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A nurse is monitoring a client who has returned to

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77. A nurse is monitoring a client who has returned to the nursingunit following a myelogram. Which of the following clientcomplaints indicates the need to notify the registered nurse?1. Headache2. Neck stiffness3. Feelings of fatigue4. BackacheAnswer: 2Rationale: Headache is relatively common after the procedure,but neck stiffness,especially on flexion, and pain should be reported because theysignal meningealirritation. The client is also monitored for allergic reactions to thedye. Feelings offatigue may be normal, and back discomfort may be due to thepositions required for theprocedure.
78. A nurse is providing instructions to a client scheduled formagnetic resonance imaging (MRI). Which of the followinginstructions does the nurse provide to the client?1. The test will require that a dye be injected2. Fluids and food are restricted for 12 hours before the test3. Earplugs can be worn if the noise from the machine isuncomfortable4. The test may cause some pain but pain medication will beprescribed if pain occursAnswer: 3Rationale: The client is informed that the MRI is painless andrequires no dye orradiation, and that there are no dietary restrictions. The nurseinforms the client that theMRI may damage credit cards and watches and that jewelry andhair clips cause artifacts.These objects should be removed before the test. The client isprepared for the beating
noise of the MRI machine and is reassured that earplugs may beapplied if the noise isuncomfortable.79. A client with cancer is receiving morphine sulfate10 mgsubcutaneously every 3 to 4 hours for pain. When writing the planof care for this client, the nurse should include as a priority actionto:

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Term
Fall
Professor
professor_unknown
Tags
Nursing, Blood sugar, Arterial blood gas, Diabetic Ketoacidosis, Hyperglycemia

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