An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?
Last time food was consumed.
Presence of a metal implant.
History of previous myelogram.
Allergy to iodine-based dyes.
The Correct Answer is B
Correct Answer: B. Rationale:
A. The last time food was consumed may be relevant for some medical procedures but isn't directly related to an MRI.
B. Knowing the presence of a metal implant is crucial before an MRI due to potential interference with the machine.
C. History of the previous myelogram might be relevant but is not as critical for an MRI. Allergy to iodine-based dyes is more pertinent for procedures like a CT scan with contrast, not necessarily an MRI.
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Related Questions
Correct Answer is D
Explanation
A. Ask about pain. This is not the most important action because pain is not the primary problem in this situation. Pain may or may not be present, but it does not address the underlying cause of cyanosis.
B. Provide mouth care. This is not the most important action because mouth care does not improve oxygenation. Mouth care may be helpful to prevent infection and promote comfort, but it is not a priority in this case.
C. Offer fluids. This is not the most important action because fluids do not increase oxygen levels in the blood. Fluids may be beneficial to prevent dehydration and maintain circulation, but they are not urgent in this scenario.
D. Administer oxygen. This is the most important action because oxygen is essential for cellular function and survival. Oxygen therapy can reverse hypoxia and improve the client's condition.
Correct Answer is B
Explanation
A. Asking about the bowel sterilization prescription isn't directly related to the client's concern about the visibility of the surgical opening.
B. Reviewing the client's expectations regarding elimination after surgery helps address the client's concerns about the surgical opening and ensures proper education and understanding.
C. Verifying the NPO status is important for surgery preparation but doesn’t address the client's specific concern.
D. Understanding if this is the client's first indwelling catheter doesn’t directly address the immediate concern of the client regarding the visibility of the surgical opening.
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