The nurse is preparing a client who has diabetes mellitus, type 2 for an abdominal CT scan with contrast. Which of the following prescribed medications, taken by the client, should be reported to the health care provider immediately?

warfarin (Coumadin)

pantoprazole (Protonix)

metformin (Glucophage)

fluoxetine (Prozac)

Answer and Explanation

The Correct Answer is C

A. While warfarin is an anticoagulant, it is not contraindicated with contrast imaging. However, the nurse should monitor for bleeding and report any abnormal findings, but this medication is not a priority to report immediately in the context of a CT scan.
B. Pantoprazole is a proton pump inhibitor used to treat acid reflux, and it does not pose any specific concerns regarding the administration of contrast for an abdominal CT scan.
C. Metformin should be reported immediately. It is contraindicated in clients undergoing contrast procedures because it can increase the risk of lactic acidosis, particularly in those with renal impairment. Metformin should generally be withheld 48 hours before and after receiving contrast material to avoid this risk.
D. Fluoxetine is an antidepressant (SSRI) and does not have a direct interaction with the contrast medium used in CT scans. It is not a priority to report in this situation.

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Correct Answer is B

Explanation

A. It is correct that the doctor can change the settings of the VNS as needed using a special programming device. This is a true and expected understanding.
B. Saying "I will never have another seizure" indicates a misunderstanding. While the vagal nerve stimulator can reduce the frequency and severity of seizures, it is not a cure and does not guarantee complete seizure prevention. This statement reflects unrealistic expectations and suggests the need for further teaching.
C. The VNS sends electrical signals to the brain via the vagus nerve to help prevent seizure activity—this is an accurate understanding of its function.
D. Cough or throat spasm is a known side effect or complication of VNS, so this statement reflects appropriate understanding.

A. "You will immediately start thyroid replacement therapy after radioactive iodine treatment." B. "Your partner can feed breast milk to your baby if you pump it." C. "You can try to get pregnant 2 months after the treatment." D. "You need to avoid close contact with others until you the doctor determines you are no longer emitting radiation from your body."

Correct Answer is D

Explanation

A. While many patients who receive radioactive iodine treatment (RAI) for hyperthyroidism may require thyroid replacement therapy afterward, this is not always immediate. The body’s response to the treatment varies, and thyroid function will need to be monitored. The initiation of thyroid replacement therapy depends on the individual's thyroid levels after treatment.
B. Radioactive iodine is contraindicated during breastfeeding because the iodine can pass into the breast milk, potentially exposing the infant to radiation. Mothers are usually advised to stop breastfeeding and to pump and discard milk for a period after the treatment (usually several weeks).
C. The general recommendation is that women should wait at least 6 months after receiving radioactive iodine treatment before trying to become pregnant, as the radiation could potentially affect fetal development during the first few months following the treatment.
D. After receiving radioactive iodine treatment, patients should limit contact with others (especially pregnant women and young children) for a period of time to reduce the risk of radiation exposure to others. This period varies based on the dose of radioactive iodine used, but patients are typically advised to follow specific precautions until their radiation levels have decreased to a safe level.

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The nurse is preparing a client who has diabetes mellitus, type 2 for an abdominal CT scan with contrast. Which of the following prescribed medications, taken by the client, should be reported to the health care provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has completed post-operative teaching for a client with a new vagal nerve stimulator (VNS). Which of the following statements by the client would indicate the need for more teaching?

Correct Answer is B

Explanation

The nurse is providing discharge instructions for a female client after receiving radioactive iodine treatment. Which of the following information should the nurse include in the teaching?

Correct Answer is D

Explanation

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The nurse is providing discharge teaching to a client with diabetes mellitus, type 2. Which of the following information should the nurse include in the teaching?

The nurse is preparing a client who has diabetes mellitus, type 2 for an abdominal CT scan with contrast. Which of the following prescribed medications, taken by the client, should be reported to the health care provider immediately?