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 A
Explanation
After an X-ray procedure, the nurse should prioritize ensuring the client's mobility and safety. The client may have been immobilized during the procedure, and it is important to assess and promote circulation, sensation, and movement.
a. Administering pain medication. This choice is incorrect because routine administration of pain medication is not a standard post-procedure intervention after an X-ray. Pain medication may be administered if the client is experiencing pain, but it is not a priority for all clients.
b. Monitoring for allergic reactions. This choice is incorrect because allergic reactions are more relevant when contrast dye is used. Routine monitoring for allergic reactions is not typically required after a routine X-ray procedure.
c. Documenting the procedure time. This choice is incorrect because documenting the procedure time is important for record-keeping but is not a priority for immediate post-procedure care.
Correct Answer is B
Explanation
Before obtaining X-ray images, the patient should be instructed to remove any jewelry and metallic objects from the body, as they can interfere with the X-ray image and cause artifacts.
a. Personal identification documents are not required to be removed for X-ray imaging, as they do not interfere with the procedure or image quality.
c. Prescription medications taken on the day of the procedure do not need to be removed, as they are not related to the X-ray imaging process.
d. Clothing worn on the upper body may need to be adjusted or removed, depending on the area being imaged, but it is not necessary for the patient to completely remove all clothing.
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