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Chapter 24 Diagnostic Tests and Specimen Collection

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show Baseline vitals signs; asssist patient to a side-lying flexed position; set-up sterile tray & supplies; tell patient not to cough and to breathe slowly and deeply; hold patient's arms and legs in flexed position; warn patient about discomfort.  
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show Label tubes; check that pressure dressing it intact over puncture site; instruct patient to maintain a dorsal recumbent position 4-12hrs; document procedure/patient's response.  
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show Baseline vital signs; premedicated as ordered; set-up sterile tray; the position depends on aspiration site; monitor status of patient during procedure.  
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show Note charactistics of aspirate and document the procedure and patient's response.  
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Pre-op nursing interventions for Thoracentesis   show
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show Assist patient to a comfortable position in bed after procedure; label specimens; document the procedure and patient's response.  
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Pre-op nursing intervention for Paracentesis   show
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show Make sure the pressure dressing is intact; assist patient in comfortable position in bed; label specimens; document the procedure & patient's response. Monitor vitals per agency protocol.  
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show Assist patient to a supine position at the far right side of bed with right arm over the head and head turned to left; have patient practice taking a deep breath, blowing it out, and holding breath, then breathing normally; warn client about pucture.  
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show Assist to move to the center of the bed and turn onto the right side; instruct client to maintain position for 2 hr; label speciment and send to lab; keep client on bed rest for 6hr; asses vital q15min x4; q30min x4; q1h x4; q4h.  
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Thoracentesis is   show
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Paracentesis is   show
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