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Foundations of Nursing 5th Edition Christensen Kockrow Test Bank

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Foundations of Nursing 5th Edition Christensen Kockrow Test Bank

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ISBN-13: 9780323042529
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ISBN-13: 9780323042529

Description

Foundations of Nursing 5th Edition Christensen Kockrow Test Bank

·
ISBN-13: 9780323042529
·
ISBN-13: 9780323042529

 

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Christensen & Kockrow: Foundations of Nursing, 5th Edition

 

Test Bank

 

Chapter 19: Specimen Collection and Diagnostic Examination

 

MULTIPLE CHOICE

 

  1. Prior to giving permission for any procedure, a patient must have full knowledge about what will be done during the procedure along with its risks and complications. This is called
1. patients’ rights.
2. advance directives.
3. informed consent.
4. patient protection.

 

 

ANS:   3

Informed consent states that the patient must fully understand and be aware of the risks and complications of what is to be done.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 482         OBJ:    15

TOP:    Proper preparation                              KEY:   Nursing Process Step: Planning

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The nurse can reduce any anxiety when preparing a patient for a diagnostic examination by
1. explaining the costs of the examination.
2. demonstrating use of equipment.
3. answering questions for clarification.
4. filling out required paperwork.

 

 

ANS:   3

The nurse must be prepared to answer any questions that the patient may have in order to reduce anxiety and give valid information.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 485         OBJ:    15

TOP:    Proper preparation                              KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

  1. To avoid embarrassment when asked to provide a sample of body excretions, the nurse may provide the patient with proper instructions and allow the patient to
1. provide the specimen behind a screen.
2. obtain his or her own specimen.
3. return later when he or she is more comfortable.
4. use a CNA for assistance to obtain the specimen.

 

 

ANS:   2

With proper instruction, many patients may obtain their own specimen.

 

DIF:    Cognitive Level: Application             REF:    Page 483         OBJ:    3

TOP:    Specimen collection                           KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity

 

  1. The responsibility for notifying the physician when laboratory and diagnostic studies deviate from the norm belongs to the
1. laboratory technician.
2. cooperating physician.
3. nurse.
4. supervisor.

 

 

ANS:   3

It is the nurse’s responsibility to notify the physician when laboratory and diagnostic studies deviate from the norm.

 

DIF:    Cognitive Level: Application             REF:    Page 501         OBJ:    15

TOP:    Diagnostic studies                              KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The nurse clarifies that the cleanest part of a voided urine specimen is collected after voiding is initiated and before it is finished. This is called a
1. sterile specimen.
2. “caught” specimen.
3. midstream specimen.
4. patient-collected specimen.

 

 

ANS:   3

A midstream urine specimen is collected after voiding is initiated and before it is completed.

 

DIF:    Cognitive Level: Application             REF:    Page 502         OBJ:    10

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The nurse can obtain a sterile urine specimen by two methods. One is using a straight urine catheter into the bladder. The second method is to remove the urine from
1. a urinary drainage bag.
2. the port of an indwelling catheter.
3. a Foley catheter tube.
4. a midstream urine specimen.

 

 

ANS:   2

A sterile urine specimen can be obtained from a straight catheterization or the port of an indwelling catheter.

 

DIF:    Cognitive Level: Application             REF:    Page 502         OBJ:    10

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The patient voids and is to be catheterized for residual urine. The nurse must perform this catheterization following the voiding within
1. 1 hour.
2. 30 minutes.
3. 10 minutes.
4. 15 minutes.

 

 

ANS:   3

Catheterization is performed within 10 minutes of the patient voiding to check for residual urine.

 

DIF:    Cognitive Level: Implementation      REF:    Page 502         OBJ:    10

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. When collecting a 24-hour urine specimen, the nurse will have the patient void when the specimen is started. This first specimen is
1. placed in a large container.
2. placed in a container which is placed on ice.
3. measured and recorded on the I&O record.
4. collected and discarded.

 

 

ANS:   4

Have the patient void when 24-hour specimen is begun. Discard the specimen.

