A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan. Which of the following statements is appropriate to include in the teaching?

"The nurse will ask you to remove any transdermal patches prior to the procedure."

"The nurse will ask you to wear protective eyewear during this procedure."

"You should not have this procedure if you are allergic to iodine."

"You should not have this procedure if you have a tattoo."

Answer and Explanation

The Correct Answer is A

Rationale:

A. "The nurse will ask you to remove any transdermal patches prior to the procedure.": Some transdermal patches contain metallic components that can overheat during an MRI, posing a burn risk. Removing them prevents injury and ensures safety in the strong magnetic field.

B. "The nurse will ask you to wear protective eyewear during this procedure.": Protective eyewear is not necessary for MRI scans, as there is no exposure to bright light or flying debris. This precaution applies more to procedures involving lasers or potential eye hazards.

C. "You should not have this procedure if you are allergic to iodine.": Iodine allergies are a concern with certain CT scans using iodinated contrast, not standard MRIs. MRI contrast agents typically contain gadolinium, which has a different allergy profile.

D. "You should not have this procedure if you have a tattoo.": Tattoos generally do not contraindicate MRI, although some with metallic ink may cause mild skin irritation. This is rare and does not usually prevent the procedure from being performed.

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Correct Answer is A

Explanation

A. "Since I retired, I have entered many gardening competitions.": Compensation involves emphasizing a strength or engaging in alternative activities to make up for perceived deficiencies or losses. Participating in competitions reflects the client redirecting energy to excel in another area, consistent with this defense mechanism.

B. "I'm so glad I've retired because the work was making me sick and depressed.": This statement reflects relief and rationalization rather than compensation, as the client is explaining the retirement in terms of health and well-being.

C. "There were lay-offs at my company, so I journaled about what I accomplished during my career.": Journaling is a coping strategy that promotes reflection and self-esteem, but it is more aligned with intellectualization or sublimation, not compensation.

D. "I had to retire because my boss didn't like me.": This statement demonstrates projection, attributing responsibility for a situation to someone else, rather than compensating for perceived loss or inadequacy.

A. Prospective audit B. Outcome audit C. Structure audit D. Concurrent audit

Correct Answer is B

Explanation

A. Prospective audit: A prospective audit evaluates care before it is provided, focusing on planned interventions rather than outcomes after discharge. It is not used to assess post-care quality.

B. Outcome audit: Outcome audits measure the results of care, such as client recovery, complication rates, or satisfaction, after interventions have been completed. This type of audit is appropriate for gathering information about quality of care following discharge.

C. Structure audit: Structure audits assess the resources, staffing, and organizational infrastructure used to deliver care. They do not measure client outcomes or post-discharge quality.

D. Concurrent audit: Concurrent audits evaluate care while it is being provided, allowing immediate feedback and corrections. They are performed during hospitalization, not after discharge.

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Body System	Findings
Integumentary	Skin feels cool to the touch. Capillary refill 3 seconds in left foot Dressing on left hand shows small amount of moisture through gauze.
Vital Signs	Blood pressure 102/50 mm Hg Temperature 35.8° C (96.4° F) Respiratory rate 20/min
Genitourinary	Output of 25 mL dark amber urine through catheter

A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan. Which of the following statements is appropriate to include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates client is using compensation as a defense mechanism?

Correct Answer is A

Explanation

A director of nursing in a rehabilitation facility is planning to measure the quality of care provided. Which of the following audits should the director plan to use after clients are discharged to gather information about quality of care?

Correct Answer is B

Explanation

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