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 A
Explanation
Choice A rationale
Scoliosis is identified by a lateral curve of the spine, resulting in uneven shoulders and prominent scapula when bending forward. These physical findings are characteristic of scoliosis, aiding its diagnosis.
Choice B rationale
Muscular dystrophy causes symmetrical muscle weakening, not the asymmetry of scoliosis. It does not present with the specific spinal curvature described.
Choice C rationale
Kyphosis involves a rounded upper back, not a lateral spinal curve. It leads to a hunched posture rather than the shoulder and scapula asymmetry seen in scoliosis.
Choice D rationale
Lordosis is characterized by an exaggerated inward curve of the lower back, not affecting shoulder and scapula symmetry as in scoliosis. It primarily involves the lumbar spine, not causing the described physical findings.
Correct Answer is A
Explanation
Choice A rationale
Expressing satisfaction with the ability to perform Activities of Daily Living (ADLs) is a realistic and client-centered goal for managing osteoarthritis. It focuses on the client's quality of life and functional ability, which is essential in chronic conditions like OA.
Choice B rationale
Adhering to the prescribed plan of care is important for managing OA, but it is more of an ongoing process than a specific goal. The focus should be on the client's functional outcomes and overall well-being.
Choice C rationale
Osteoarthritis is a chronic condition that cannot be cured within six months. Recovery in the context of OA usually refers to managing symptoms and improving quality of life rather than a complete resolution of the disease.
Choice D rationale
Denying signs or symptoms of OA is unrealistic for a chronic condition. The goal should be managing symptoms effectively and maintaining functional ability rather than complete absence of symptoms.
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