A nurse is teaching a client who is scheduled for dual-energy x-ray absorptiometry (DXA) to screen for osteoporosis. Which of the following instructions should the nurse include in the teaching?
"You will need to fast for 12 hours before the test."
"You will need to lie flat for 4 hours following the test."
"You will need to remove all jewelry before the test."
"You will need to empty your bladder before the test."
The Correct Answer is C
A. Fasting is not necessary for a dual-energy x-ray absorptiometry (DXA) scan, as it does not involve ingesting anything.
B. The client does not need to lie flat for an extended period following a DXA scan. They can resume normal activities immediately after the test.
C. The nurse should instruct the client to remove all jewelry or metal objects that can interfere with the test. A DXA scan is the mostly commonly used screening and diagnostic tool for measuring bone mineral density.
D. . It is not necessary to empty the bladder before the test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
- To calculate the dose of naproxen oral suspension, use the following formula: Dose (mL) = Desired dose (mg) / Available dose (mg/mL)
- In this case, the desired dose is 500 mg and the available dose is 125 mg/5 mL, which is equivalent to 25 mg/mL
- Plug in the values into the formula: Dose (mL) = 500 mg / 25 mg/mL - Simplify the expression: Dose (mL) = 20 mL
- Round the answer to the nearest whole number: Dose (mL) = 20 mL
- The nurse should administer 20 mL of naproxen oral suspension per dose
Correct Answer is B
Explanation
A. Hypovolemic shock is characterized by a significant loss of blood volume. While it can occur due to severe trauma, the symptoms of shortness of breath and chest pain are more indicative of a potential respiratory issue, making Fat Embolism Syndrome (FES) a higher concern in this case.
B. Correct. Given the client's recent multiple long bone fractures and the symptoms of shortness of breath and chest pain, the nurse should be concerned about the possibility of fat embolism syndrome (FES). FES can occur as a result of long bone fractures, particularly those involving the femur, pelvis, or tibia. Fat emboli can enter thebloodstream and potentially obstruct blood vessels, leading to symptoms such as shortness of breath, chest pain, and altered mental status.
C. Venous thromboembolism (VTE) is a condition involving the formation of blood clots in the veins, which can lead to complications such as deep vein thrombosis (DVT) or pulmonary embolism (PE). While this is a consideration for clients with immobilization due to fractures, it is not the primary concern in this case based on the presenting symptoms.
D. Compartment syndrome is a condition characterized by increased pressure within a muscle compartment, leading to decreased blood flow and potential tissue damage. While it can occur after fractures, it typically presents with symptoms like severe pain, swelling, and tense muscles, rather than shortness of breath and chest pain.
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