The nurse is preparing a client for a magnetic resonance imaging (MRI). Which statement(s) by the client would require the nurse to notify the health care provider to cancel the procedure? Select all that apply. (Select All that Apply.)

“I had a pacemaker inserted a few years ago because my heart was not beating fast enough.”

“I have such terrible anxiety, I don't know if I can remain still throughout the procedure.”

“I have diabetes mellitus type and have been taking insulin for many years.”

"I fell down my basement steps last year and broke my hip and had to have a hip replacement.”

“When I was diagnosed with mitral valve prolapse, they had to replace the valve with a prosthetic valve."

Answer and Explanation

Correct Answer : A,D,E

The statements by the client that would require the nurse to notify the health care provider to cancel the MRI procedure are:

● “I had a pacemaker inserted a few years ago because my heart was not beating fast enough.”

● "I fell down my basement steps last year and broke my hip and had to have a hip replacement.”

● “When I was diagnosed with mitral valve prolapse, they had to replace the valve with a prosthetic valve."

These statements indicate that the client has metallic implants or devices in their body, which can be affected by the strong magnetic field of an MRI machine. This can pose a risk to the client’s safety and may interfere with the accuracy of the MRI results.

The other statements do not necessarily require the cancellation of the MRI procedure, but the nurse may need to take additional precautions or provide additional support to ensure the client’s comfort and safety during the procedure.

Here is a detailed explanation of why the other choices do not necessarily require the cancellation of the MRI procedure:

● “I have such terrible anxiety, I don’t know if I can remain still throughout the procedure.”: While anxiety can make it difficult for a client to remain still during an MRI procedure, it does not necessarily require the cancellation of the procedure. The nurse may provide additional support or medication to help the client manage their anxiety and remain still during the procedure.

● “I have diabetes mellitus type and have been taking insulin for many years.”: Having diabetes and taking insulin does not necessarily require the cancellation of an MRI procedure. The nurse may need to take additional precautions to ensure that the client’s blood sugar levels are stable during the procedure, but it does not pose a direct risk to the client’s safety or interfere with the accuracy of the MRI results.

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Correct Answer is C

Explanation

Boarding refers to the practice of holding patients in the emergency department (ED) for extended periods, often beyond the recommended timeframe, due to a lack of available mental health treatment options or appropriate placement. In this scenario, the nurse is notifying the manager about the presence of clients with mental health disorders who have been in the ED for more than 48 hours. This situation suggests that the hospital is likely practicing boarding for these clients.

Boarding of mental health patients in the ED can have significant negative consequences. It can contribute to overcrowding in the ED, leading to delays in care for other patients. It can also compromise the quality of care and exacerbate the distress and discomfort experienced by individuals with mental health disorders. Additionally, it is not an optimal environment for mental health treatment and recovery.

By discussing the issue of boarding with the manager, the nurse is addressing the need for timely and appropriate placement for clients with mental health disorders. This conversation may involve exploring solutions such as improving access to mental health services, establishing dedicated mental health units or crisis stabilization centers, and collaborating with community resources to ensure a smooth transition of care for these clients.

The other options mentioned are not directly related to the issue of clients with mental health disorders being present in the ED for over 48 hours:

● Temporary detaining orders for clients: This refers to legal mechanisms that allow for the temporary detention of individuals with mental health disorders who may pose a risk to themselves or others. While it may be related to the care of these clients, it does not address the issue of prolonged stays in the ED.

● The revolving door for clients: This concept refers to the frequent readmission or return of clients to the ED or hospital due to ongoing mental health issues. While it is a concern in mental health care, it does not specifically pertain to the issue of clients remaining in the ED for an extended period.

● The cost of holding clients in the ED for over 48 hours: While the cost implications of extended stays in the ED are relevant, the primary concern in this scenario is the quality of care, appropriate placement, and the impact on both the clients and the ED's functioning.

A. Meet with a therapist on a weekly basis. B. Fulfill daily responsibilities without supervision. C. Use the increased emotional support of paid staff. D. Resolve crises within a shorter time period.

Correct Answer is B

Explanation

An evolving consumer household, also known as a supported or assisted living arrangement, is designed to provide individuals with a greater level of independence and autonomy compared to a traditional group home setting. The emphasis is on empowering clients to develop and enhance their skills and abilities to live more independently.

By transitioning to an evolving consumer household, the ultimate goal is for the client to be able to fulfill their daily responsibilities without constant supervision. This includes activities such as managing their personal care, household tasks, budgeting, meal preparation, and other essential activities of daily living. The aim is to promote self-sufficiency and a sense of personal agency, enabling the client to become more self-reliant and self-directed in their daily life.

While meeting with a therapist on a weekly basis may be a component of the client's overall treatment plan, it is not the primary goal of transitioning to an evolving consumer household. The focus is more on developing independent living skills rather than solely on therapeutic interventions.

Similarly, although emotional support from paid staff may be available in the evolving consumer household, the goal is not to solely rely on increased emotional support but rather to gradually reduce the need for constant support and supervision.

Resolving crises within a shorter time period is an important aspect of care in any setting, but it is not specifically tied to the transition from a group home to an evolving consumer household. Crisis management skills and strategies can be addressed in various settings to ensure the client's well-being and safety.

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The nurse is preparing a client for a magnetic resonance imaging (MRI). Which statement(s) by the client would require the nurse to notify the health care provider to cancel the procedure? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse working in the ED of an urban hospital notifies the manager that there are several clients with mental health disorders still present in the ED that have been there over 48 hours. Which issue related to this phenomenon does the nurse discuss with the manager?

Correct Answer is C

Explanation

A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

Correct Answer is B

Explanation

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The nurse working in the ED of an urban hospital notifies the manager that there are several clients with mental health disorders still present in the ED that have been there over 48 hours. Which issue related to this phenomenon does the nurse discuss with the manager?

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