Week 8 Collecting a Sputum Specimen
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| Why might the collection of a sputum specimen be delayed up to 2 hours? | The patient has just finished eating lunch
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| 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.
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| 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
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| 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.
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| 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.
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| How many seconds after placing gastric contents on the pH paper should the results be read? | 30 seconds
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| 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
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| 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.
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| 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
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| Which of the following could alter gastric pH test results? | Prescribed omeprazole (Prilosec)
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| 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.
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| 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.
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| 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.
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| 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.
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| 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.”
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| 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,
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| 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.
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| 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.
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| 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)
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| 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
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| The NAP reports that the Hemoccult test was positive. This means that | the test result turned blue.
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| 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.
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| 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
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| 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
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Created by:
Brandi Sizemore
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