A client is scheduled for an abdominal ultrasound in two weeks.
The client asks the nurse what they should do to prepare for the test.
What is the best response by the nurse?
“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”.
“The patient should wear tight-fitting clothing and lie prone on an examination table.”.
“The patient should wear loose-fitting clothing and lie supine on an examination table.”.
“The patient should wear loose-fitting clothing and lie supine on an examination table.”.
The Correct Answer is C
The patient should wear loose-fitting clothing and lie supine on an examination table.
This is because loose-fitting clothing allows easy access to the abdomen and lying supine helps relax the abdominal muscles.
The patient should also avoid food and drinks for 8 to 12 hours before the test, as undigested food can interfere with the sound waves and affect the image quality.
Choice A is wrong because a full bladder is not necessary for an abdominal ultrasound, unless the patient is pregnant or has a pelvic condition.
A transvaginal ultrasound is a different type of ultrasound that uses a probe inserted into the vagina to examine the reproductive organs.
Choice B is wrong because tight-fitting clothing can restrict the movement of the ultrasound probe and make it harder to get a clear image.
Lying prone (on the stomach) can also tense up the abdominal muscles and obscure the organs.
Choice D is wrong because lying prone can have the same disadvantages as choice B. Additionally, wearing loose-fitting clothing does not mean that the patient can eat or drink anything before the test, as this can affect the results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Normal level of AFP for the given gestational age.
AFP is a protein that the liver makes when its cells are growing and dividing to make new cells.
It is normally high in unborn babies and drops very low after birth.
The AFP test measures the amount of AFP present in blood and can help diagnose certain types of cancer and check how well treatment is working.
It can also help detect some birth defects in pregnant women.
Choice B is wrong because high level of AFP indicating a neural tube defect.
Neural tube defects are abnormalities that affect the brain and spinal cord of the fetus.
They can cause spina bifida, which is a condition where the spine does not close properly.
High levels of AFP can be a sign of neural tube defects, but they can also be caused by other factors, such as multiple pregnancies, inaccurate dating of pregnancy, or fetal death.
Choice C is wrong because low level of AFP indicating a chromosomal abnormality.
Chromosomal abnormalities are genetic disorders that affect the number or structure of chromosomes in the fetus.
They can cause Down syndrome, which is a condition where the fetus has an extra copy of chromosome 212.
Low levels of AFP can be a sign of chromosomal abnormalities, but they can also be caused by other factors, such as inaccurate dating of pregnancy, fetal death, or maternal obesity.
Choice D is wrong because inconclusive result, requiring further evaluation.
An inconclusive result means that the AFP level is neither too high nor too low to indicate a problem with the fetus.
It does not necessarily mean that there is something wrong with the fetus, but it may require further testing to confirm or rule out any abnormalities.
Normal ranges for AFP levels vary depending on the gestational age and the laboratory that performs the test.
Generally, the normal range for AFP levels in pregnant
Correct Answer is A
Explanation
This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.
Some possible explanations for the other choices are:
Choice B: A 32-year-old client who has endometriosis.
This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.
Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).
This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.
Choice D: A 22-year-old client who has irregular menstrual cycles.
This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.
Normal ranges for oral contraceptive doses are:
Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate
Progestin: varies depending on the type and brand of oral contraceptive
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