An older male client who fell down several stairs 4-hours ago is scheduled for magnetic resonance imaging (MRI). What information should the practical nurse (PN) obtain from the client?
Last time food was consumed.
Presence of a metal implant.
History of previous myelogram.
Allergy to iodine-based dyes.
The Correct Answer is B
Correct Answer: B. Rationale:
A. The last time food was consumed may be relevant for some medical procedures but isn't directly related to an MRI.
B. Knowing the presence of a metal implant is crucial before an MRI due to potential interference with the machine.
C. History of the previous myelogram might be relevant but is not as critical for an MRI. Allergy to iodine-based dyes is more pertinent for procedures like a CT scan with contrast, not necessarily an MRI.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Requesting that the man leave violates the patient's right to privacy and intimacy.
B. In this situation, the practical nurse (PN) shouldexit the room and quietly close the door. This approach respects the privacy and dignity of the older female client and her male friend while maintaining professionalism and discretion. It avoids embarrassing or shaming the couple and allows them their personal space.
C. Asking when the nurse should return doesn't handle the immediate situation effectively.
D. Reporting the incident to the family might be an option, but the immediate action is to maintain appropriate boundaries by asking the man to leave.
Correct Answer is C
Explanation
A. Checking for kinks in the drainage tubing is important, but the observed clots and thick red fluid suggest potential complications that require immediate attention and should be reported. B. Waiting for an hour to observe again could delay necessary interventions if there's an issue with bleeding or clot formation, so reporting immediately is more prudent.
C. Reporting the finding to the charge nurse is crucial as it indicates potential complications such as bleeding or clot formation that need immediate intervention.
D. Stopping the irrigation solution without proper assessment and guidance could lead to complications and isn't the initial action warranted in this situation. Reporting to a superior nurse allows for prompt evaluation and intervention.
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