Nokea
The nurse is teaching a client scheduled for a dual-energy x-ray absorptiometry (DEXA) scan. Which of the following information should the nurse include?
- A. Do not eat or drink 6-8 hours prior to your test.'
- B. You will feel flushing as you receive the intravenous contrast.'
- C. The scan takes several hours to complete.'
- D. Please remove all metallic objects before this exam.'
Correct Answer: D
Rationale: Removing metallic objects prevents interference with the DEXA scan, which measures bone density. Fasting and contrast are not required, and the scan typically takes 10-30 minutes.
You may also like to solve these questions
The nurse is caring for a client following a knee arthroscopy procedure. Which of the following assessments should be the priority?
- A. Wound and skin integrity
- B. Mobility assessment
- C. Skin and vascular assessment
- D. Circulation and sensation
Correct Answer: D
Rationale: Circulation and sensation are the priority post-arthroscopy to detect neurovascular compromise, such as nerve damage or impaired blood flow, which can be urgent. Wound, mobility, and skin are important but secondary.
The nurse reviews the client's clinical data. Which action should the nurse take based on the clinical data?
- A. Administer the prescribed ketorolac
- B. Remove the heating pad from the client's lower back
- C. Contact the physician to question the prescription of ketorolac
- D. Reposition the client to the side of the bed and have them twist from side to side
- E. Remove and discard the prescribed fentanyl patch because of its lack of efficacy
Correct Answer: B
Rationale: Removing the heating pad is appropriate, as heat can worsen inflammation or strain in low back pain. Ketorolac may be suitable, twisting risks harm, and fentanyl efficacy needs more data before removal.
While caring for a patient who has recently suffered from a fracture, the nurse sees that the patient's injured extremity will be placed in traction. Which of the following actions should the nurse refrain from performing?
- A. Keeping the pulley system tightened so that they may not move freely
- B. Check the ropes for fraying or breaks
- C. Keep the weights above the floor
- D. Ensure proper body alignment
Correct Answer: A
Rationale: Tightening the pulley system to prevent free movement can disrupt traction's purpose of maintaining alignment and pull. Checking ropes, keeping weights off the floor, and ensuring alignment are all appropriate.
The nurse is teaching a client with low back pain. Which of the following statements, if made by the client, would require follow-up?
- A. I am planning to stop smoking cigarettes.'
- B. I should sleep on my stomach.'
- C. I have decided to purchase a firm mattress.'
- D. I will bend my knees when lifting objects.'
Correct Answer: B
Rationale: Sleeping on the stomach can strain the lower back, requiring follow-up teaching. Quitting smoking, a firm mattress, and bending knees when lifting are all beneficial for back health.
The nurse is discharging a client following knee arthroplasty. Which of the following information should the nurse include in discharge teaching?
- A. After this procedure, you will use a wheelchair to get around.'
- B. You will need to resume your prescribed anticoagulants.'
- C. Placing a pillow under your knee will help with the pain.'
- D. You may ice the site for one hour at a time.'
Correct Answer: B
Rationale: Resuming prescribed anticoagulants is crucial to prevent deep vein thrombosis after knee arthroplasty. A wheelchair may not be necessary, pillows under the knee can cause flexion contractures, and icing for one hour at a time risks skin damage; 15-20 minutes is safer.