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Diagnostic Tests

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Diagnostic Tests
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Fundamentals of Nursing, 8/e Barbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder Copyright ©2008 by Pearson Education, Inc. Upper Saddle River, New Jersey 07458 All rights reserved. Fundamentals of Nursing Concepts, Process, and Practice Eighth Edition Chapter 34 Diagnostic Testing Barbara J. Kozier Glenora Erb Audrey J. Berman Shirlee Snyder
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Page 1: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Fundamentalsof Nursing

Concepts, Process, and PracticeEighth Edition

Chapter 34

Diagnostic Testing

Barbara J. KozierGlenora Erb

Audrey J. BermanShirlee Snyder

Page 2: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-1 Composition of blood.

Page 3: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-2 Blood glucose monitor, test strips, and lancet injector.

Page 4: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-3 A, Opening the front cover of a Hemoccult slide and applying a thin smear of feces on the slide. B, Opening the flap on the back of the slide and applying two drops of developing fluid over each smear.

A

Page 5: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-3 (continued) A, Opening the front cover of a Hemoccult slide and applying a thin smear of feces on the slide. B, Opening the flap on the back of the slide and applying two drops of developing fluid over each smear.

B

Page 6: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-4 Disposable clean-catch specimen equipment.

Page 7: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-5 Obtaining a urine specimen from a retention catheter. A, From a specific area near the end of the catheter; B, from an access port in the tubing.

Page 8: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-6 Obtaining a urine specimen from a retention catheter using a needleless port.

Page 9: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-7 After dipping the reagent strip (dipstick) into fresh urine, wait the stated time period and compare the results to the color chart.

Page 10: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-8 Sputum specimen container.

Page 11: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-9 Depressing the tongue to view the pharynx.

Page 12: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-10 Enhanced color x-ray of the colon during a barium enema exam.

Page 13: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-11 Bronchoscopy.

Page 14: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-12 MRI lab. (Will and Demi McIntyre/Photo Reseachers, Inc.)

Page 15: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-13 PET scan comparing the metabolic activity levels of a normal brain and the brain of an individual with Alzheimer’s disease. Red and yellow colors indicate high activity levels; blue colors represent low activity levels.

Page 16: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-14 A spinal needle with the stylet protruding from the hub.

Page 17: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-15 A diagram of a vertebral column, indicating a site for insertion of the lumbar puncture needle into the subarachnoid space of the spinal column.

Page 18: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-15 (continued) A diagram of a vertebral column, indicating a site for insertion of the lumbar puncture needle into the subarachnoid space of the spinal column.

Page 19: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-16 Supporting the client for a lumbar puncture.

Page 20: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-17 A preassembled lumbar puncture set. Note the manometer at the top of the set.

Page 21: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-18 A common site for an abdominal paracentesis.

Page 22: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-19 A trocar and cannula may be used for an abdominal paracentesis.

Page 23: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-20 Two positions commonly used for thoracentesis. A, Sitting on one side with arm held to the front and up; B, sitting and leaning.

A

Page 24: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-20 (continued) Two positions commonly used for thoracentesis. A, Sitting on one side with arm held to the front and up; B, sitting and leaning.

B

Page 25: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-21 Needle is inserted into the pleural space on the lower posterior chest to withdraw fluid.

Page 26: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-23 A cross section of a bone.

Page 27: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-24 A common site for a liver biopsy.

Page 28: Diagnostic Tests

Fundamentals of Nursing, 8/eBarbara J. Kozier, Glenora Erb, Audrey J. Berman, and Shirlee Snyder

Copyright ©2008 by Pearson Education, Inc.Upper Saddle River, New Jersey 07458

All rights reserved.

Figure 34-25 The position to provide pressure on a liver biopsy site.


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