Question 1

Under which circumstances should a nurse contact the physician to postpone intravenous moderate sedation?

Accepted Answer

A)  If the patient has been NPO for 1 hour. 
B)  If the patient has a history of substance abuse. 
C)  If the patient has no history of latex allergy. 
D)  If the patient has demonstrated an understanding of the procedure. 
A)  If the patient has been NPO for 1 hour. 
B)  If the patient has a history of substance abuse. 
C)  If the patient has no history of latex allergy. 
D)  If the patient has demonstrated an understanding of the procedure. A

Question 2

What action should the nurse take after an angiography?

Accepted Answer

A)  Limit the patient's fluid intake. 
B)  Have the patient ambulate as soon as possible. 
C)  Apply a pressure dressing to the vascular site. 
D)  Maintain the patient in a sitting position while he or she is in bed. 
A)  Limit the patient's fluid intake. 
B)  Have the patient ambulate as soon as possible. 
C)  Apply a pressure dressing to the vascular site. 
D)  Maintain the patient in a sitting position while he or she is in bed. C

Question 3

___________ is the examination of the tracheobronchial tree through a lighted tube containing mirrors.

Accepted Answer

Bronchoscopy
Bronchoscopy is the examination of the tracheobronchial tree through a lighted tube containing mirrors.

Question 4

When explaining what to expect during a bronchoscopy,a nurse informs a patient that:

Accepted Answer

A)  An anesthetic solution will be swallowed. 
B)  The tube will be passed through the nose. 
C)  Nothing will be given by mouth for 2 to 3 hours prior. 
D)  No food or fluid will be provided until the gag reflex returns. 
A)  An anesthetic solution will be swallowed. 
B)  The tube will be passed through the nose. 
C)  Nothing will be given by mouth for 2 to 3 hours prior. 
D)  No food or fluid will be provided until the gag reflex returns.

Question 5

The patient has undergone a cardiac catheterization.It has been 2 hours since the catheter and sheath have been removed.Which of the following would be a concern for the nurse recovering the patient after the procedure? (Select all that apply.)

Accepted Answer

A)  Swelling and hardness at the catheter insertion site 
B)  Complaints of itching and urticaria 
C)  Urine output less than 30 mL/hour 
D)  Low back pain radiating to both sides of the body 
E)   None of above 
A)  Swelling and hardness at the catheter insertion site 
B)  Complaints of itching and urticaria 
C)  Urine output less than 30 mL/hour 
D)  Low back pain radiating to both sides of the body 
E)   None of above

Question 6

The nurse is preparing to assist with a bone marrow aspiration on a 3-month-old infant.The nurse may expect that the physician will use which site to perform the aspiration?

Accepted Answer

A)  The sternum 
B)  The anterior iliac crest 
C)  The proximal tibia 
D)  The posterior iliac crest 
A)  The sternum 
B)  The anterior iliac crest 
C)  The proximal tibia 
D)  The posterior iliac crest

Question 7

In which position is the patient usually placed for a thoracentesis?

Accepted Answer

A)  Dorsal recumbent position. 
B)  Supine with the arms over the head. 
C)  Sims' position on the affected side. 
D)  Sitting and leaning over a bedside table. 
A)  Dorsal recumbent position. 
B)  Supine with the arms over the head. 
C)  Sims' position on the affected side. 
D)  Sitting and leaning over a bedside table.

Question 8

The patient will be undergoing moderate intravenous (IV)sedation.The nurse needs to assess which of the following during the procedure? (Select all that apply.)

Accepted Answer

A)  Airway compromise 
B)  Hemodynamic instability 
C)  Agitation 
D)  Combativeness 
E)   None of above 
A)  Airway compromise 
B)  Hemodynamic instability 
C)  Agitation 
D)  Combativeness 
E)   None of above

Question 9

Which is the appropriate patient position for a lumbar puncture?

Accepted Answer

A)  Prone 
B)  Supine 
C)  Sims' 
D)  Lateral recumbent 
A)  Prone 
B)  Supine 
C)  Sims' 
D)  Lateral recumbent

Question 10

A bone marrow ______________ is the removal of a core of marrow cells for laboratory analysis.

Accepted Answer

biopsy
A biopsy is t

Question 11

____________ occurs when the patient's level of consciousness will depresses past the point where a patent airway can be maintained.

Accepted Answer

Deep sedation
Deep sedation oc

Question 12

During an electrocardiogram,the patient should anticipate that:

Accepted Answer

A)  Chest pain may occur. 
B)  The electrode sites will be cleaned with alcohol. 
C)  Talking and moving around will be allowed. 
D)  The electrodes are attached with ties or rubber straps. 
A)  Chest pain may occur. 
B)  The electrode sites will be cleaned with alcohol. 
C)  Talking and moving around will be allowed. 
D)  The electrodes are attached with ties or rubber straps.

Question 13

A _____________ involves the introduction of a needle into the subarachnoid space of the spinal column.The purpose of the test is to measure pressure in the subarachnoid space; obtain cerebrospinal fluid (CSF)for visualization and laboratory examination; and to inject anesthetic,diagnostic,or therapeutic agents.

