Chapter 23: Specimen Collection and Diagnostic Testing Cooper: Foundations and Adult Health Nursing, 9th Edition

New health care provider orders are transcribed for a patient to receive a colonoscopy. What must be completed before the

colonoscopy to indicate the patient has been given full knowledge about what will be done along with its risks and complications?

c. Informed consent

The nurse is preparing a patient for a diagnostic examination. What can the nurse implement to assist with reducing anxiety?

c. Answer questions for clarification.

A patient is required to provide a sample of body excretions per health care provider order. What action can the nurse take when

providing proper instructions to lessen the patient’s embarrassment?

b. Instruct patient to obtain his or her own specimen.

What health care professional has the responsibility for notifying the health care provider when laboratory and diagnostic studies

deviate from the norm?

c. Nurse

What is the term for the cleanest part of a voided urine specimen that is collected after voiding is initiated and before it is finished?

c. Midstream specimen

The patient is to be catheterized for residual urine. The nurse must perform this catheterization within how many minutes following

voiding?

d. 10 minutes

The process for collecting a 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. From what anatomic location is the specimen obtained?

c. Side of the finger

What type of stool specimen must be sent to the laboratory immediately?

b. Ova and parasites

What is the probable source of bright red blood in the stool?

c. Lower gastrointestinal tract

A sputum specimen is ordered on a patient diagnosed with pneumonia. When is the best time for the nurse to the attempt to collect

this specimen?

c. In the early morning

A patient is unable to obtain a sputum specimen by coughing and expectorating. What is the best way for the nurse to collect this

specimen?

c. Perform tracheal suctioning.

The nurse is collecting a specimen for a wound culture. What should be avoided when collecting this specimen?

d. Old drainage

Anaerobic organisms tend to grow within body cavities. What will the nurse use to collect an anaerobic specimen?

c. Sterile syringe tip

The nurse is obtaining a throat culture. What area will the nurse swab with a cotton-tipped applicator?

c. Pharynx

The nurse explains that electrocardiograms are graphic representations of electric impulses generated by the heart. What type of

abnormalities can an electrocardiogram identify?

b. Those that interfere with electric conduction

What is the rationale for the nurse to assess a patient’s knowledge of an ordered procedure?

c. To determine health teaching required

What should the nurse assess the patient for before administration of contrast media?

b. Is allergic to iodine.

The nurse is administering Telepaque for a cholecystogram. How frequently will the nurse administer 1 tablet of Telepaque before

this procedure?

c. Every 15 minutes

Following a liver biopsy, the nurse should observe for hemorrhage and ensure that the patient is kept on bed rest for 24 hours. How

should the nurse keep the patient for the first 1 to 2 hours?

c. On his or her right side

The patient has undergone a lumbar puncture. What position will the nurse place the patient in for up to 12 hours to avoid

discomfort from postpuncture spinal headache?

a. Supine

The procedure for collecting a sterile urine specimen via a catheter port includes clamping the Foley catheter tubing below the

catheter port. How long will the clamp remain in place?

d. 30 minutes

The nurse is caring for a patient following a bronchoscopy and maintains NPO status for 2 hours. What additional assessment will

indicate to the nurse that this patient’s risk for aspiration has decreased?

c. Gag reflex has returned.

The nurse has an order to perform occult blood testing on a patient’s emesis. What color will the sample turn to indicate that the

test is positive for occult blood?

b. Blue

What should the nurse do when preparing the patient for an abdominal scan?

b. Assess patient for allergies to dye or shellfish.

What should the nurse do when preparing the patient for an arteriography?

a. Verify if the patient has been taking anticoagulants.

The nurse is preparing a patient for a barium enema. What color will the nurse inform the patient his stools will be following this

procedure?

b. White

What should the nurse do when preparing the patient for an amniocentesis?

c. Monitor fetal heart tones.

What should the nurse do when preparing the patient for a bone scan?

d. Encourage water intake.

What should the nurse do when preparing the patient for a brain scan?

c. Inform the patient that a clicking noise will be heard during the scan.

What should the nurse do when preparing the patient for a bronchoscopy?

d. Reassure the patient that he or she will be able to breathe during the procedure.

What should the nurse encourage the patient to consume when preparing for an electroencephalogram (EEG)?

b. Food

What intervention should the nurse implement when preparing the patient for a glucose tolerance test (GTT)?

c. Keep patient NPO 8 hours before the test.

What should the nurse do when preparing the patient for an exercise tolerance test (treadmill)?

c. Allow the patient to drink water before the test.

A patient has just had a liver biopsy. What should the nurse do immediately following this procedure?

d. Tell the patient to avoid coughing.

The nurse is preparing to collect a urine specimen. What will this nurse include when labeling this specimen? (Select all that

apply.)

a. Date and time of collection

c. Room number

d. Medical record number