A client is scheduled for an abdominal ultrasound in two weeks.
The client asks the nurse what they should do to prepare for the test.
What is the best response by the nurse?
“The patient should have a full bladder for a transabdominal US and an empty bladder for a transvaginal US.”.
“The patient should wear tight-fitting clothing and lie prone on an examination table.”.
“The patient should wear loose-fitting clothing and lie supine on an examination table.”.
“The patient should wear loose-fitting clothing and lie supine on an examination table.”.
The Correct Answer is C
The patient should wear loose-fitting clothing and lie supine on an examination table.
This is because loose-fitting clothing allows easy access to the abdomen and lying supine helps relax the abdominal muscles.
The patient should also avoid food and drinks for 8 to 12 hours before the test, as undigested food can interfere with the sound waves and affect the image quality.
Choice A is wrong because a full bladder is not necessary for an abdominal ultrasound, unless the patient is pregnant or has a pelvic condition.
A transvaginal ultrasound is a different type of ultrasound that uses a probe inserted into the vagina to examine the reproductive organs.
Choice B is wrong because tight-fitting clothing can restrict the movement of the ultrasound probe and make it harder to get a clear image.
Lying prone (on the stomach) can also tense up the abdominal muscles and obscure the organs.
Choice D is wrong because lying prone can have the same disadvantages as choice B. Additionally, wearing loose-fitting clothing does not mean that the patient can eat or drink anything before the test, as this can affect the results.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To measure the fetal heart rate (FHR) in response to fetal movements.
This is because the FHR should increase by at least 15 beats per minute for at least 15 seconds when the fetus moves, which indicates a healthy and reactive fetus.
This is called an acceleration.
Choice B is wrong because the uterine contractions are not related to the fetal movements or the button pressing.
The uterine contractions are measured by a tocodynamometer or an intrauterine pressure catheter.
Choice C is wrong because the fetal oxygenation and neurological function are not directly measured by the button pressing.
The fetal oxygenation can be assessed by the FHR variability and decelerations, while the neurological function can be evaluated by other tests such as biophysical profile or fetal acoustic stimulation.
Choice D is wrong because the fetal well-being and hypoxia or distress are not indicated by the button pressing alone.
The fetal well-being and hypoxia or distress are determined by the FHR patterns, such as baseline, variability, accelerations and decelerations.
Correct Answer is A
Explanation
This is because migraine headaches with aura are a contraindication for receiving oral contraceptives, as they increase the risk of stroke and other cardiovascular complications.
Some possible explanations for the other choices are:
Choice B: A 32-year-old client who has endometriosis.
This is not a contraindication for receiving oral contraceptives, as they can actually help reduce the symptoms of endometriosis by suppressing ovulation and reducing menstrual bleeding.
Choice C: A 28-year-old client who has polycystic ovary syndrome (PCOS).
This is not a contraindication for receiving oral contraceptives, as they can help regulate the menstrual cycle and lower the levels of androgens (male hormones) that cause acne, hirsutism (excess hair growth), and other problems in women with PCOS.
Choice D: A 22-year-old client who has irregular menstrual cycles.
This is not a contraindication for receiving oral contraceptives, as they can help normalize the menstrual cycle and prevent unintended pregnancy.
Normal ranges for oral contraceptive doses are:
Estrogen: 10 to 35 mcg of ethinyl estradiol or estradiol valerate
Progestin: varies depending on the type and brand of oral contraceptive
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.