QUESTION DIGEST WITH CORRECT
SOLUTIONS
◉What should be avoided 24 hours before a diagnostic test?
Answer: Alcoholic beverages, vitamins, caffeine, and other
medications.
◉What is the procedure for a 24-hour urine collection? Answer:
Have the client void at 0700 and discard that specimen, then collect
all urine for the next 24 hours.
◉What should be done if a void is missed during a 24-hour urine
collection? Answer: Discard the missed sample and start the
collection over.
◉What is the preferred specimen for sputum collection? Answer:
The first morning specimen.
◉What should a client do before sputum collection? Answer:
Encourage fluid intake the night before and avoid brushing teeth or
using mouthwash.
,◉What is the procedure for collecting feces for occult blood testing?
Answer: Provide cards impregnated with guaiac or a specimen
collection cup, requiring three samples.
◉What dietary restrictions should be followed before an occult
blood test? Answer: Avoid vitamin C-rich foods, red meat, poultry,
and fish for 3 days prior to the test.
◉What does a positive finding for blood in feces indicate? Answer:
It may indicate gastrointestinal bleeding, such as from an ulcer,
colitis, or cancer.
◉What is the role of the nurse during a cytology specimen
collection? Answer: Explain the procedure and assist in the
collection process.
◉What position should a client be in for a gynecological smear?
Answer: Lithotomy or dorsal recumbent position.
◉How should a semen specimen be collected? Answer: By
masturbation, coitus interruptus, or using a condom, and it should
be kept warm and sent to the lab within 30-60 minutes.
, ◉What is the procedure for a lumbar puncture? Answer: Insert a
spinal needle between vertebrae into the lumbar section to obtain a
CSF sample.
◉What should be monitored post-lumbar puncture? Answer: Vital
signs, puncture site for bleeding, and lower extremities for
circulation, sensation, and movement.
◉What position should a client lie in after a lumbar puncture?
Answer: Supine position for 1-8 hours to prevent a spinal headache.
◉What is the purpose of a thoracentesis? Answer: To collect pleural
fluid for analysis.
◉What should be done before a thoracentesis procedure? Answer:
Obtain written consent, check allergies, and baseline vital signs.
◉What position should a client be in during a thoracentesis?
Answer: Sitting on the edge of the bed or lying partially on the side
or back.
◉What is the maximum amount of fluid that should be drained
during a paracentesis? Answer: No more than 1500 mLs to avoid
shock.