TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 10: Diagnostic Procedures Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. The patient asks the nurse why an x-ray film with contrast medium is needed. How would the
nurse respond? a. “Most patients ask me that question.” b. “It enhances visualization of the internal structures.” c. “It guarantees accuracy of the x-ray film interpretation.” d. “Let me have you speak to the radiologist.” ANS: B
The radiologist uses contrast medium to visualize internal structures not seen with regular x-ray films. The dye saturates the affected area for the x-ray film, and the image stands out against the tissue without dye. Because the health care provider and radiologist know the normal contour and appearance of internal structures, they can spot abnormalities such as filling defects, tumors, fistulas, and fractures. The nurse needs to be direct and answer the patient’s question. Nothing guarantees accuracy. DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
OBJ: NCLEX: Physiological Integrity
2. A contrast medium study is being scheduled. Which statement by the patient during the
assessment warrants further investigation by the nurse? a. “I’m allergic to shellfish.” N b. “I have small veins in my left arm.” c. “I’m really worried about the test results.” d. “I’m really terrified about this procedure.” ANS: A
The nurse needs to establish whether the patient is truly allergic to shellfish, indicating sensitivity to iodine. The antiseptic used for the test has an iodine base and might cause a reaction; if so, the nurse or provider uses chlorhexidine or another agent for the skin preparation before the study. In addition, because many contrast mediums have an iodine base, the provider needs to choose an alternative dye. Establishing the nature of the reaction is important because the information provides valuable data for the radiologist to aid in choosing the proper contrast medium. It also establishes baseline data necessary when preparing for postprocedure nursing care. The nurse does need to investigate the statements of being worried or terrified, but those are not the priority. Small veins will not be used for this procedure. DIF: Cognitive Level: Understanding TOP: Nursing Process: Planning
OBJ: NCLEX: Physiological Integrity
3. 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? a. The patient can’t remember the procedure. b. The left pedal and posterior tibial pulses are palpable. c. The patient hasn’t voided yet.
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