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Phases of Diagnostic Testing. PretestIntratestPost-test. Associated Nursing Diagnoses. AnxietyFearDeficient knowledge . Exams Involving Electrical Impulses . Electrocardiogram (ECG)Electroencephalogram (EEG)Electromyelogram (EMG). Exams Involving Visual Inspection. Bronchoscopy and laryngoscopyGastroscopy and EsophagoscopyEsophagogastroduodenoscopyCystoscopyProctoscopy, sigmoidoscopy, colonoscopy .
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1. Diagnostic Testing
2. Phases of Diagnostic Testing Pretest
Intratest
Post-test
3. Associated Nursing Diagnoses Anxiety
Fear
Deficient knowledge
4. Exams Involving Electrical Impulses Electrocardiogram (ECG)
Electroencephalogram (EEG)
Electromyelogram (EMG)
5. Exams Involving Visual Inspection Bronchoscopy and laryngoscopy
Gastroscopy and Esophagoscopy
Esophagogastroduodenoscopy
Cystoscopy
Proctoscopy, sigmoidoscopy, colonoscopy
6. Exams Involving Removal of Body Fluids and Tissues Lumbar puncture
Abdominal paracentesis
Thoracentisis
Bone marrow biopsy
Liver biopsy
7. Roentgenographic Exams Scans (CT, MRI)
UGI (barium swallow)
Barium enema (lower GI)
Gall Bladder series
IVP, KUB
Angiography
Myelography
Mammography
Ultrasonography
8. Blood Tests Blood count
Serum Electrolytes
Serum Osmolality
Drug monitoring
Arterial blood gases
Blood chemistry
Capillary blood glucose
9. Specimen Collection Nurses often assume responsibility
Some collections can be delegated to UAPs
Body fluid collections
Urine
Blood
Stool
Sputum
Wound drainage
10. Nursing Responsibilities Associated with Specimen Collection Provide client comfort, privacy and safety
Explain purpose and procedure for collection
Utilize correct collection procedure
Note relevant information on requisition
Transport specimen to laboratory promptly
Report abnormal findings to health care provider
11. Stool Specimens Occult blood
Dietary products
Digestive enzymes
Ova and Parasites
Bacteria or viruses
12. Urine Specimens Clean voided
Clean-catch (Midstream)
Sterile specimens
Straight catheterization
Specimen from indwelling foley
13. Urine Testing Specific gravity
pH
Abnormal constituents
Glucose
Ketones
Protein
Occult blood
WBCs
14. Sputum Specimens Culture and Sensitivity
Cytology
Acid-Fast Bacilus
Assess effectiveness of therapy
15. Sputum Specimens:Things to Know Must differentiate sputum from saliva
15 30 mL needed for specimen
Coughing is necessary to bring up sputum from lungs, bronchi, and trachea
UAP can obtain simple specimen
Nurse must obtain suctioned specimen
Mouth care necessary before collection and should be offered after collection