A nurse is reinforcing teaching with a client who is scheduled for an Intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?

"I will feel a warming sensation after the injection of the dye."

"I should limit my fluid intake for 2 days after the procedure."

"I do not need to sign a consent form before this procedure."

"I can have a meal up to 2 hours before the procedure."

Answer and Explanation

The Correct Answer is A

A.   Correct. A warming sensation or a feeling of warmth throughout the body is a common sensation experienced by patients during an intravenous pyelogram due to the contrast dye used.
B.   Limiting fluid intake is not typically necessary after an intravenous pyelogram; in fact, increased fluid intake is often recommended to help flush the dye from the body.
C.   A signed consent form is usually required for invasive procedures like an intravenous pyelogram.
D.   Eating or drinking before the procedure might interfere with the test results, so it is generally not allowed.

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Correct Answer is D

Explanation

A. Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room.
B. Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep.
C. There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder.
D. Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.

A. Apply the restraint under the client's clothes. B. Place the client in a sitting position. C. Tie the restraint to the railing of the client's bed. D. Ensure the restraint is placed across the client's chest.

Correct Answer is B

Explanation

A.Restraints should never be applied directly on the skin or under clothing, as this can cause irritation, pressure injuries, and make it difficult for the nurse to assess skin integrity. Restraints should be placed over the client's clothing to reduce friction and protect the skin.

B.Positioning the client in a sitting or semi-Fowler's position is preferred as it promotes comfort, minimizes the risk of aspiration, and allows the nurse to monitor the client's airway, breathing, and circulation more effectively. Lying flat can increase discomfort and respiratory difficulty, especially if the client is aggressive or agitated.

C.Restraints should never be tied to movable parts, like bed rails, as this could result in injury if the bed rail is moved up or down. Restraints should be tied to a non-movable part of the bed frame to ensure stability and prevent accidental tightening or loosening that could harm the client.

D.A belt restraint should be placed across the client’s waist or hips, not the chest, as a chest restraint can impede respiratory function, especially in an aggressive client who may be physically exerting themselves. The restraint should secure the client’s lower body to prevent them from standing or moving excessively, while still allowing safe breathing and circulation.

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A nurse is reinforcing teaching with a client who is scheduled for an Intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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