 

DIF:    Cognitive Level: Application             REF:    Page 505, Skill 19-4

OBJ:    10                    TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The process for collecting the blood specimen for measuring blood glucose levels begins by asking the patient to hold the selected arm at his or her side for 30 seconds and taking the specimen from
1. tip of the finger.
2. cubital fossa.
3. side of the finger.
4. center of the thumb.

 

 

ANS:   3

Collect the specimen from the side of the selected finger to avoid painful fingertips for the patient.

 

DIF:    Cognitive Level: Application             REF:    Page 506, Skill 19-5

OBJ:    3                      TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity

 

  1. The nurse reminds the student nurse that the stool specimen that must be sent to the laboratory immediately is a specimen for
1. occult blood.
2. ova and parasites.
3. infection.
4. fats.

 

 

ANS:   2

A stool specimen for the presence of ova or parasites must be taken to the laboratory immediately.

 

DIF:    Cognitive Level: Application             REF:    Page 508, Skill 19-6

OBJ:    8                      TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. When the nurse assesses blood in the stool that is bright red, she may document that the probable source of the blood is in the
1. stomach.
2. small intestine.
3. lower gastrointestinal tract.
4. higher intestinal tract.

 

 

ANS:   3

When blood in the stool is bright red, it is known that the site of bleeding is in the lower gastrointestinal tract.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 507         OBJ:    8

TOP:    Specimen        KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

  1. Because the nurse is aware that a sputum specimen must come from deep in the bronchial tree, she will attempt to collect the specimen
1. at bedtime.
2. after lunch.
3. early morning.
4. after breakfast.

 

 

ANS:   3

Early morning prior to a meal is the best time to collect a sputum specimen.

 

DIF:    Cognitive Level: Application             REF:    Page 507         OBJ:    9

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. Because some patients are unable to obtain a sputum specimen by coughing and expectorating, the nurse may collect the specimen by
1. asking patient to spit.
2. directing the patient to turn, cough, and breathe deeply.
3. tracheal suctioning.
4. bronchoscopy.

 

 

ANS:   3

Some patients cannot expectorate and must have the trachea suctioned to obtain a specimen.

 

DIF:    Cognitive Level: Application             REF:    Page 509         OBJ:    9

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. When the nurse is collecting a specimen for a wound culture, the specimen should never be collected from
1. a dressing.
2. deep in the wound.
3. the outer edge of the wound.
4. old drainage.

 

 

ANS:   4

Never collect a wound culture from old drainage.

 

DIF:    Cognitive Level: Application             REF:    Page 509         OBJ:    4

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The type of organisms that grow in superficial wounds exposed to the air is called
1. bacteria.
2. fungi.
3. anaerobic.
4. aerobic.

 

 

ANS:   4

Aerobic organisms grow in superficial wounds exposed to air.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 509         OBJ:    4

TOP:    Specimen        KEY:   Nursing Process Step: N/A                MSC:   NCLEX: N/A

 

  1. Anaerobic organisms tend to grow within body cavities. To collect an anaerobic specimen, the nurse uses a sterile
1. cotton applicator.
2. culture tube.
3. syringe tip.
4. glass rod.

 

 

ANS:   3

To collect an anaerobic specimen deep in a body cavity, the nurse uses a sterile syringe tip.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 509         OBJ:    3

TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. When obtaining a throat culture, the nurse must use a cotton-tipped applicator to swab the
1. larynx.
2. oral mucosa.
3. pharynx.
4. trachea.

 

 

ANS:   3

Quickly swab the tonsillar area (pharynx) with a sterile cotton-tipped applicator to obtain a specimen for a throat culture.

 

DIF:    Cognitive Level: Application             REF:    Page 514, Skill 19-11

OBJ:    3                      TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The nurse explains that electrocardiograms are graphic representations of electrical impulses generated by the heart and can identify abnormalities that
1. produce a cardiac cycle.
2. interfere with electrical conduction.
3. result from a interrupted blood flow.
4. interfere with heart contraction.

