Nurse Moose
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    Exam Review

    1. The nurse has instructed a patient on the procedure for obtaining a midstream urine specimen. The patient asks, "Why does the urine sample need to be collected in this manner?" The nurse's best response is:
      A)"This method will prevent you from developing urinary incontinence by strengthening perineal muscles."
      B)"By catching the middle of the urine stream, it provides time to ensure the bladder is completely empty."
      C)"It is performed this way in order to verify fresh urine is obtained for testing, increasing accuracy."
      D)"The initial stream flushes out microorganisms that accumulate at the opening of the urinary tract."
    2. The nurse observes the UAP obtain a client's blood glucose measurement. Which of the following, if observed, would require correction by the nurse? (Select all that apply)(SATA)
      A)The UAP milks the client's finger before pressing the release button of the lancet device.
      B)The UAP cleans the central tip of the finger with an antiseptic swab and allows it to air dry.
      C)The UAP holds the finger in a dependent position to improve blood flow to the puncture site.
      D)The UAP uses the lateral aspect of the fingertip as the primary site for the lancet puncture.
      E)The UAP wipes away the first drop of blood with a sterile gauze pad before testing.
    3. What are some interventions the nurse can do to help minimize embarrassment for the patient during specimen collection? (Select all that apply)(SATA)
      A)Allow the patient to perform as much of the sample collection as appropriate.
      B)Provide privacy.
      C)Perform the specimen collection for the patient so you don't have to discuss it.
      D)Provide written instructions only.
      E)Use a matter-of-fact, professional demeanor when discussing the procedure.
    4. The health care provider has written the following orders: 0.45% NaCl at 50 mL/hr, C & S (culture & sensitivity) of wound, Levofloxacin 500 mg IV q 24h. Diet as tolerated. Which health care provider's order should receive highest priority?
      A)Diet as tolerated
      B)It doesn't matter; just so that they are all completed
      C)Levofloxacin 500 mg IV
      D)C & S of the wound
      E)0.45% NaCl at 50 mL/hr
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    Exam Review

    1. What abnormal characteristics should be reported after obtaining a urine sample? (Select all that apply)(SATA)
      A)Light amber color
      B)Yellow color
      C)Slight musty odor
      D)Blood-tinged
      E)Presence of sediment
      F)Cloudiness of urine
    2. The nurse has informed the patient a wound culture is going to be obtained. The patient asks why the nurse cleans the wound before swabbing it, stating "Won't that keep any infection from showing up on the test?" Which response by the nurse indicates the correct rationale for cleaning the wound prior to obtaining the culture?
      A)"Cleaning the wound keeps the wound free of pathogenic microorganisms."
      B)"Removing skin flora prevents possible contamination of the specimen."
      C)"Removing drainage minimizes discomfort during the procedure."
      D)"Cleaning the wound reduces the spread of infection."
    3. Which of the following are indications of a localized wound infection? (Select all that apply)(SATA)
      A)Warmth at wound site
      B)Purulent drainage
      C)Fever
      D)Pain or tenderness at wound site
      E)Chills
    4. Which of the following are reasons for performing lab tests? (Select all that apply)(SATA)
      A)Meets requirements of third party payers (i.e., insurance companies)
      B)Reduces the need for medication therapy
      C)Provides information about the stage of a disease process
      D)Aids in diagnosis of health care problems
      E)Measures a patient's response to therapy
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    Exam Review

    1. A patient had blood drawn for coagulation studies. The result is critically high. What action should take place at this time?
      A)The nurse should notify the health care provider whenever they arrive on the unit.
      B)The laboratory technician should notify the health care provider of the result.
      C)The nurse should call the health care provider with the result.
      D)The laboratory technician should repeat the test for verification.
    2. Which of the following statements, if made by the patient regarding a midstream (clean-voided) urine specimen, indicate that further teaching is required? (Select all that apply)(SATA)
      A)Male patient: "I will clean myself by using the antiseptic towelette, starting at the center going outward in a circular motion."
      B)"I should first start urinating into the toilet, then use the sterile specimen cup to collect about 3 to 4 ounces of urine, and finish urinating into the toilet."
      C)"I should wash myself with soap and water, and urinate into the specimen cup."
      D)"I should urinate 30 to 60 mL into a cup and then finish urinating in the toilet."
      E)Female patient: "I will clean myself by using the cotton balls and antiseptic solution. I will cleanse moving from front to back using a fresh swab each time, repeating motion 3 times."
      F)"I should avoid touching the inside of the specimen cup or lid."
    3. Which of the following tests requires sterile gloves?
      A)Performing a Hemoccult test on stool
      B)Obtaining a wound culture
      C)Obtaining a midstream urine specimen
      D)Performing a Gastroccult test
    4. Which of the following can be determined from Gastroccult testing? (Select all that apply)(SATA)
      A)The amount of bleeding in the stomach
      B)The presence of blood in gastric contents
      C)Cancerous cells in the stool
      D)The pH of the gastric contents
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