Fundamental Nursing Skills and Concept 10th Edition Timby
Fundamental Nursing Skills and Concept 10th Edition Timby
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Chapter 14- Special Examinations and Tests
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A client visits the health clinic with complaints of a productive, wet cough and a fever. Which of the following tests should the client undergo in order to determine the cause of the discomfort? | |
| A) | Radionuclide imaging | |
| B) | Radiography | |
| C) | Endoscopy | |
| D) | Ultrasonography | |
| Ans: | B | |
| Feedback: | ||
| The client should undergo radiography in order to visualize the lungs. Radionuclide imaging is used to visualize areas within organs and tissues that are not possible with a standard x-ray. Endoscopy is used for the visual examination of internal structures in the human body. Ultrasonography is a form of soft tissue examination that uses sound waves in ranges beyond human hearing. | ||
| 2. | A client visits a health care facility with complaints of a high fever for more than a week. The nurse notes that the client’s skin has a yellowish appearance. The physician suspects that the client has jaundice and orders further diagnostic testing. What other laboratory test could the physician suggest to confirm the suspicion of jaundice? | |
| A) | Blood tests | |
| B) | Paracentesis | |
| C) | Ultrasound | |
| D) | Endoscopy | |
| Ans: | A | |
| Feedback: | ||
| In addition to a urine test to check for jaundice in a client, the physician should also direct that the client’s blood be tested. A paracentesis is done most commonly to relieve abdominal pressure and to improve breathing, which generally becomes labored when fluid crowds the lungs. Endoscopy and ultrasound are diagnostic examinations and not laboratory tests, and neither is used to diagnose jaundice. | ||
| 3. | A client has been admitted to a health care facility with high fever and is suspected of having meningitis. The nurse will be assisting with a lumbar puncture. What is the first step the nurse should take to prepare the client for a lumbar puncture? | |
| A) | The nurse should contact the laboratory assistant. | |
| B) | The nurse should inform the laboratory of the test. | |
| C) | The nurse should explain to the client the purpose or the test. | |
| D) | The nurse should ready the examination area. | |
| Ans: | C | |
| Feedback: | ||
| Before assisting the physician with the test, the nurse should explain to the client. Informing the laboratory assistant or the laboratory is not a primary task. | ||
| 4. | A physician directs the nurse to get written consent from a client who has to undergo multiple laboratory and diagnostic examinations. As a rule, the written consent must confirm that the client understands the tests and will undergo them voluntarily. What else is necessary to make the client’s written consent valid? | |
| A) | The client must have preauthorization from his or her insurance carrier. | |
| B) | The client must be older than 21 years. | |
| C) | The client must have explored alternatives. | |
| D) | The client must be able to make rational decisions. | |
| Ans: | D | |
| Feedback: | ||
| To be legally sound, consent must contain three elements: capacity, comprehension, and voluntariness. Preauthorization is not necessary. The client should understand the relative risks and benefits, but it is not necessary to actively explore alternatives. Individuals younger than 21 years are able to provide legal consent. | ||
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