The nurse is preparing a client for an X-ray procedure. Which instruction should the nurse provide to the client before the procedure?
"Remove all metal jewelry and accessories."
"Consume a full meal before the procedure."
"Drink a large amount of water before the procedure."
"Avoid taking any pain medications before the procedure."
The Correct Answer is A
Metal objects, including jewelry and accessories, can interfere with the X-ray image quality. Instructing the client to remove these items ensures accurate results.
b. "Consume a full meal before the procedure." This choice is incorrect because it is generally recommended to fast for a certain period before an X-ray, especially if contrast dye will be used. Eating a full meal could affect the accuracy of the images.
c. "Drink a large amount of water before the procedure." This choice is incorrect because drinking a large amount of water is not typically required for a standard X-ray procedure. However, specific instructions may be given if a contrast dye is used.
d. "Avoid taking any pain medications before the procedure." This choice is incorrect because taking pain medications is not typically contraindicated before an X-ray. Pain medications may be taken as needed and should not significantly affect the procedure.
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Correct Answer is B
Explanation
The nurse should instruct the patient to remain as still as possible without movement during the X-ray imaging procedure to ensure clear and accurate images.
a. While taking slow and deep breaths may be helpful in reducing motion artifacts for some imaging procedures, it is not necessary for X-ray imaging as the procedure is typically brief.
c. Coughing or clearing the throat during the X-ray procedure is not recommended, as it can lead to motion artifacts and compromise the quality of the images.
d. Requesting to see the X-ray images immediately after the procedure is not a standard practice, as the X-ray images need to be reviewed and interpreted by a qualified radiologist or healthcare provider before sharing with the patient.
Correct Answer is D
Explanation
When performing X-rays on pediatric patients, using pediatric-sized lead aprons or shields is crucial to protect sensitive tissues and organs from unnecessary radiation exposure.
a. Minimizing immobilization techniques may result in suboptimal image quality due to motion artifacts. The healthcare provider should use appropriate immobilization techniques to ensure clear images.
b. Adjusting the X-ray machine to deliver higher radiation doses is not safe for pediatric patients. The radiation dose should be minimized while maintaining image quality.
c. Having parents leave the room during the procedure is not necessary and may cause unnecessary distress for the child. However, the parents should also wear protective lead aprons if they are in close proximity to the X-ray source.
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