The practical nurse (PN) is preparing a client for a mammogram. Which instruction should the PN provide the client?

Do not exercise the upper body on the day of the procedure.

Do not use underarm deodorant on the day of the procedure.

Avoid taking aspirin for one week prior to the procedure.

Avoid eating or drinking 6 hours prior to the procedure.

Answer and Explanation

The Correct Answer is B

Choice A reason: There is no specific requirement to avoid upper body exercise on the day of a mammogram. While vigorous exercise might cause some temporary muscle discomfort, it does not impact the results of the mammogram. The primary concern is ensuring clear imaging of the breast tissue, not the effects of exercise.
Choice B reason: Clients are instructed not to use underarm deodorant on the day of a mammogram because deodorants, antiperspirants, powders, or lotions can contain metallic particles that may appear on the mammogram images as white spots. These spots can be mistaken for calcifications, leading to potential misinterpretation of the results or the need for additional imaging. Ensuring the client avoids using these products helps achieve the clearest possible images for accurate diagnosis.
Choice C reason: Avoiding aspirin for one week prior to a mammogram is not a standard instruction. Aspirin can affect blood clotting, and such instructions are typically given before surgical procedures rather than imaging tests. There is no direct impact of aspirin on the mammogram process or results.
Choice D reason: There is no requirement to avoid eating or drinking for 6 hours before a mammogram. This instruction is more relevant for procedures that involve anesthesia or sedation, where an empty stomach is necessary to reduce the risk of aspiration. Mammograms do not involve these risks, and clients can eat and drink as usual.

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Correct Answer is A

Explanation

Choice A reason: Driving a car is an activity that should be limited until after the first postoperative visit. Postoperative clients might experience discomfort, dizziness, or medication side effects that can impair their ability to drive safely. The stress and physical demands of driving can also affect the healing process, so it's important to avoid this activity until the healthcare provider gives clearance.
Choice B reason: Eating high-fiber foods is generally encouraged postoperatively to prevent constipation and ensure smooth bowel movements. There is no reason to limit high-fiber foods after a transurethral prostatectomy unless otherwise specified by the healthcare provider.
Choice C reason: Kegel exercises can help strengthen the pelvic floor muscles and are often recommended after prostate surgery to improve bladder control. However, it is important to follow the healthcare provider's guidance on when to start these exercises and how frequently they should be done.
Choice D reason: Walking around the house is a light activity that can aid in recovery by promoting circulation and preventing blood clots. It is usually recommended to start light activity soon after surgery, unless contraindicated by the healthcare provider.

A. Sputum. B. Urine. C. Throat smear. D. Blood.

Correct Answer is A

Explanation

Choice A reason: Sputum is the most appropriate specimen to collect prior to the initiation of antibiotic therapy in a client with suspected pneumonia. Sputum cultures can help identify the specific bacteria or other pathogens causing the infection, allowing for targeted antibiotic therapy. Collecting the sputum sample before starting antibiotics ensures that the culture results are not influenced by the medication, leading to more accurate identification of the causative agent and more effective treatment.
Choice B reason: Urine is not the appropriate specimen to collect for diagnosing pneumonia. While urine cultures can be useful for diagnosing urinary tract infections or detecting certain pathogens through urine antigen tests, they are not relevant to identifying the etiology of a respiratory infection like pneumonia. The focus should be on obtaining samples directly from the respiratory system.
Choice C reason: A throat smear can be useful for diagnosing upper respiratory tract infections, such as strep throat, caused by Group A Streptococcus. However, it is not the most relevant test for diagnosing pneumonia, which affects the lower respiratory tract. A sputum sample is more appropriate for identifying the pathogens responsible for pneumonia.
Choice D reason: Blood cultures can be useful for detecting bacteremia or septicemia, especially in severe cases of pneumonia where the infection has spread to the bloodstream. However, they are not the primary method for identifying the specific cause of pneumonia. Blood cultures are typically used in conjunction with other tests, such as sputum cultures, to provide a comprehensive diagnosis.

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The practical nurse (PN) is preparing a client for a mammogram. Which instruction should the PN provide the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is recovering from a transurethral prostatectomy. Which activity should the practical nurse (PN) reinforce with the client to limit until after the first postoperative visit?

Correct Answer is A

Explanation

A client is admitted with the diagnosis of possible pneumonia, and laboratory studies are prescribed to rule out the etiology. Which specimen should the practical nurse (PN) collect prior to the beginning of antibiotic therapy?

Correct Answer is A

Explanation

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