A nurse is providing teaching for a client who is scheduled for a myelogram. Which of the following statements indicates the client understands the teaching?

"I will not be allowed to drink much liquid for 12 hours after the procedure."

"I can expect to have some itching during the procedure."

"I will have a radioactive substance injected during the procedure."

"I will need to keep my head elevated after the procedure."

Answer and Explanation

The Correct Answer is D

A. "I will not be allowed to drink much liquid for 12 hours after the procedure." is incorrect. The client is usually encouraged to drink fluids after the procedure to help flush the contrast material from the body.

B. "I can expect to have some itching during the procedure." is incorrect. Itching is not a typical expectation of the myelogram procedure.

C. "I will have a radioactive substance injected during the procedure." is incorrect. A myelogram involves the injection of a contrast dye, not a radioactive substance.

D. "I will need to keep my head elevated after the procedure." is correct. Keeping the head elevated after a myelogram helps prevent headaches and other complications from the procedure.

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Correct Answer is B

Explanation

A. Fluids should not be restricted; adequate hydration is necessary to help flush the contrast dye used during the procedure out of the client's system.
B. Performing neurovascular checks with vital signs is essential to monitor for complications such as bleeding, hematoma, or compromised circulation to the extremity.
C. The client should avoid range-of-motion exercises to the lower extremities immediately following the procedure to prevent disruption of the femoral artery site.
D. The client should remain on bed rest for several hours following the procedure to reduce the risk of bleeding at the catheter insertion site.

A. Radiofrequency catheter ablation B. Defibrillation C. CPR D. Elective cardioversion

Correct Answer is B

Explanation

A. Radiofrequency catheter ablation is incorrect. This is a long-term treatment for arrhythmias but not for immediate management of VT.

B. Defibrillation is correct. Defibrillation is used for pulseless ventricular tachycardia or ventricular fibrillation to restore a normal heart rhythm.

C. CPR is incorrect. CPR is performed if the patient is unresponsive and pulseless, not as the first-line intervention for VT.

D. Elective cardioversion is incorrect. Elective cardioversion is used for stable arrhythmias such as atrial fibrillation, not for immediate VT treatment.

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