Accepted Answer

lumbar puncture (LP)
A lumbar puncture (

Question 14

_____________________ apply manual compression to prevent bleeding at the arterial site.

Accepted Answer

Vascular closure devices
The u

Question 15

The aspiration of peritoneal fluid from the abdomen is known as ____________.

Accepted Answer

Abdominal paracentesis involves aspirati

Question 16

Under which circumstances should a nurse contact the physician to postpone an angiography?

Accepted Answer

A)  If a patient has been NPO for 1 hour. 
B)  If a patient's femoral site is shaved and cleansed with an antiseptic. 
C)  If the patient received Benadryl as a preprocedure medication. 
D)  When results of a BUN level of 15 mg/100 mL and a creatinine level of 0.8 mg/mL are noted. 
A)  If a patient has been NPO for 1 hour. 
B)  If a patient's femoral site is shaved and cleansed with an antiseptic. 
C)  If the patient received Benadryl as a preprocedure medication. 
D)  When results of a BUN level of 15 mg/100 mL and a creatinine level of 0.8 mg/mL are noted.

Question 17

____________allows direct visualization of an internal organ or structure by means of a long,flexible fiberoptic scope with a light source attached

Accepted Answer

Endoscopy
Endoscopy allows dir

Question 18

_____________ is a drug-induced depression of consciousness during which patients respond purposefully to verbal commands,either alone or accompanied by light tactile stimulation.In addition,no interventions are required to maintain a patent airway,and spontaneous ventilation is adequate.

Accepted Answer

Moderate sedation
Moderate sedation is a

Question 19

A nurse is alert to a possible delayed reaction to the dye injected during an angiography.For which response should she monitor the patient?

Accepted Answer

A)  Pallor. 
B)  Dyspnea. 
C)  Thirst. 
D)  Numbness and tingling. 
A)  Pallor. 
B)  Dyspnea. 
C)  Thirst. 
D)  Numbness and tingling.

Question 20

An _______________ permits visualization of the vasculature of an organ and the organ's arterial system

Accepted Answer

arteriogram (angiogram)
An art

Exam 44: Diagnostic Procedures

Under which circumstances should a nurse contact the physician to postpone intravenous moderate sedation?

What action should the nurse take after an angiography?

___________ is the examination of the tracheobronchial tree through a lighted tube containing mirrors.

When explaining what to expect during a bronchoscopy,a nurse informs a patient that:

The patient has undergone a cardiac catheterization.It has been 2 hours since the catheter and sheath have been removed.Which of the following would be a concern for the nurse recovering the patient after the procedure? (Select all that apply.)

The nurse is preparing to assist with a bone marrow aspiration on a 3-month-old infant.The nurse may expect that the physician will use which site to perform the aspiration?

In which position is the patient usually placed for a thoracentesis?

The patient will be undergoing moderate intravenous (IV)sedation.The nurse needs to assess which of the following during the procedure? (Select all that apply.)

Which is the appropriate patient position for a lumbar puncture?

A bone marrow ______________ is the removal of a core of marrow cells for laboratory analysis.

____________ occurs when the patient's level of consciousness will depresses past the point where a patent airway can be maintained.

During an electrocardiogram,the patient should anticipate that:

_____________________ apply manual compression to prevent bleeding at the arterial site.

The aspiration of peritoneal fluid from the abdomen is known as ____________.

Under which circumstances should a nurse contact the physician to postpone an angiography?

____________allows direct visualization of an internal organ or structure by means of a long,flexible fiberoptic scope with a light source attached

_____________ is a drug-induced depression of consciousness during which patients respond purposefully to verbal commands,either alone or accompanied by light tactile stimulation.In addition,no interventions are required to maintain a patent airway,and spontaneous ventilation is adequate.

A nurse is alert to a possible delayed reaction to the dye injected during an angiography.For which response should she monitor the patient?

An _______________ permits visualization of the vasculature of an organ and the organ's arterial system

Using Evidence in Nursing Practice

Admitting, transfer, and Discharge

Communication

Reporting and Recording

Vital Signs

Health Assessment

Medical Asepsis

Sterile Technique

Safe Patient Handling, transfer, and Positioning

Exercise and Ambulation

Orthopedic Measures

Support Surfaces and Special Beds

Safety

Disaster Preparedness

Pain Assessment and Basic Comfort Measures

Palliative Care

Personal Hygiene and Bedmaking

Pressure Ulcer Care

Care of Eye and Ear Prostheses

Safe Medication Preparation

Oral and Topical Medications

Parenteral Medications

Oxygen Therapy

Performing Chest Physiotherapy

Airway Management

Closed Chest Drainage

Emergency Measures for Life Support

Intravenous and Vascular Access Therapy

Blood Transfusions

Oral Nutrition

Enteral Nutrition

Parenteral Nutrition

Urinary Elimination

Bowel Elimination

Ostomy Care

Preoperativepostoperative Care

Intraoperative Care

Wound Care and Irrigations

Dressings,bandages,and Binders

Warm and Cold Therapy

Home Care Safety

Home Care Teaching

Specimen Collection

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