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A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following instructions should the nurse include?
- A. Fast for 6 hours before the procedure.
- B. Drive yourself home after the procedure.
- C. Expect to stay overnight routinely.
- D. Avoid lying flat after the procedure.
Correct Answer: A
Rationale: Fasting for 6 hours before a cardiac catheterization reduces the risk of aspiration during sedation.
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A nurse is reinforcing teaching with a client who is scheduled for a transesophageal echocardiogram (TEE). Which of the following instructions should the nurse include?
- A. You will need to fast for 6 hours before the procedure.
- B. You can drive yourself home after the procedure.
- C. You will receive general anesthesia during the procedure.
- D. You should avoid drinking water after the procedure.
Correct Answer: A
Rationale: Fasting for 6 hours before a TEE reduces the risk of aspiration during the procedure, which involves sedation.
A nurse is reinforcing teaching with a client who is scheduled for a thyroid scan. Which of the following instructions should the nurse include?
- A. Avoid iodine-rich foods for 2 weeks before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all jewelry after the scan.
Correct Answer: A
Rationale: Avoiding iodine-rich foods for 2 weeks before a thyroid scan ensures accurate uptake of the radioactive tracer.
A nurse is monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has urticaria and is wheezing. Which of the following types of transfusion reactions should the nurse suspect?
- A. Anaphylactic
- B. Acute hemolytic
- C. Febrile
- D. Circulatory overload
Correct Answer: A
Rationale: An anaphylactic reaction is correct. Symptoms such as urticaria (hives) and wheezing indicate a severe allergic reaction, which can progress to anaphylaxis. This reaction is caused by a hypersensitivity to plasma proteins in the transfused blood and requires immediate intervention, including stopping the transfusion and administering epinephrine.
A nurse is reinforcing teaching with a client who is scheduled for a PET scan. Which of the following instructions should the nurse include?
- A. Avoid strenuous exercise for 24 hours before the scan.
- B. Fast for 12 hours before the scan.
- C. Expect to receive general anesthesia.
- D. Remove all clothing during the scan.
Correct Answer: A
Rationale: Avoiding strenuous exercise for 24 hours before a PET scan prevents false positives from muscle uptake of the tracer.
A nurse is reinforcing teaching with a client who is scheduled for a stress test. Which of the following instructions should the nurse include?
- A. Eat a large meal before the test.
- B. Wear loose-fitting clothing.
- C. Continue taking beta-blockers.
- D. Avoid drinking water during the test.
Correct Answer: B
Rationale: Wearing loose-fitting clothing ensures comfort and allows for proper placement of monitoring equipment during a stress test.