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Week 8 CON
Week 8 Collecting a Sputum Specimen
| Question | Answer |
|---|---|
| Why might the collection of a sputum specimen be delayed up to 2 hours? | The patient has just finished eating lunch |
| Which criterion makes it appropriate for the nurse to delegate to nursing assistive personnel (NAP) the skill of collecting a sputum specimen? | The patient can produce the specimen by coughing. |
| What is the role of nursing assistive personnel (NAP) when a sputum specimen is collected by means of nasotracheal suctioning? | Transporting the specimen to the lab |
| Which action would help to ensure that the results of a suctioned sputum specimen culture are reliable? | Refrigerating the specimen until it can be taken to the lab. |
| Which action by the nurse would most effectively reduce the patient's risk for injury when collecting a sputum by means of nasotracheal suctioning? | Lubricating the catheter with sterile water. |
| How many seconds after placing gastric contents on the pH paper should the results be read? | 30 seconds |
| The nurse is verifying placement of a nasogastric tube. Which gastric pH result would indicate the tube is properly positioned? (Select all that apply.) | 2.0 and 3.0 |
| The nurse is collecting supplies to perform a Gastroccult test. The nurse sees both Gastroccult and Hemoccult test slides. Which of the following indicates correct understanding by the nurse of the differences between Gastroccult and Hemoccult testing? (S | 1. Hemoccult testing tests only for occult blood. 2. Gastroccult testing tests pH and occult blood. |
| The nurse is reviewing the patient’s medical record to determine if there are any factors present that can cause a false-positive result for occult blood testing. The nurse would be correct to identify which of the following? (Select all that apply.) | 1. Red meats, poultry, fish 2. Iron supplement 3. spinach, collard greenss |
| Which of the following could alter gastric pH test results? | Prescribed omeprazole (Prilosec) |
| Which step would be performed first in the sequence for obtaining a Gastroccult test from an NG tube? | Disconnect nasogastric tube from suction. Aspirate 5 to 10 mL with a catheter tip syringe. |
| The patient has been taking an over-the-counter acid reducer. What finding would be expected in the patient’s gastric pH results? | The pH would increase. |
| A patient just vomited and the nurse is going to test the emesis for occult blood. Which of the following may increase the likelihood of a positive Gastroccult test result? (Select all that apply.) The patient: | 1. takes an iron preparation. 2. ten year history of steroid use. 3. is on a long-term nonsteroidal anti-inflammatory drug regimen. |
| The nurse aspirates gastric contents and observes a “coffee ground appearance.” What priority action should the nurse take? | Report the finding to the health care provider. |
| The nurse informs the patient the result of an occult blood test on gastric contents was negative. The patient asks what this means. The nurse’s best response is: | “There was only a very small amount or no blood in the gastric secretions.” |
| The nurse is performing a Hemoccult test on stool of a patient with a low hemoglobin and hematocrit. Which one of the following steps would be inaccurate and would require correction? | Close slide cover, turn slide over, open cardboard flap and apply and drop of Hemoccult developing solution to each box, |
| The nurse if instructing the NAP how to perform a Hemoccult test. Which statement, if made by the NAP indicates further teaching is necessary and would require correction? | When preparing the Hemoccule slide, I should moisten the windows of the testing slide before applying the fecal sample. |
| The nurse is going to perform a Hematest on a fecal sample Which of the following would be an incorrect action if made by the nurse? | The Hematest tablets are placed o teh guaiac paper and the stool sample is placed on top of the Hematest tablet. |
| The nurse wants to assess the patient for factors which may place the patient at risk for gastrointestinal bleeding. Which of the following would increase the patient's potential for having a positive Hemoccult test? Select all that apply. | 1. Long term use of nonsteroidal anti-inflammatory drugs (NSAIDs). 2. Acetysaliclic acid (aspirin) 3. Long term use of steroids 4. Anticoagulants (heparin, warfarin sodium) |
| The patient had a positive Hemoccult test. Which of the following could affect the test resul.. ( Select all that apply) | 1. Povidone-iodine 2. Ascorbic acid (Vitamin C) 3.Diet high in poultry and fish |
| The NAP reports that the Hemoccult test was positive. This means that | the test result turned blue. |
| The patient is reading some literature on screening for colon cancer. The patient asks, What is melena? The nurse is correct to respond: | Black tarry feces caused by the digestion of blood in the gastrointestinal tract. |
| The health care provider has written the following orders: 0.45% NaCl at 50 mL/hr, C & S (culture & sensitivity) of wound, Levofloxacin (an antibiotic) 500 mg IV q 24 h, Diet as tolerated. Which health care provider’s order should receive highest priority | C&S of wound |
| A nurse is preparing to obtain an anaerobic wound culture. What supplies will the nurse require to carry out the procedure? (Select all that apply.) | 1. Clean gloves 2. Sterile gloves 3. Sterile dressing materials 4. Culture tube that contains carbon dioxide or nitrogen gas 5. 5 to 10 mL syringe and 19 gauge needle, Lab requisition, identification label, and biohazard bag |
Created by:
Brandi Sizemore
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