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Stack #70432
Chapter 24 Diagnostic Tests and Specimen Collection
| Question | Answer |
|---|---|
| Pre-op nursing interventions for a Lumbar puncture (spinal tap) | 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. |
| Post-op nursing interventions for Lumbar puncture (spinal tap) | 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. |
| Pre-op nursing intervention for Bone Marrow Aspiration | Baseline vital signs; premedicated as ordered; set-up sterile tray; the position depends on aspiration site; monitor status of patient during procedure. |
| Post-op interventions for Bone Marrow Aspiration | Note charactistics of aspirate and document the procedure and patient's response. |
| Pre-op nursing interventions for Thoracentesis | Baseline vital signs; set up sterile tray; assist client to lean over table; support client's body in this position; if patient is unable to sit, assist in a side-lying position. and assess respiratory during |
| Post-op nursing interventions for Thoracentesis | Assist patient to a comfortable position in bed after procedure; label specimens; document the procedure and patient's response. |
| Pre-op nursing intervention for Paracentesis | Baseline vital signs; position pation upright on the side of the bed or sitting backward on a straight chair with feet supported; set-up sterile tray; sit in front of patient and warn when puncture is to be made; assess respiration and vitals every 15 min |
| Post-op nursing intervention for Paracentesis | 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. |
| Pre-op nursing interventions for Liver biopsy (aspiration) | 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. |
| Post-op nursing interventions for Liver biopsy (aspiration) | 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. |
| Thoracentesis is | insertion of needle through the chest wall to the pleural space to drain fluid or air to instill medication. |
| Paracentesis is | a needle puncture of the abdoment to remove ascites fluid, perform a lavage, or initiate peritoneal dialysis. |
Created by:
Shaddinger
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