UnitekVN Specimen Collection Exam Questions And Answers

A diabetic client is scheduled to have a fingerstick glucose level, which of the following steps is most important when obtaining a blood sample? - ANS Place the lancet firmly against the side of the fingertip A pt has been ordered a 24 hr urine collection, the urine is accidentally contaminated after 22 hours of collection, what is the first nursing action? - ANS Contact the physician to inform them about the contamination Before administration of contrast media, the nurse will assess the client if - ANS Pt is allergic to iodine or shellfish The correct technique for cleaning a specimen for a throat culture is to use a sterile applicator and swab on the.. - ANS Uvula, tonsil area, and pharynx The nurse can obtain a sterile urine specimen by 2 methods, 1 by straight urine cath into the bladder, 2nd is to remove the urine from the - ANS Port of an indwelling catheter The physician has ordered a clean catch specimen of a client, what steps should the nurse do to prevent contamination - ANS To ensure the perineum is cleansed prior to getting a sample The process for collecting the blood specimen for measuring blood glucose levels is to hold the selected arm at his side for 30 seconds and collecting the specimen from the - ANS Side of the finger When collecting a 24 hr urine specimen, the nurse will have the client void when the specimen is started the first specimen is... - ANS Collected and discarded Which nursing action is essential before a chest x-ray is done - ANS Remove all the jewlery Client requiring stool test for an occult blood, which of the following nursing interventions should be performed to obtain accurate results - ANS Apply a small amount of stool in the first and second box A nurse is preparing to perform a urinary cath, to obtain a urine specimen for a client. She is concerned about privacy during the procedue, what sould the nurse do to elevate the client concern? - ANS Close the door and cover the client during the procedure A nurse is obtaining a urine for a culutre and sensititivty via a straight cath, which of the following actions should the nurse take - ANS Use a sterile specimen container A nurse is reinforcing teaching a client who is scheduled for a barium swallow to evaluate for dysphagia. Which of the following statements should indicate to the nurse that the client understands the instructions - ANS I will drink plenty of fluids after the test A client who is scheduled for a barium swallow asks a nurse why a laxative is necessary following the procedure. Which of the following responses should the nurse take? - ANS It helps eliminate the barium A nurse is reinforcing teaching with a client who is to have a bone marrow aspiration and biopsy. The nurse should tell the client that, in addition to the iliac crest, a common site for this procedure is which of the following? - ANS Sternum A nurse is assisting with the plan of care for a client who had an upper endoscopy 1 hr ago. The nurse should place the priority on monitoring which of the following? - ANS Gag reflex A nurse is preparing a client for magnetic resonance imaging (MRI). Which of the following statements should the nurse include when reinforcing teaching? - ANS "You'll have to remove metal objects such as watches and body jewelry." A nurse is reinforcing teaching with a client who is scheduled for a magnetic resonance imaging (MRI) of the heart and great vessels. Which of the following instructions should the nurse include about this test? - ANS "You will need to remove metal objects such as jewelry." A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the actions should the nurse take? - ANS Instruct the pt. to EMPTY the bladder. A nurse is caring for a client who is scheduled to undergo thoracentesis. In which of the following positions should the nurse place the client for the procedure? - ANS Sitting, leaning forward, over the bedside table. A nurse is reinforcing teaching with a client who has diabetes mellitus about using a glucometer to monitor her blood glucose. Which of the following actions should the nurse identify as an indication that the client understands the instructions? - ANS Use the SIDE of the fingertip as the puncture site. The health care provider has ordered a stool specimen for blood that is not possible to see with the naked eye. What does this exam detect? - ANS Occult blood In the assessment of a patient's urine sample, what would be considered an abnormal finding? - ANS Bloody mucus When is it best to collect a sputum sample from a patient? - ANS In the morning, upon awakening A nurse is caring for a client scheduled for a bone marrow biopsy. The client expresses fear about the procedure and asks the nurse if the biopsy will hurt. Which of the following responses should the nurse make? - ANS "The biopsy can be uncomfortable, but we will try to keep you as comfortable as possible." A nurse is caring for a client who is to have a chest x-ray. Which of the following teachings should the nurse reinforce with the client prior to the procedure? - ANS Front, back, and side views of the chest will be taken during the test. A nurse is caring for a client following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.) - ANS Provide oral fluids; Monitor for nausea; Check level of consciousness; Check sensation in the toes A nurse is monitoring a client who has just had a thoracentesis to remove pleural fluid. Which of the following clinical manifestations should indicate to the nurse the client is experiencing a complication and the provider should be notified immediately? - ANS Increased heart rate. A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider? - ANS Microscopic hematuria A charge nurse overhears a newly licensed nurse providing instructions to a female client on the proper steps to collect a midstream urine specimen. Which of the following statements made by the newly licensed nurse requires the charge nurse to intervene? - ANS "Use the provided towelette to cleanse the area by moving in a back-and-forth motion." A nurse is caring for a client who has a prescription for a stool guaiac test. The client asks the nurse about the purpose of the test. The nurse should respond by stating that the stool guaiac is testing for which of the following findings in the client's feces? - ANS Blood.