A nurse is preparing a client for a magnetic resonance angiography (MRA). The client is allergic to iodinated contrast dye. Which of the following actions should the nurse plan to take?

Administer prednisone before the test.

Consult with the provider to change to a CT scan.

Assess the alkaline phosphatase level.

Obtain the client's allergy history to seafood.

Answer and Explanation

The Correct Answer is A

Choice A reason: Administering prednisone before the test may be part of a premedication protocol for clients with a history of allergic reactions to contrast media. However, this is typically done for iodinated contrast used in CT scans, not for gadolinium-based contrast agents used in MRA.

Choice B reason: Consulting with the provider to change to a CT scan would not be appropriate if the client is allergic to iodinated contrast dye, as CT scans commonly use iodinated contrast. MRA typically uses gadolinium-based contrast agents, which may be safer for clients with iodine allergies.

Choice C reason: Assessing the alkaline phosphatase level is not directly related to preparing a client with a contrast dye allergy for an MRA. Alkaline phosphatase is an enzyme measured in blood tests and is not specific to contrast media allergies.

Choice D reason: Obtaining the client's allergy history to seafood is not necessary for MRA preparation. While there is a common misconception that seafood allergies are related to iodinated contrast allergies, the evidence does not support this association.

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Correct Answer is D

Explanation

Choice A reason: A client with diabetes mellitus presenting with acute ketoacidosis does not necessarily require a private room unless there are other infection control concerns. Acute ketoacidosis is a metabolic complication of diabetes that can be managed in a general ward setting with appropriate medical care and monitoring.

Choice B reason: An older adult client admitted with aspiration pneumonia would benefit from a private room if the pneumonia is caused by an infectious agent that requires droplet or airborne precautions. However, aspiration pneumonia is often a result of inhaling food, stomach acid, or saliva into the lungs, and not always infectious.

Choice C reason: A client with a compound fracture of the right femur would require a private room if there is an associated risk of infection due to the open nature of the injury. However, standard precautions and wound care can often be managed in a semi-private or general ward setting unless there are specific infection control issues.

Choice D reason: A client reporting fever, night sweats, and cough for 2 days may be exhibiting symptoms of a communicable disease such as tuberculosis. This client would require a private room with airborne precautions to prevent the spread of infection to other patients and healthcare workers.

A. Tongue blade B. NG tube C. Oral airway D. Wrist restraints

Correct Answer is C

Explanation

Choice A reason : A tongue blade should not be placed in the mouth during a seizure as it can cause injury or obstruct the airway.

Choice B reason: An NG tube, or nasogastric tube, is not typically required in the immediate management of seizures and should not be inserted during an active seizure due to the risk of injury.

Choice C reason: An oral airway may be used to maintain a patent airway during a postictal state if the client is unable to maintain their own airway.

Choice D reason: Wrist restraints are not routinely recommended for clients with seizure disorders as they can cause injury during a seizure. Safe environment and proper positioning are preferred to prevent injury.

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A nurse is preparing a client for a magnetic resonance angiography (MRA). The client is allergic to iodinated contrast dye. Which of the following actions should the nurse plan to take?

Nursing Test Bank

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