Pre-Procedure Nursing Responsibilities
This is the most important assessment before administering IV contrast dye.
assessing for iodine/shellfish allergy
A potassium level of 6.2 mEq/L requires this immediate nursing action.
notify the provider and place the client on cardiac monitoring
This urine test requires the first morning void to be discarded.
24-hour urine collection
Clients must remain NPO before this upper GI study.
upper GI series or endoscopy or EGD
After a liver biopsy, the client is positioned in this position to prevent bleeding.
right side-lying position
Before a colonoscopy, the nurse must verify this result to reduce bleeding risk.
platelet count and PT/INR
A hemoglobin of 7.5 g/dL places the client at risk for this complication.
issue hypoxia or need for transfusion
When collecting a sputum specimen, the client should do this first.
rinse the mouth with water
Metformin must be held before and after this diagnostic study.
CT scan with contrast?
After thoracentesis, sudden shortness of breath suggests this complication.
pneumothorax
Before a lumbar puncture, the nurse must verify absence of this increased pressure condition.
increased intracranial pressure
A troponin elevation indicates damage to this organ.
heart
This test requires strict sterile technique because contamination alters results.
blood culture collection
After a cardiac catheterization, the nurse assesses distal pulses to detect this complication.
arterial occlusion or bleeding
Following a renal biopsy, the priority assessment finding is this change in urine.
gross hematuria
Informed consent must be obtained before this invasive diagnostic test.
biopsy, endoscopy, lumbar puncture, or thoracentesis
An INR of 4.5 places the client at risk for this complication.
bleeding
When obtaining a clean-catch urine sample, this action prevents contamination.
cleansing the perineal area front to back
After a myelogram, the client must remain with head elevated to prevent this complication.
spinal headache
Following paracentesis, a drop in blood pressure indicates this complication.
hypovolemia or shock