A patient is scheduled to have a diagnostic procedure performed on an outpatient basis at 9:00 AM. The nurse will advise the patient to:

Arrive 2 hours before the scheduled procedure.

Wear comfortable clothing.

Read printed materials about the procedure.

Be prepared to pay at least 10% of the predicted cost of the hospitalization.

Answer and Explanation

The Correct Answer is B

A. Arrive 2 hours before the scheduled procedure: Usually unnecessary for outpatient procedures unless sedation is planned.

B. Wear comfortable clothing. Comfortable, non-restrictive clothing allows the patient to be more at ease during the procedure and may reduce the need to change into a gown.

C. Read printed materials about the procedure: This is important but not specific advice for the day of the procedure.

D. Be prepared to pay at least 10% of the predicted cost: Billing specifics are handled separately and vary by facility.

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Correct Answer is A

Explanation

A. Stabilize the holder when changing tubes. Stabilizing the holder prevents accidental movement of the needle, ensuring proper blood flow into the tube and minimizing discomfort or injury to the patient.

B. Withdraw the holder and tube at the same time: The holder should remain in place until all samples are collected to prevent repeated venipunctures.

C. Replace the tube stopper firmly for each sample: The tube stopper should not be removed or replaced during the procedure.

D. Release the tourniquet after successful venipuncture: The tourniquet should be released after blood flow is established and before the needle is withdrawn, not as the first priority.

A. Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient. B. Call both the supervisor and a family member to try to get the patient to reconsider. C. Obtain a written explanation of the reasons from the patient and have the patient sign at the bottom of the sheet. D. Advise the patient that this may mean that insurance would not pay for this hospitalization.

Correct Answer is A

Explanation

A. Listen to the patient, answer questions, and offer to have the supervisor or physician speak with the patient. Understanding the patient’s concerns and providing information may help address their reasons for leaving and promote informed decision-making. Involving the supervisor or physician allows for further discussion.

B. Call both the supervisor and a family member to try to get the patient to reconsider: Family involvement should only occur with the patient’s consent.

C. Obtain a written explanation of the reasons from the patient: This can be done after addressing the patient’s concerns.

D. Advise the patient that insurance may not pay for this hospitalization: This may seem coercive and is not an immediate priority.

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