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 B
Explanation
Choice A rationale
The Romberg test does not assess motor ability. Motor ability tests typically involve assessing muscle strength, coordination, and movement.
Choice B rationale
The Romberg test is used to assess balance. It evaluates the client's ability to maintain a steady position with eyes closed, indicating the integrity of the proprioceptive and vestibular systems.
Choice C rationale
The Romberg test does involve coordination, but its primary focus is on balance rather than coordination alone. Coordination tests usually involve tasks requiring fine motor control.
Choice D rationale
The Romberg test does not assess muscle strength. Muscle strength tests involve evaluating the force generated by muscles during contraction.
Correct Answer is C
Explanation
Choice A rationale
Ativan (lorazepam) is used for immediate control of seizures but is not used for long-term maintenance.
Choice B rationale
Cerebyx (fosphenytoin) is used for seizure control but is generally not used for long-term maintenance.
Choice C rationale
Phenobarbital is a barbiturate that is commonly used for long-term maintenance to prevent seizures. It works by depressing the central nervous system and reducing the spread of seizure activity.
Choice D rationale
Valium (diazepam) is used for acute seizure control but not for long-term seizure prevention.
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