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Obtaining a capillary blood specimen to measure blood glucose, you should V Vensure there is good blood flow at the puncture site True or False When testing for fecal occult blood, a green color indicates a guaiac positive result. /V False ARN instructing a female patient on obtaining a clean catch urine specimen should stress to: vVJVoid a small amount of urine before collecting the specimen The client has an indwelling catheter. The nurse should obtain a sterile urine specimen by v Vusing a syringe to withdraw urine from the catheter tubing port An x-ray of the abdomen visualizing the kidneys, ureters and bladder is known as: /WKUB What is an echocardiogram? V V Visualization of the structures of the heart by using ultrasound What does MRI stand for? /V Magnetic Resonance Imaging Thoracentesis is removal of fluid from: / V pleural space While assisting with a thoracentesis the nurse should do all of the following EXCEPT: Vv VHave the patient cough periodically during the procedure A noninvasive method of estimating bladder volume would be: VV Bladder Scanner Your urine should smell ¥ /aromatic What is a normal urine output per hour? /V30 mL Urge incontinence is due to V Van overactive bladder Stress incontinence is when V urine leaks when you laugh, cough or sneeze The presence of ketones in the urine indicates / /rapid breakdown of fat The nurse who teaches a client about preventing UTIs would include which statement? VVJVoid immediately after sexual intercourse How much space should you leave from the tip of the penis and the drainage tube when applying a condom cath? VV‘1 Inch The nurse understands that a straight catheterization: Y/ Vempties the bladder and the catheter is immediately removed The purpose of a three way Foley after a TURP is to VV Irrigation A nurse is inserting a Foley catheter in a female and obtains clear urine. What next? v VAdvance the catheter another 2 inches (5 cm) Where should Foley indwelling catheter drainage bag be positioned after insertion of catheter? V VLower than the level of the bladder What are the causes of constipation? VV poor bowel habits diet low in fiber chronic use of laxatives before fecal occult test eat VV bread diagnosis of Alteration in urinary elimination, retention. On assessment, the nurse anticipates that this client will exhibit: Va feeling of pressure and voiding of small amounts. diarrhea patients should consume V Vlean meats A colonoscopy is ordered and the patient has questions about the examination. Before the colonoscopy, the nurse teaches the patient that: / Vlight sedation is normally used In an assessment of a client with overflow incontinence, the nurse expects to find that the client has: / constant dribbling of urine Anurse is monitoring a client's fluid intake. For breakfast, the client consumed 8 oz of milk, 10 oz of water, 4 oz of flavored gelatin, 1 scrambled egg, 1 crisp piece of bacon, and 2 biscuits with jelly. The nurse should record the fluid intake as: / 660 mLs 24 hour urine needs to be restarted in the event that: VV client voids in the toilet Which interventions prevent or minimize the risk factors in clients at risk for spiration? Vv J Feeding the patient small bites. Keeping suction equipment nearby. Positioning the client upright at 90 degrees. Providing liquids with a thickening agent. The client receiving a tube feeding develops diarrhea. The nurse should: V Vadjust rate of infusion Critical care element for clients with ileostemy VV skin care Why would a nurse order a guaiac test VV blood in stool most important question for MRI V/V Any metal in body? considerations for diagnostic procedures V V what type of sample? NPO? Contrast? Medications? Duration of test consent? what is included in the CBC VV Hgb Het Erythrocytes RBC Leukocytes diff wbc Components of BMP (basic metabolic panel) /W BUN Creatinine Potassium Sodium Calcium Chloride Glucose clean-voided sample V V 1st morning void clean catch sample V/V mid stream clean perineum with antiseptic begin stream-pause-put cup under stream what does specific gravity of urine measure? V V# of solutes present normal urine pH / V6 anoscopy V V visualizing the anus proctoscopy VV rectum proctosigmoidoscopy ¥ V the viewing of the rectum and sigmoid colon colonoscopy V V large intestine IV pyelography V Vcontrast medium injected IV to visualize the kidney and ureters retrograde pyelography V contrast medium injected directly into the kidneys via the urethra cytoscopy ¥V Vlighted instrument inserted into the urethra xray VV bone ct scan VVsoft tissue mri ¥ Vsoft tissue magnetic field tattoos can become warm during procedure electrocardiography V ¥ graphic recording of hearts electrical activity (ecg) angiography V V invasive dye to visualize blood flow echocardiogram ¥ V noninvasive ultrasound used to visualize structures of the heart v/q lung scan V Vhow well gasses are exchanged in the lungs where is needle in lumbar puncture placed? V V between 3-4 or 4-5 vert what is the result of draining too much fluid during paracentesis V Vhypovolemic shock factors affecting elimination V V developmental factors psychosocial fluid/food intake meds muscle tone pathologic conditions surgical/diagnostic procedures constipation V /fewer than 3 bowel movements per week patient teaching for constipation V V exercise fiber fluids do not ignore urge to defecate avoid certain meds tx for constipation V V stool softeners laxatives enemas diarrhea patient teaching VV fiber no alcohol/caffeine limit fat intake ostomies are named: ¥ V according to their location (colostomy, gastrostomy, etc). stoma VV piece of bowel pulled through abdominal wall drug abuse V Vinappropriate intake of a substance drug dependence VV persons need to take a drug physiological dependence VV changes in body and nervous system tissues tissues require drug to function properly psychological dependence V Vemotional reliance on a drug drug habituation / Vmild form of psychological dependence pharmacodynamics V V what the drug does to the body Pharmacokinetics VV The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. absorbtion V Vhow drug enters bloodstream route of admin matters distribution V transportation of a drug from site of absorption to site of action Where does biotransformation occur? V Vliver start order //give meds immediately single order /Vone time order standing order /V may or may not have a termination date prn order / Vas needed essential parts of a drug order / V-Full name of the client #30 for insulin needle length-5/8" site for subcutaneous injections / Abdomen Upper arm Thigh Scapular Upper ventrodorsal gluteal Site for IM injections V VVentrogluteal Vastus lateralis Deltoid transdermal patch administration V V Wear gloves, remove old patch, choose new site, clean and dry skin, apply new patch, avoid applying to broken skin, fold patch inwards when removing otic med administration rules /Wup and back for over age of 3 down and back for under age of 3 retain meds for 5 mins in side laying position hypertonic enema VV Osmotic pressure Isotonic enema V V Expands the colon Main job of cleansing enemas V /Empty bowels by stimulating peristalsis oil retention enema V VFeces absorbs oil and becomes softer and easier to pass Pt teaching for oil retention enema / / Must retain for 1-3 hours Main job of oil retention enema V V Lubricate rectum and colon hypertonic enema VV Osmotic pressure draws fluid into colon isotonic enema VV Expands the colon to promote peristalsis How much fluid for a cleansing enema /V120-1000 mLs oil retention enema VV feces absorb the oil and become softer and easier to pass Retain enema for 1-3 hours How mutch liquid for oil retention enema V/V120-150 mLs Colonoscopy V V Large intestine 
