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Dx Studies of Resp. SystemMedical Surgical Nursing

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When is the best time to collect a sputum sample?
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In the early morning, after mouth care
What is a sputum trap?
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It is a sterile container used for collection of sputum samples
How many sputum samples are used for an acid-fast smear and culture?
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3
___________ involves the collection of a single sputum sample in a specialized container with a fixative solution.
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Cytology
What is cytology of a sputum sample used to detect?
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Abnormal cells that may indicate a malignant condition
What should you do if a patient is unable to produce a sputum sample?
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Encourage deep coughing. If they are allowed fluids, encourage them to drink some water to loosen secretions. Bronchoscopy may be required if they still are unable to produce a sample.
What are the most common views used for a chest X-ray?
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PA (Posterior-anterior) and lateral
What labs should be evaluated prior to the administration of a CT scan?
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BUN and serum creatine to assess for renal function
What allergy should you assess for prior to a patient's CT scan?
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Shellfish (an iodine based dye is used for contrast)
What are the nursing implications of a CT Scan?
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-The patient needs to be well hydrated so they can excrete the dye quickly -the nurse should let the patient know the dye causes a warm, flushed feeling -the nurse should tell the patient they will need to lay still while the machine rotates around them
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What are contraindications for a MRI?
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Having a pacemaker or an implantable cardioverter defibrillator. If the patient has a metal based implant, they should be screened to see if they can have the MRI.
A ventilation-perfusion scan reveals that a patient has ventilation, but no perfusion. What does this likely indicate?
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A pulmonary embolism.
Which side of the heart is injected with dye for a pulmonary angiogram?
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The right side (the dye can also be injected into the pulmonary artery)
What should a nurse do after a pulmonary angiogram has been performed?
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Check the pressure dressing, monitor the BP, pulse, and circulation distal to the injection site, report/record any significant changes.
What is a bronchoscopy used for?
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Diagnosis, biopsy, specimen collection, or assessment of changes, suction of mucus plugs, lavage, or removal of foreign objects.
How long should a patient be NPO prior to a bronchoscopy?
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6-12 hours.
T/F Signed permission is required for a bronchoscopy.
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True
How long should a patient be NPO after a bronchoscopy?
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Until their gag reflex returns and there is no evidence of layngeal edema.
T/F Blood tinged mucus is a cause for concern after a bronchoscopy.
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False, this is a normal finding
A biopsy was obtained during a bronchoscopy. What should the nurse monitor for once the patient is in recovery?
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Hemorrhage and pneumothorax
What test is used for inspection and biopsy of lymph nodes in the mediastinal area?
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Mediastinoscopy
  
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