MEDSURG LAB TESTS

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Description and Tags

Nursing

Medical-Surgical

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11 Terms

1
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Chest X-Ray

Provides information on anatomic location and appearance. Pre-Procedure Nursing Care includes removing metal objects, assessing breath-holding ability, and questioning pregnancy.

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Sputum Collection

Obtained by expectoration, tracheal suctioning, or bronchoscopy. Pre-Procedure Nursing Care involves determining purpose, collecting specimen before antibiotics, and rinsing mouth with water.

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Pulse Oximetry

Non-invasive test for arterial O2 saturation. Procedure includes placing a sensor on finger, toe, nose, or earlobe. SaO2 below 91% requires immediate treatment.

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Bronchoscopy

Visual examination of larynx, trachea, and bronchi. Pre-Procedure involves NPO, assessing coagulation studies, and post-Procedure monitoring for complications.

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Pulmonary Angiography

Involves insertion of a fluoroscope into the pulmonary artery. Pre-Procedure includes NPO, assessing coagulation studies, and post-Procedure monitoring for bleeding and dye reaction.

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Thoracentesis

Involves inserting a needle into the pleural cavity. Pre-Procedure includes informed consent, NPO, and post-Procedure monitoring for complications.

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Lung Biopsy

Indicated if other tests fail to identify pulmonary lesions. Pre-Procedure involves informed consent, NPO, and post-Procedure monitoring for complications.

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Ventilation Perfusion Scan

Determines pulmonary airway patency. Pre-Procedure includes informed consent, assessing allergies, and post-Procedure monitoring reactions.

9
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Skin Tests

Determine hypersensitivity. Precautions include avoiding areas with excessive hair, documenting test site, and assessing for reactions.

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Arterial Blood Gas Analysis (ABG)

Measures tissue oxygenation, CO2 removal, and acid-base balance. Interpretation involves pH, cause (respiratory or metabolic), and compensation. Obtaining specimen includes Allen’s test and using a heparinized syringe.

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Pulmonary Function Tests

Evaluate pulmonary function through spirometric measurements. Pre-Procedure involves informed consent, reporting allergies, and avoiding smoking.