A nurse is caring for a client who is scheduled for a CT scan that requires contrast dye. Which of the following actions is the priority for the nurse to take?

Question the client about allergies before the procedure.

Tell the client to increase fluid intake following the procedure.

Evaluate the client for claustrophobia.

Inform the client about the steps of the procedure.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

Questioning the client about allergies before the procedure is appropriate. It is crucial to assess the client for any allergies, especially to contrast dye, before the procedure. Allergic reactions to contrast dye can range from mild to severe, and prompt identification of potential allergies is essential to prevent adverse reactions. If the client has a known allergy to the contrast dye, alternative imaging methods or pre-medication may be considered.

Choice B Reason:

Telling the client to increase fluid intake following the procedure is inappropriate. This instruction is relevant post-procedure for the elimination of the contrast dye from the body. However, it is not the priority at this moment, and the client's safety during the procedure takes precedence.

Choice C Reason:

Evaluating the client for claustrophobia is appropriate. Assessing for claustrophobia is important, especially if the CT scan involves an enclosed space. However, this assessment can typically be conducted in advance of the procedure during the pre-procedure preparations.

Choice D Reason:

Informing the client about the steps of the procedure is inappropriate. Providing information about the procedure is important for the client's understanding and cooperation. However, ensuring the client's safety during the procedure by assessing for potential allergies to the contrast dye comes first.

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Correct Answer is C

Explanation

Choice A Reason:
Turning the hearing aid off for 5 min is inappropriate. Turning off the hearing aid may not address the underlying issue of feedback. Adjusting the volume or checking for proper placement is more appropriate.

Choice B Reason:
Cleaning the hearing aid with isopropyl alcohol is inappropriate. While cleaning the hearing aid is important for maintenance, using isopropyl alcohol may damage certain components. It's generally recommended to use a specialized cleaning solution recommended by the hearing aid manufacturer.

Choice C Reason:
Decreasing the volume on the hearing aid is appropriate. The whistling sound, also known as feedback, can occur when the volume is set too high. Lowering the volume should help alleviate the feedback and improve the client's experience with the hearing aid.

D. Soak the hearing aid in warm water.
Soaking a hearing aid in water is not recommended, as it can damage the electronic components. Hearing aids are sensitive to moisture, and water exposure can lead to malfunction.

A. “I understand that you decided not to receive blood products.” B. “Not receiving blood will slow down your memory” C. “Why are you refusing to receive blood products?” D. “You need to talk with your doctor about this”

Correct Answer is A

Explanation

Choice A Reason:

“I understand that you decided not to receive blood products.” This response shows empathy and acknowledges the client's decision without judgment. It respects the client's autonomy and decision-making capacity.

Choice B Reason:

“Not receiving blood will slow down your memory.” This statement introduces a potential consequence that may not be accurate or relevant to the client's decision. It is important to provide information, but scare tactics or inaccurate statements may not be helpful.

Choice C Reason:

“Why are you refusing to receive blood products?” While understanding the client's rationale is essential, the initial response should convey empathy and acceptance. Asking why may be appropriate later in the conversation, but starting with understanding is crucial.

Choice D Reason:

“You need to talk with your doctor about this.” While involving the doctor is important, it's essential to address the client's feelings and decisions directly. The nurse can play a supportive role in facilitating communication between the client and the healthcare team.

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A nurse is caring for a client who is scheduled for a CT scan that requires contrast dye. Which of the following actions is the priority for the nurse to take?

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Naxlex Comprehensive Predictor Exams

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