A nurse is planning care for a client who is scheduled for an intravenous pyelogram.
Which of the following actions is appropriate for the nurse to include?
Assist the client with a bowel cleansing.
Monitor the client for pain in the suprapubic region.
Ensure the client is free of metal objects.
Administer 240 mL (8 oz) of oral contrast before the procedure.
The Correct Answer is A
A. This is appropriate and necessary prior to the procedure. Bowel prep may include laxatives or enemas the evening before and possibly the morning of the procedure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Secure the tracheostomy ties to allow one finger to fit snugly underneath. This is important to ensure that the tracheostomy tube is secure and in place.
Choice B is wrong because normal saline is not typically used to cleanse the skin around the stoma.
Choice C is wrong because soaking the outer cannula in warm, soapy tap water is not a recommended method of cleaning.
Choice D is wrong because a cotton tip applicator should not be used to clean inside the inner cannula.
Correct Answer is D
Explanation
When a client is restrained to each extremity, it is important for the nurse to assess the client’s peripheral pulses first to ensure that circulation is not compromised.
Choice A, Elimination needs, is important but not the first priority in this situation.
Choice B, Comfort level, is also important but not the first priority in this situation.
Choice C, Skin integrity, is important but not the first priority in this situation.
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