A nurse is providing teaching for a client who is scheduled for a myelogram. Which of the following statements indicates the client understands the teaching?

"I will not be allowed to drink much liquid for 12 hours after the procedure."

"I can expect to have some itching during the procedure."

"I will have a radioactive substance injected during the procedure."

"I will need to keep my head elevated after the procedure."

Answer and Explanation

The Correct Answer is D

A. "I will not be allowed to drink much liquid for 12 hours after the procedure." is incorrect. The client is usually encouraged to drink fluids after the procedure to help flush the contrast material from the body.

B. "I can expect to have some itching during the procedure." is incorrect. Itching is not a typical expectation of the myelogram procedure.

C. "I will have a radioactive substance injected during the procedure." is incorrect. A myelogram involves the injection of a contrast dye, not a radioactive substance.

D. "I will need to keep my head elevated after the procedure." is correct. Keeping the head elevated after a myelogram helps prevent headaches and other complications from the procedure.

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Correct Answer is B

Explanation

A. The footplate keeps the client from sliding down in bed is not the primary function of the footplate in Buck’s traction.

B. The footplate helps to prevent foot drop by maintaining proper alignment of the foot and leg in Buck’s traction.

C. The footplate works to anchor the traction is incorrect; traction is anchored by weights and pulleys, not the footplate.

D. The footplate prevents pressure sores on the heel is not the primary purpose of the footplate in Buck's traction.

A. Administer an analgesic. B. Initiate a weight-based continuous heparin infusion C. Initiate supplemental oxygen. D. Prepare client for a chest tube insertion. E. Insert an indwelling urinary catheter.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

Administer an analgesic: Essential. The client is experiencing sudden, sharp chest pain and appears anxious, which indicates the need for pain management.

Initiate a weight-based continuous heparin infusion: Non-essential. This intervention is related to anticoagulation management and is not indicated for the immediate management of a pneumothorax or pain.

Initiate supplemental oxygen: Essential. The client has a low pulse oximetry reading of 85%, indicating a need for supplemental oxygen to improve oxygenation.

Prepare client for a chest tube insertion: Essential. The chest x-ray shows a right upper lobe pneumothorax, and preparing for chest tube insertion is crucial for managing this condition.

Insert an indwelling urinary catheter: Non-essential. There is no indication from the client's current condition that an indwelling urinary catheter is required.

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A nurse is providing teaching for a client who is scheduled for a myelogram. Which of the following statements indicates the client understands the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching an assistive personnel (AP) about the purpose of a footplate on the bed of a client whose leg is in Buck's traction. Which of the following statements indicates the AP understands the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client. Exhibits For each potential nursing action, click to specify if the action is essential, non-essential, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

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