drinking
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X-ray
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Pregnant girls cant have this; contraindicated
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Lumbar puncture
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consent needed; needle into spine, laying down, or sitting. Remain still, afterwards encourage fluids and keep patients in supine position
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MRI
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No metals, no pacemakers; may give antianxiety meds. The machine makes a loud noise
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Paracentesis
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needle to abdomen to remove fluid; check coagulation studies; need consent
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Thoracentesis
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Needle in lungs to remove fluid; consent needed and coagulation studies
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Intravenous pyelography or intravenous urography
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Kidneys
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Syncope
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passing out
