Deck 44: Diagnostic Procedures

Question 1

The physician needs to visually examine a patient's esophagus,stomach and duodenum.The nurse anticipates that the physician will order:

A) Endoscopic retrograde cholangiopancreatography (ERCP)
B) Esophagoscopy
C) Esophagogastroduodenoscopy (EGD)
D) Proctoscopy

Answer 1

Esophagogastroduodenoscopy (EGD)

Question 2

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

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.

Answer 2

If a patient has been NPO for 1 hour.

Question 3

Then explaining about a lumbar puncture,a nurse informs a patient that during the procedure he or she will be asked to:

A) Remain very still
B) Cough during the fluid aspiration
C) Change position
D) Breathe deeply during the needle insertion

Answer 3

Remain very still

Question 4

Which is the appropriate patient position for a lumbar puncture?

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

Question 5

What action should the nurse take after an angiography?

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.

Question 6

The nurse is caring for a patient who has just undergone a bronchoscopy and has been in recovery for the last 15 minutes.The nurse should be especially watchful for which of the following? (Select all that apply.)

A) Return of the gag reflex.
B) Laryngospasm.
C) Respiratory status.
D) Facial or neck crepitus.

Question 7

The nurse is discussing the patient's upcoming elective lumbar puncture,and explains that the patient will probably need to have computerized tomography of the brain before the procedure is done.What is the reason for this?

A) Diagnose CNS infection
B) Rule out increased intracranial pressure
C) Visualize cerebral spinal fluid
D) Measure pressure in the subarachnoid space

Question 8

A patient who is a candidate for an upper gastrointestinal endoscopy has:

A) Been NPO for 8 hours.
B) Evident respiratory distress.
C) Active gastrointestinal bleeding.
D) Esophageal diverticulum.

Question 9

Both aspiration and biopsy diagnose and differentiate which of the following: leukemia,certain malignancies,anemia,and thrombocytopenia? (Select all that apply.)

A) Leukemia
B) Certain malignancies
C) Heart disease
D) Thrombocytopenia/anemia

Question 10

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.)

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

Question 11

Which action should a nurse take following a procedure requiring intravenous moderate sedation?

A) Report a Ramsay sedation score that is less than 3 to the physician
B) Monitor airway patency and vital signs every 5 minutes for 30 minutes
C) Take vital signs every 15 minutes for the next 2 hours
D) Take vital signs every 30 minutes until stable

Question 12

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

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 13

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?

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

Question 14

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

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

Question 15

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

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 16

The patient is a 56-year-old man who has terminal cirrhosis and severe ascites.He is lethargic,but demonstrating signs of discomfort and respiratory distress.The physician has spoken with the patient's wife and has obtained consent to perform an abdominal paracentesis on the patient.After the physician has left to prepare for the procedure,the wife asks the nurse if the procedure is really necessary.How should the nurse respond?

A) By saying this is the first step in the patient's recovery
B) By saying this may help the patient feel better
C) By saying this is needed to detect increased intracranial pressure
D) By saying this is needed to analyze pleural fluid

Question 17

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.)

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 18

For an upper gastrointestinal endoscopy,a nurse should:

A) Remove the patient's dentures.
B) Suction the patient every 5 minutes.
C) Place the patient in high-Fowler's position.
D) Provide fluids immediately after the test is finished.

Question 19

During an electrocardiogram,the patient should anticipate that:

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 20

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

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.

Question 21

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.

Question 22

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

Question 23

A specialized form of angiography in which a catheter is inserted into the left or right side of the heart via a major peripheral vessel to study pressures within the heart,cardiac volumes,valvular function,and patency of coronary arteries is known as ______________.

Question 24

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

Question 25

____________ are sterile invasive procedures involving the removal of body fluids or tissue for diagnostic procedures.

Question 26

A venographic examination of the flow of radiopaque contrast medium through the kidneys,ureters,and bladder to identify obstruction,hematuria,stones,bladder injury,or renal artery occlusion is known as an ________________.

Question 27

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

Question 28

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

Question 29

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

Question 30

_____________________ is often used for diagnostic or surgical procedures that do not require complete anesthesia in acute care,surgical care,and outpatient care settings.

Question 31

The removal of a small amount of the liquid organic material in the medullary canals of selected bones,in particular the sternum and the posterior superior iliac crests in adults is known as _______________.

Question 32

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

Question 33

_____________ 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.

Question 34

A graphic representation of the heart's electrical activity or conduction system is known as an ______________.

Question 35

Interventions to prevent lumbar puncture (LP)headaches include adequate ____________ and fever control before the LP.Another effective intervention includes post procedure application of an epidural patch for pain management.

Question 36

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