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 D
Explanation
Choice A rationale
Pressing the bones on the neck does not adequately assess for rigidity and may cause discomfort without providing useful information about the neurologic status.
Choice B rationale
Moving the head toward both sides is a method used to assess range of motion but does not specifically assess for neck rigidity, which requires specific positioning and movement.
Choice C rationale
Lightly tapping the lower portion of the neck to detect sensation does not assess for rigidity; it may be used to test sensory function rather than muscular stiffness or tension.
Choice D rationale
Moving the head and chin toward the chest is the standard method to assess for neck rigidity, especially in cases of suspected meningitis. This movement can reveal stiffness or resistance, which are key indicators of neurologic involvement.
Correct Answer is B
Explanation
Choice A rationale
The temporal lobe is primarily responsible for processing auditory information and is involved in memory formation. It plays a crucial role in hearing, language comprehension, and storing visual memories. It is not primarily responsible for abstract thought.
Choice B rationale
The frontal lobe is the largest of the cerebral lobes and is primarily involved in higher cognitive functions such as abstract thought, decision-making, problem-solving, and planning. It also plays a significant role in controlling voluntary movements, speech production, and emotional regulation.
Choice C rationale
The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It plays a role in spatial orientation and perception, as well as integrating sensory input to form a coherent understanding of the environment. It is not the largest lobe nor the one controlling abstract thought.
Choice D rationale
The occipital lobe is primarily responsible for processing visual information. It interprets visual stimuli from the eyes and helps in recognizing objects, shapes, and colors. It is not involved in abstract thought or higher cognitive functions.
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