The nurse is preparing a client for an X-ray procedure. Which instruction should the nurse provide to the client before the procedure?

"Remove all metal jewelry and accessories."

"Consume a full meal before the procedure."

"Drink a large amount of water before the procedure."

"Avoid taking any pain medications before the procedure."

Answer and Explanation

The Correct Answer is A

Metal objects, including jewelry and accessories, can interfere with the X-ray image quality. Instructing the client to remove these items ensures accurate results.

b. "Consume a full meal before the procedure." This choice is incorrect because it is generally recommended to fast for a certain period before an X-ray, especially if contrast dye will be used. Eating a full meal could affect the accuracy of the images.

c. "Drink a large amount of water before the procedure." This choice is incorrect because drinking a large amount of water is not typically required for a standard X-ray procedure. However, specific instructions may be given if a contrast dye is used.

d. "Avoid taking any pain medications before the procedure." This choice is incorrect because taking pain medications is not typically contraindicated before an X-ray. Pain medications may be taken as needed and should not significantly affect the procedure.

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Correct Answer is B

Explanation

Contrast dye used in X-ray procedures can affect kidney function, and high blood glucose levels may increase the risk of kidney injury. Monitoring the blood glucose level is important before the procedure to ensure the client's safety.

a. Hemoglobin level. While monitoring the hemoglobin level is important for overall health assessment, it is not directly related to the use of contrast dye in an X-ray procedure.

c. Serum electrolyte levels. Electrolyte levels are important for assessing overall health and kidney function, but they are not specifically related to the administration of contrast dye.

d. White blood cell count. The white blood cell count is important for assessing immune function but is not directly related to the use of contrast dye for X-ray imaging.

A. Remove all clothing and wear a hospital gown. B. Remove any metal objects from the lower extremities. C. Apply a topical anesthetic to the area to be imaged. D. Refrain from bearing weight on the lower extremities.

Correct Answer is B

Explanation

Before an X-ray of the lower extremities, the patient should be instructed to remove any metal objects, such as jewelry, piercings, or metallic accessories, from the lower limbs to prevent artifacts on the X-ray image.

a. While the patient may be required to remove clothing covering the lower extremities, it is not necessary for them to wear a hospital gown for the procedure.

c. Applying a topical anesthetic is not routinely done for X-ray imaging, as X-rays are non-invasive and do not require anesthesia.

d. Refraining from bearing weight on the lower extremities is not a standard preparation for X-ray imaging of the lower limbs unless specifically instructed by the healthcare provider for certain conditions.

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The nurse is preparing a client for an X-ray procedure. Which instruction should the nurse provide to the client before the procedure?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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