A client is scheduled for a myelogram, and the nurse explains to the client that this is an invasive procedure, which assesses for any lesions in the spinal cord.
The nurse should explain that the preparation is similar to which of the following neurologic tests?
MRI.
Lumbar puncture.
Cerebral angiography.
EEG.
The Correct Answer is B
Choice A rationale
MRI is a non-invasive imaging technique that uses magnetic fields and radio waves to create detailed images of the body's structures. The preparation for an MRI typically involves removing metal objects and sometimes fasting, but it is not similar to a myelogram.
Choice B rationale
A lumbar puncture, like a myelogram, involves inserting a needle into the spinal canal to collect cerebrospinal fluid or inject contrast dye. The preparation for both procedures includes obtaining consent, positioning the patient, and ensuring proper hydration. This similarity is why the nurse should explain that the preparation is akin to a lumbar puncture.
Choice C rationale
Cerebral angiography is an invasive procedure used to visualize blood vessels in the brain, requiring catheter insertion and contrast dye. The preparation is more complex, involving fasting and possible sedation, differing from the simpler preparation for a myelogram.
Choice D rationale
An EEG (electroencephalogram) measures electrical activity in the brain using electrodes placed on the scalp. The preparation is generally non-invasive and less intensive than that for a myelogram, typically involving clean hair and avoiding caffeine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A rationale
A papule is a small, raised, solid pimple or swelling on the skin, often forming part of a rash. It does not typically contain pus and is not associated with impetigo, which is characterized by pustules.
Choice B rationale
A vesicle is a small fluid-filled blister on the skin, usually containing clear fluid. Impetigo typically presents with pustules rather than vesicles.
Choice C rationale
A wheal is a raised, itchy area of skin that is often a sign of an allergic reaction. It is not characteristic of impetigo, which involves pustules.
Choice D rationale
Impetigo is a highly contagious bacterial skin infection that usually presents with pustules, which are raised lesions containing pus. These pustules can rupture and form a yellowish crust, which is a hallmark of impetigo.
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