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 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.

A. Lateral segment of the right lower lobe B. Lateral segment of the left lower lobe C. Posterior segment of the right middle lobe D. Posterior segment of the right lower lobe

Correct Answer is A

Explanation

A. Lateral segment of the right lower lobe is the correct answer because placing the client on the left side in Trendelenburg position promotes drainage from the right lower lobe’s lateral segment by using gravity to mobilize secretions.
B. Lateral segment of the left lower lobe would require the client to be positioned on the right side rather than the left.
C. Posterior segment of the right middle lobe would require the client to be positioned in a different way, typically supine with a slight Trendelenburg tilt.
D. Posterior segment of the right lower lobe would require a prone position in Trendelenburg, not left-side lying.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is postoperative following a total hip arthroplasty. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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