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Nurse's responsibility in CARING for a client for general diagnostic procedure:
Purpose
- Supportive data
- Assessment
- Report to Practioner
- Interventions
- Evaluation
- Client teaching
- Documentation
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Measured substances are?
Analytes
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The procedure for 24-hour urine collection are
- -instruct client to void
- -discard first specimen
- -begin timing after first void is discarded
- -save urine for 24 hours on ice or refrigeration
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Steps for x-ray procedures are:
- check for asthma, iodine allergy, pregnancy
- Explain the procedure
- Prepare client as ordered ( remove clothing and jewelry)
- No specific postprocedure care is required
- Administer an analgesic, especially for an arthritic client --page 631
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The common sites for a bone marrow puncture are?
Iliac crest (side lying) & Sternum (supine)
-
This test identifies anemias, cancers such as multiple myeloma, leukemia or Hodgkin's disease is?
Bone Marrow Aspiration / Biopsy
-
Performed to withdraw fluid that has abnormally collected or to obtain a specimen is?
Aspiration
-
The study of cells?
Cytology
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Folic acid normal range is?
5-20ug/mL
-
Magnesium (Mg++) normal levels are?
1.6-2.6mEq/L
-
Chloride (CI-) normal range?
100-110 mEq/L
-
Sodium (Na+) normal range is?
135-145 mEq/L
-
Potassium (K+) normal levels?
3.5-5.5 mEq/L
-
Phosphate (PO4--) normal levels?
3-4.5 mg/dL
-
Blood urea nitrogen (BUN) normal levels?
5-20 mg/dL
-
Hemoglobin (Hgb) normla levels?
- Male: 14-18 g/dL
- Female: 12-16 g/dL
Critical: <5
-
Red blood cells (RBCs) normal levels?
- Male: 4.6-6.2 million/mm 3
- Female: 4.2-5.5
-
White blood cells (WBCs) normal levels?
4,100-10,800
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The different urine collections are?
- Random collection
- Timed Collection
- Collection from a Cosed Dainage System
- Sterile specimen
- Clean void specimen
-
Laboratory tests are ordered by to practioner to:
- Detect and quantify future disease risk
- Establish or exclude diagnoses
- Assess the disease process severity & formulate prognosis
- Guide intervention selection
- Monitor the progress of this disorder
- Monitor tx effectiveness
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Nurse's responsibility in PREPARING a client for a general diagnostic procedure?
- ensure ID band and understanding
- identify allergies
- baseline vitals
- client teaching
-
To ACCURATELY assess the client's diagnostic response
- take vital signs before and after
- procedures
-
Arterial blood is drawn from?
peripheral artery (i.e. radial or femoral) or from arterial line. page 607
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Before a procedure the nurse must?
Obtain baseline vital signs & assess client's preparation for the test
-
After a procedure, assess the client for
procedural complication & prepare any nursing interventions
-
Lumbar puncture (LP) is also known as a?
Spinal tap
-
A needle is inserted into the subarachnoid space to measure cerebrospinal fluid (CSF) pressure and/or obtain a specimen is
Lumbar puncture
-
For a lumbar puncture keep the client flat in bed after specimen is obtained for
3-24 hours
-
timed collection is also known as:
24 hour urine collection
-
steps for bone marrow aspiration
- explain procedure
- postion client
- instruct that pressure will be felt during aspiration
- remain in bed for 1 hour
- monitor
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