 

 

ANS:   2

Electrocardiograms identify abnormalities that interfere with electrical conduction.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 518         OBJ:    13

TOP:    Electrocardiogram                              KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The nurse will assess the patient’s knowledge of the procedure to determine
1. difficulties the patient may encounter.
2. the nurse’s role in the procedure.
3. health teaching required.
4. anxiety the patient has.

 

 

ANS:   3

The nurse will need to assess the patient’s knowledge of the procedure to determine the level of health care teaching needed.

 

DIF:    Cognitive Level: Application             REF:    Page 485, Box 19-1

OBJ:    5                      TOP:    Teaching needs

KEY:   Nursing Process Step: Assessment    MSC:   NCLEX: Psychosocial Integrity

 

  1. Before administration of contrast media, the nurse will assess if the patient
1. has been NPO.
2. is allergic to iodine.
3. has emptied the bladder.
4. has taken medication.

 

 

ANS:   2

The patient should always be assessed for allergies to iodine before administering contrast media.

 

DIF:    Cognitive Level: Application             REF:    Page 486, Box 19-2

OBJ:    16                    TOP:    Diagnostic examinations

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The nurse will administer Telepaque as preparation for a cholecystogram one tablet at a time every
1. 5 minutes.
2. 10 minutes.
3. 15 minutes.
4. 20 minutes.

 

 

ANS:   3

Telepaque should be taken one at a time, waiting 15 minutes after each tablet.

 

DIF:    Cognitive Level: Application             REF:    Page 493, Table 19-1

OBJ:    15                    TOP:    Diagnostic examinations

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. Following a liver biopsy, the nurse will observe for hemorrhage and that the patient is kept at bedrest for 24 hours. For the first 1-2 hours, the nurse will keep the patient
1. on his or her left side.
2. on his or her back.
3. on his or her right side.
4. in high Fowler’s position.

 

 

ANS:   3

Keep the patient on his or her right side for 1-2 hours.

 

DIF:    Cognitive Level: Application             REF:    Page 595, Table 19-1

OBJ:    14                    TOP:    Diagnostic examinations

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The patient has undergone a lumbar puncture. The nurse places the patient in which of the following positions for up to 12 hours to avoid discomfort from post-puncture spinal headache?
1. Supine
2. Lateral
3. Sims’
4. Prone

 

 

ANS:   4

Place the patient in the prone position and keep in reclining position for 12 hours.

 

DIF:    Cognitive Level: Application             REF:    Page 486, Table 19-1

OBJ:    3                      TOP:    Diagnostic examinations

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. When preparing a patient for a diagnostic examination, part of the nurse’s role is to obtain a signed informed consent prior to the procedure. This is required for all
1. x-ray procedures.
2. invasive procedures.
3. procedures using dye.
4. procedures requiring specimens.

 

 

ANS:   2

All invasive procedures require a signed informed consent.

 

DIF:    Cognitive Level: Application             REF:    Page 482         OBJ:    15

TOP:    Diagnostic examinations                    KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. The procedure for collecting a sterile urine specimen via a catheter port includes clamping the Foley catheter tubing below the catheter port for
1. 5 minutes.
2. 10 minutes.
3. 20 minutes.
4. 30 minutes.

 

 

ANS:   4

Clamp just below the catheter port for 30 minutes.

 

DIF:    Cognitive Level: Application             REF:    Page 804, Skill 19-3

OBJ:    10                    TOP:    Specimen        KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment

 

  1. Following a bronchoscopy, in order to protect the patient from aspiration, the nurse will prevent the patient from eating or drinking for 2 hours until
1. he or she is fully awake.
2. he or she asks for a drink.
3. the gag reflex has returned.
4. the preoperative medication has worn off.

 

 

ANS:   3

Do not allow the patient to eat or drink after the procedure until the gag reflex has returned.

 

DIF:    Cognitive Level: Application             REF:    Page 489, Table 19-1

OBJ:    14                    TOP:    Diagnostic examinations

KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Safe, Effective Care Environment