As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?

Remove all metal necklaces.

Take several shallow breaths during the procedure.

Do not eat or drink anything the morning of the test.

Expect minor discomfort after the procedure.

Answer and Explanation

The Correct Answer is A

A reason:

Removing all metal necklaces is correct because metal objects can interfere with the x-ray imaging. Metal can cause artifacts on the x-ray, making it difficult to interpret the results accurately. Therefore, clients are advised to remove any metal jewelry or accessories before the procedure.

B reason:

Taking several shallow breaths during the procedure is not correct. Clients are usually instructed to take a deep breath and hold it for a few seconds while the x-ray is being taken. This helps to get a clear image of the chest.

C reason:

Not eating or drinking anything the morning of the test is not necessary for a chest x-ray. This instruction is more relevant for certain other tests, such as blood tests or imaging studies requiring contrast. For a chest x-ray, there are no such restrictions.

D reason:

Expecting minor discomfort after the procedure is incorrect. A chest x-ray is a non-invasive and painless procedure. Patients typically do not experience any discomfort afterward.

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Correct Answer is A

Explanation

A reason:

A pH reading of 1-4 is expected for gastric contents. This acidic range indicates that the NG tube is correctly placed in the stomach, where gastric secretions have a low pH due to hydrochloric acid.

B reason:

A pH reading of 5-7 is more indicative of respiratory secretions or the contents of the small intestine, not the stomach. This range suggests that the NG tube may be incorrectly placed.

C reason:

A pH reading of 8-10 is too alkaline for gastric contents and indicates incorrect tube placement. This range could suggest the presence of intestinal or respiratory secretions, not gastric.

D reason:

A pH reading of 11-14 is highly alkaline and unlikely to be encountered in clinical practice for this purpose. Such a high pH is not compatible with gastric contents and suggests a significant error or contamination in the test.

A. Place the wheelchair at a 90-degree angle to the bed. B. Lock the wheels of the bed and the wheelchair. C. Elevate the bed to a position of comfort for the nurse. D. Acquire the help of several people to lift the client.

Correct Answer is B

Explanation

A reason:

Placing the wheelchair at a 90-degree angle to the bed is not the most effective position for transfer. A 45-degree angle is typically recommended to facilitate a smoother and safer transfer.

B reason:

Locking the wheels of the bed and the wheelchair is correct. This prevents any movement of the bed or wheelchair during the transfer, ensuring the safety of both the client and the nurse.

C reason:

Elevating the bed to a position of comfort for the nurse may be necessary, but the priority is to ensure the bed height is appropriate for a safe transfer, not just for the nurse's comfort.

D reason:

Acquiring the help of several people to lift the client is not always necessary. Using proper transfer techniques, equipment, and positioning can enable a single nurse to safely transfer a client, depending on the client's mobility and weight.

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As part of an annual physical examination, a nurse is preparing a client to undergo a chest x-ray. Which of the following instructions should the nurse give the client prior to the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has an NG tube. The nurse tests the pH of the secretions to determine if the tube is correctly placed. Which of the following readings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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