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","C","D","E"]

Explanation

A reason:

Blood pressure increases with age because blood vessels naturally become less flexible and more resistant to blood flow as we age. This resistance can cause an increase in blood pressure. Additionally, lifestyle factors and accumulation of health issues over time contribute to higher blood pressure in older adults.

B reason:

Blood pressure does not typically decrease after eating food. Instead, it may temporarily increase due to the body’s metabolic response to digestion and absorption of nutrients. Some individuals may experience postprandial hypotension, but this is not a common occurrence.

C reason:

Blood pressure is usually highest on arising in the morning due to the body's natural circadian rhythm. The release of certain hormones like cortisol and adrenaline upon waking can cause an increase in blood pressure. This phenomenon is known as the "morning surge."

D reason:

Blood pressure tends to be higher in smokers because nicotine and other chemicals in cigarettes cause vasoconstriction, which increases blood pressure. Chronic smoking can also lead to long-term damage to the cardiovascular system, further elevating blood pressure.

E reason:

Hormones can affect blood pressure, especially in women after menopause. The decline in estrogen levels can lead to increased blood pressure due to changes in vascular health and metabolism. Hormonal fluctuations throughout a woman's life can also influence blood pressure.

A. Provide the client a sip of warm water, wait 5 minutes, and measure the temperature B. Document that the nurse was unable to measure the client's temperature C. Proceed to measure the oral temperature D. Wait 30 minutes and return to measure the oral temperature

Correct Answer is D

Explanation

A reason:

Providing a sip of warm water and waiting 5 minutes is not sufficient to ensure an accurate oral temperature reading. The temperature of the mouth needs to stabilize, which takes longer than 5 minutes.

B reason:

Documenting that the temperature could not be measured should be a last resort. The nurse should make an effort to obtain an accurate reading after an appropriate waiting period.

C reason:

Proceeding to measure the oral temperature immediately after consuming ice chips will likely yield an inaccurate reading, as the cold temperature can lower the reading artificially.

D reason:

Waiting 30 minutes before measuring the oral temperature is the correct action. This allows the oral cavity to return to its baseline temperature, ensuring a more accurate measurement.

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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

The nurse instructor is teaching student nurses about the factors that may affect a patient's blood pressure. Which statements accurately describe these factors? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is measuring a client's oral temperature. The client informs the nurse that he has just eaten some ice chips. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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