Question 1

A contrast medium study is being scheduled.Which statement by the patient during the assessment warrants further investigation by the nurse?

Accepted Answer

Patients with a shellfish allergy may have a higher risk of an allergic reaction to iodine-based contrast media, so this statement requires further investigation.

Question 2

The nurse is preparing to position a patient for a gastroscopy.Which action should the nurse implement before getting the patient into position?

Accepted Answer

Before a gastroscopy, the nurse should remove the patient's dentures to prevent any obstruction or damage during the procedure.

Question 3

The nurse is teaching an older patient before a bronchoscopy.What information is the most important for the patient to know to prevent a possible postprocedure complication?

Accepted Answer

It is crucial for the patient to know not to eat or drink anything after the procedure until it is safe, as the gag reflex may be temporarily impaired, increasing the risk of aspiration.

Question 4

The nurse provides patient teaching before a lumbar puncture.Which information does the nurse include about patient activity during the procedure?

Accepted Answer

Remaining still during a lumbar puncture is crucial to ensure the procedure is performed safely and accurately.

Question 5

The nurse is preparing a tired older patient for a thoracentesis.Which ability should the nurse assess for when determining if the patient can tolerate the procedure safely?

Accepted Answer

The nurse should assess the patient's ability to remain sitting but motionless, as this is crucial for the safe performance of a thoracentesis to avoid complications.

Question 6

The patient asks the nurse why an x-ray film with contrast medium is needed.How would the nurse respond?

Accepted Answer

It enhances visualization of the internal structures.

Question 7

The nurse is explaining the procedure for a paracentesis.Which intervention by the nurse can help prevent a complication of the procedure?

Accepted Answer

Ensuring that the patient voids before the procedure helps prevent bladder puncture, which is a potential complication of paracentesis.

Question 8

The nurse is monitoring a patient during a gastroscopy.Which patient data need to be communicated to the health care provider doing the procedure?

Accepted Answer

A drop in blood pressure of 30 mm Hg is significant and may indicate a potential complication during the procedure, requiring immediate communication with the healthcare provider.

Question 9

The nurse cares for a patient who had an angiogram of the aorta with a contrast medium approximately 4 hours ago.Which is the priority patient assessment for the nurse to monitor for detection of an allergic reaction to the dye?

Accepted Answer

The answer of The nurse cares for a patient who...

Question 10

A patient is having a contrast medium study and has several allergies.During the injection of the dye, the patient complains of having a brief, severe hot flash and slight chest pain.What nursing action is most indicated?

Accepted Answer

Assessing the patient's vital signs is crucial to ensure their safety and to monitor for any adverse reactions, while also providing reassurance.

Question 11

A patient is being monitored 2 hours after an angiogram using the femoral artery.What assessment by the nurse best indicates outcomes are being met?

Accepted Answer

Palpable pedal and posterior tibial pulses indicate good blood flow to the extremity, suggesting that there is no arterial occlusion or complication from the procedure.

Question 12

A patient is admitted for possible leukemia.Prior to assisting with the definitive diagnostic procedure, which question does the nurse ask?

Accepted Answer

The definitive diagnostic procedure for leukemia is a bone marrow biopsy, which often requires the patient to lie on their stomach for a period of time.

Question 13

The patient arrives in the post anesthesia care unit after a cardiac catheterization via the left femoral artery to assess the right atrium.Which patient datum is the nurse's priority to assess perfusion of the affected extremity after the procedure?

Accepted Answer

The answer of The patient arrives in the post anesthesia...

Question 14

The nurse prepares a patient for a pulmonary angiogram.What information should the nurse include in patient teaching to prevent a postprocedure hemorrhage?

Accepted Answer

The nurse should inform the patient that the affected leg will be immobilized after the procedure to prevent movement that could lead to bleeding at the catheter insertion site.

Question 15

The nurse is caring for a patient who had a lumbar puncture (LP) 1 hour ago.The patient is drowsy and the pupils are dilated.After notifying the health care provider, what should the nurse do?

Accepted Answer

The nurse should prioritize maintaining the patient's airway as the patient is drowsy, which could compromise breathing.

Question 16

A patient has had increasing respiratory difficulty as a result of abdominal cancer.Which information does the nurse provide to the patient about the purpose of having a paracentesis?

Accepted Answer

Paracentesis is a procedure to remove fluid from the abdominal cavity, which can relieve pressure and discomfort caused by fluid buildup due to abdominal cancer.

Question 17

An older patient has been NPO for 8 hours before a bronchoscopy.When the patient returns from the test, which is the nurse's priority assessment?

Accepted Answer

Hydration status is the nurse's priority assessment because the patient has been NPO for 8 hours before the bronchoscopy. This means that the patient has not had anything to eat or drink for 8 hours, which can lead to dehydration. Dehydration can cause a number of problems, including dizziness, lightheadedness, and fainting. It can also lead to more serious problems, such as kidney failure and seizures. Therefore, it is important to assess the patient's hydration status as soon as possible after the bronchoscopy.

Question 18

The nurse is caring for the patient immediately after an angiogram has been finished.Which action does the nurse take to prevent a complication of this procedure?

Accepted Answer

Applying constant pressure to the insertion site helps prevent bleeding or hematoma formation, which are common complications after an angiogram.

Question 19

A patient develops low back pain radiating to both sides of the body after a femoral approach has been used for a cardiac catheterization.What should the nurse do while contacting the health care provider?

Accepted Answer

The nurse should monitor the vital signs every 5 minutes as the low back pain radiating to both sides could indicate retroperitoneal bleeding, a serious complication that requires immediate attention.

Question 20

The patient arrives in the intensive care unit after a bronchoscopy.Which patient assessment is the nurse's priority?

Accepted Answer

The priority assessment after a bronchoscopy is the patient's respiratory status, as there is a risk of airway compromise or respiratory distress following the procedure.

Quiz 10: Diagnostic Procedures