The nurse needs to collect a specimen from a client. The nurse ...

[pragya sharda]

The nurse needs to collect a specimen from a client. The nurse has never collected this type of specimen in the past. What should the nurse do?
 
  1. Notify the physician.
  2. Ask another nurse to collect the specimen.
  3. Consult the nursing procedure manual.
  4. Delegate the collection of the specimen to unlicensed assistive personnel.

Question 2

What information should the nurse provide to a client who is scheduled to have abdominal ascites fluid removed?
 
  1. A catheter will be inserted into the bladder
  2. A liver biopsy will be done
  3. An abdominal paracentesis will be done
  4. A thoracentesis will be done

[jlaineee]

Answer to Question 1

Correct Answer: 3
Rationale 1: The nurse should not notify the physician.
Rationale 2: The nurse should not ask another nurse to collect the specimen.
Rationale 3: A nursing procedure or laboratory manual is often available if the nurse is unfamiliar with the procedure. If there is any question about the procedure, the nurse should call the laboratory for directions before collecting the specimen.
Rationale 4: The nurse should not delegate the collection of the specimen to unlicensed assistive personnel.

Answer to Question 2

Correct Answer: 3
Rationale 1: Inserting a catheter into the bladder will only relieve urine, not the accumulation of fluid in the abdomen.
Rationale 2: A liver biopsy is performed to obtain a sample of the liver, not to remove fluid.
Rationale 3: An abdominal paracentesis is performed to remove ascites, which relieves pressure on the abdominal organs.
Rationale 4: A thoracentesis is performed to remove excess fluid or air to ease breathing.