Deck 21: Diagnostic Procedures

Question 1

The primary nursing intervention is to prevent reactions to the tests that require contrast media when these studies are ordered,the primary nursing intervention is to:

Answer 1

Ask if the client is allergic to shellfish or iodine.

Question 2

Clients undergoing contrast media studies should be observed closely for

A)Constipation following studies.
B)Hypertension.
C)Hives and urticaria.
D)Severe headache.

Answer 2

Hives and urticaria.

Question 3

Following a barium enema,the client is unable to expel the barium.What nursing action should be taken?

Answer 3

Obtain orders for additional laxatives and an oil retention enema,followed by a tap-water enema.Continue to give laxatives until barium is expelled.

Question 4

Nursing actions for a client scheduled for an IVP include

A)Giving a bland diet the night before.
B)Restricting fluid intake after 6 p.m.the night before.
C)Obtaining a consent form.
D)Giving an enema just prior to the study.

Question 5

Client instructions for an oral cholecystogram study include

A)The client cannot have dinner and is npo from 6 p.m.until the test is completed.
B)Contrast dye tablets are given the night before the test.
C)Water is given in large quantities throughout the night.
D)A fat-free breakfast is given 1/2 hour before the test.

Question 6

Clients undergoing a lumbar puncture may have a Queckenstedt's test done.With this procedure,what nursing action might you be required to perform?

Question 7

List three abnormalities that can be detected by an MRI.
a.______________
b.______________
c.______________

Question 8

Which contrast test requires careful scheduling if other tests are also ordered? Provide rationale for the answer.

Question 9

Most brain abnormalities are diagnosed by use of

A)MRI.
B)Microscopic studies.
C)Ultrasound studies.
D)Nuclear studies.

Question 10

Clients are instructed to remove all hairclips,necklaces,and jewelry when a CT scan is done.The purpose of this is that it could

A)Cause an electrical shock when the CT scan is done.
B)Block bony structures on the film.
C)Cause shadows on the site being scanned.
D)Come loose and get stuck in the mechanism of the machine.

Question 11

Explain why blocking agents may be ordered prior to radioisotope administration.

Question 12

Following a myelogram,using a water-soluble dye,the client is positioned

A)In a position of comfort.
B)In a supine position.
C)In a Low-Fowler's position.
D)In a Sims' position.

Question 13

While contrast media is being injected,observation of the client is focused on which signs and symptoms?
a.______________
b.______________
c.______________
d.______________

Question 14

Following injections of iodine dye,which one of the following diagnostic tests can be performed within 16 hours?

A)Upper GI series.
B)Urine sodium.
C)24-hour urine collection for catecholamines.
D)Specific gravity.

Question 15

Select the major responsibility of the interventional radiology nurse that differs from other nurses working in an x-ray department.

A)Assisting the physician with procedures at the bedside.
B)Providing pre and post procedural education and monitoring.
C)Completing client assessments during the pre and post time for moderate sedation.
D)Administering moderate sedation for procedures in the radiology department.

Question 16

Describe the purpose of the gel being placed over the organ being tested by ultrasound.

Question 17

CT Scans are primarily used for all but which one of the following conditions?

A)Visualizing blood flow and degree of vascularity of the organ.
B)Projecting images of the organs are visualized as the client passes through the scanner.
C)Assisting in the diagnosis of long bone fractures.
D)Evaluating potential obstructions and calculi from the urinary tract.

Question 18

Clients undergoing arteriograms need to have which one of the following lab studies completed?

A)BUN,creatinine,HGB.
B)CBC,PT/PTT/ATPP
C)Hgb,HCT,WBC,RBCs
D)BUN,creatine,CBC

Question 19

Nursing interventions following a cardiac catheterization are effective when

A)The pain is decreased at the puncture site.
B)There is an absence of bleeding at the puncture site.
C)Vital signs are within normal range.
D)Client is able to take in adequate fluids.

Question 20

Instructions for a client undergoing an arteriogram include

A)"You may need to hold your breath when X-rays are taken."
B)"You will be given a light anesthetic agent before the test."
C)"Contrast media is not used for this procedure."
D)"Ambulation is allowed on return to the nursing unit."

Question 21

A client asks you what the difference is between a transluminal coronary angioplasty and an angioplasty.Your best response is

Question 22

Barium studies are usually completed prior to arteriograms because barium interferes with the dye.

Question 23

List four of the most important observations indicating complications,following needle insertion in a thoracentesis.
a.______________
b.______________
c.______________
d.______________

Question 24

Postcardiac catheterization care includes which of the following interventions?

A)Check proximal pulses.
B)Keep catheterization site extremity in flat position.
C)Restrict fluid intake for 24 hours.
D)Apply pressure dressing to puncture site.

Question 25

The magnetic resonance imaging (MRI)procedure cannot be used with which one of the following clients?

A)Multiple sclerosis
B)Hip prosthesis
C)Myocardial infarction
D)Brain tumor

Question 26

The purpose of completing a cardiology thallium scan with exercise is to

A)Detect normal and healthy cells.
B)Detect a recent MI.
C)Identify myocardial scarring.
D)Demonstrate perfusion problems not apparent when client is at rest.

Question 27

The most common complication following a liver biopsy is

A)Bleeding.
B)Severe pain.
C)Pneumothorax.
D)Infection.

Question 28

Discharge instructions for a client following an arthroscopy include

A)As soon as you get home,put heat on the area for 30 minutes and off 30 minutes.Continue this procedure for 4 hours.
B)Keep your knee in a straight position for the first 24 hours.
C)You may ambulate on the second postoperative day using crutches.
D)Check the incision site for signs of edema and erythema;if they should occur,notify the physician.

Question 29

Which of the following health care workers can be assigned to the x-ray department to care for clients undergoing diagnostic tests?

A)Medical technicians
B)UAPs
C)Radiologic Technologists (RT)
D)RN,LVN/LPN,RT

Question 30

Following a paracentesis,your client's dressing is wet with serosanguineous fluid.Your initial intervention is to

A)Place client in shock position.
B)Obtain vital signs.
C)Notify physician.
D)Change the dressing.

Question 31

A priority nursing intervention following a gastrointestinal tract endoscopy (EGD)is to

A)Observe urine output every 2 hours.
B)Medicate frequently for pain.
C)Assess for gag reflex for 2-3 hours.
D)Force fluids to eliminate the contrast medium.

Question 32

What is the best answer for a client who asks you if there is pain associated with a bone densitometry test?

Question 33

Client teaching for a client scheduled for Magnetic Resonance Imaging Scan includes which one of the following statements?

A)Once inside the MRI machine it will be quiet and dark,but you can talk to the staff.
B)You will need to wear earplugs because of grating and loud buzzing sounds.
C)It will be difficult to communicate to the personnel once inside the machine,but the test will last for only a few minutes.
D)You will be able to motion to the personnel if you need something during the test.

Question 34

The client is undergoing tests to determine if he has epilepsy.He asks you if he could have something for the pain in his lower back prior to the test.The best response is

A)Pain medications could trigger a seizure during the test;therefore,it cannot be administered.
B)Sedatives have no effect on the body's metabolism so could be given.
C)A nonaspirin analgesic could be given prior to the test.
D)Aspirin could be administered about one hour before the test.

Question 35

Clients are positioned on the left side following a liver biopsy.

Question 36

Instructions to the client undergoing a lung scan should include

A)Monitoring takes 2 hours after the IV injection of radioactive material.
B)Radioactive gas is instilled by inhaling gas through an open system.
C)Position is changed frequently to obtain clear images.
D)The radioactive dye is administered orally the evening before the scan.