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 A

Explanation

A. Correct. Placing the client in Semi Fowler’s position with the head of the bed elevated helps reduce swelling and pressure on the neck after thyroid surgery.
B. Dorsal recumbent position might not provide the necessary support and elevation for the client's neck after thyroid surgery.
C. The supine position might not be as optimal as Semi Fowler’s for comfort and healing after thyroid surgery.
D. The left lateral position is not typically used for postoperative care after a thyroidectomy.

A. Vertigo B. Facial nerve assessment C. Pupils D. Pain rating E. Diminished hearing F. Lung assessment

Correct Answer is ["B","E"]

Explanation

A. Vertigo is common after inner ear surgery like stapedectomy and can be related to changes in the inner ear. It should be monitored, but it's not an immediate concern unless severe.
B. Correct. A change in facial symmetry (left facial droop) is indicative of potential facial nerve dysfunction, which requires immediate attention.
C. Pupils are reactive to light, and their size is within the expected range, indicating normal pupillary function.
D. A pain rating of 5 on a scale of 0 to 10 indicates moderate pain. While it requires attention, it's not a critical concern.
E. Correct. Diminished hearing following ear surgery is an expected finding, but the nurse should assess the degree and type of hearing loss and communicate this to the healthcare provider.
F. Lung assessment is important but does not require immediate action based on the given information.

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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

A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?

Correct Answer is A

Explanation

Correct Answer is ["B","E"]

Explanation

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