A client is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. Which client status would be most important for the nurse to verify before the client's scan?

Fast for at least 8 hours.

Completion of the bowel cleansing regimen.

Empty bladder.

No allergy to penicillins.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Fasting for at least 8 hours is usually required for certain diagnostic tests that involve anesthesia or contrast media, but it is not necessary for a bone scan. A bone scan typically involves the injection of a radioactive tracer and does not require fasting.

Choice B rationale

Completion of a bowel cleansing regimen is necessary for certain gastrointestinal procedures such as colonoscopy, but it is not relevant for a bone scan. A bone scan focuses on detecting bone abnormalities and does not involve the digestive system.

Choice C rationale

Emptying the bladder is important before a bone scan to ensure clear imaging of the pelvic bones. A full bladder can obscure the view and interfere with the accuracy of the scan. Ensuring the bladder is empty helps in obtaining better diagnostic images.

Choice D rationale

No allergy to penicillins is crucial information for procedures involving antibiotics, especially for patients with a history of allergic reactions. However, it is not pertinent to a bone scan, which uses a radioactive tracer rather than antibiotics.

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Correct Answer is D

Explanation

Choice A rationale

Administering a bolus of normal saline addresses fluid volume but does not directly address the respiratory effort increase or potential increased ICP, which is the most concerning aspect of the head injury.

Choice B rationale

Administering bronchodilators and monitoring LOC may help with respiratory issues but does not address the underlying problem of increased ICP, which could be causing the increased respiratory effort.

Choice C rationale

Increasing the client's bed height and reassessing in 30 minutes might temporarily help, but it is not the most immediate and appropriate intervention. The client’s symptoms suggest a more urgent issue.

Choice D rationale

Informing the care team and assessing for further signs of increased ICP is crucial. Increased respiratory effort in a client with head injury can indicate rising intracranial pressure, which requires immediate medical attention to prevent further complications.

A. Selective estrogen receptor modulators. B. Calcitonin. C. Bisphosphonates. D. Anabolic agents.

Correct Answer is C

Explanation

Choice A rationale

Selective estrogen receptor modulators (SERMs) are used for osteoporosis but are not typically the first-line treatment. They help to maintain bone density by mimicking estrogen's beneficial effects on bone.

Choice B rationale

Calcitonin is used to treat osteoporosis but is not considered a first-line medication. It works by inhibiting bone resorption, which helps to slow bone loss.

Choice C rationale

Bisphosphonates are the first-line medication for treating and preventing osteoporosis. They work by inhibiting bone resorption, which helps to maintain or increase bone density and reduce the risk of fractures.

Choice D rationale

Anabolic agents, such as parathyroid hormone analogs, are used for osteoporosis but are typically reserved for severe cases or when other treatments are not effective. They work by stimulating bone formation.

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A client is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. Which client status would be most important for the nurse to verify before the client's scan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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