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."
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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Related Questions
Correct Answer is C
Explanation
A. Instruct the client to avoid movement of the affected leg is not practical for postoperative care; the goal is to manage movement safely, not completely avoid it.
B. Position the lower extremities so that they are touching is incorrect; the legs should be kept in abduction to prevent dislocation.
C. Prevent hip flexion of the affected extremity is essential to prevent dislocation of the hip joint. Keeping the hip in a neutral or slightly extended position helps achieve this.
D. Ensure that the client's heels are touching the bed is not a relevant intervention for preventing complications after a hip arthroplasty.
Correct Answer is ["B","C","E"]
Explanation
A. Increase in hematocrit is not expected in fluid overload; it generally decreases due to dilution of blood components.
B. Increased respiratory rate can occur as the body tries to compensate for fluid overload, which may affect lung function and cause respiratory distress.
C. Increased blood pressure is a common finding in fluid overload due to increased blood volume in the circulatory system.
D. Increased temperature is not a typical finding in fluid overload; it might be associated with infection or inflammation instead.
E. Increased heart rate can occur as the body compensates for increased blood volume and higher blood pressure.
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