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 B

Explanation

A. Incorrect. When removing tape, it is best to pull in the direction of hair growth to minimize skin trauma.
B. Correct. When performing a wet-to-dry dressing change, the wound should be cleaned from the center to the outer edges to prevent introducing contaminants into the wound.
C. Incorrect. Wet-to-dry dressings are typically used to debride wounds by allowing the moist dressing to dry and adhere to wound debris. Moistening the dressing before removal can disrupt this process.
D. Incorrect. Sterile gloves are not typically necessary for performing a wet-to-dry dressing change, as it is a clean technique.

A. Maintain abduction of the client's residual limb with a pillow. B. Encourage the client to use the overbed trapeze. C. Caution the client to avoid a prone position while in bed. D. Keep a loose, absorbent dressing over the client's surgical site.

Correct Answer is B

Explanation

A. Incorrect. Maintaining abduction of the residual limb with a pillow is not relevant to promoting mobility and independence for a client with an above-the-knee amputation.
B. Correct. Encouraging the client to use the overbed trapeze can help the client perform upper body movements and reposition independently, which is essential for maintaining mobility.
C. Incorrect. Avoiding a prone position may not be necessary for the client after an above-the-knee amputation and does not directly contribute to mobility and independence.
D. Incorrect. Keeping a loose, absorbent dressing over the surgical site is important for wound care, but it does not directly promote mobility and independence.

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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

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