Nokea
Which of the following instructions should the nurse give a client who will be undergoing mammography?
- A. Be sure to use underarm deodorant.
- B. Do not use underarm deodorant.
- C. Do not eat or drink after midnight.
- D. Have a friend drive you home.
Correct Answer: B
Rationale: Underarm deodorant should not be used because it might cause confusing shadows on the X-ray film. There are no restrictions on food or fluid intake. No sedation is used, so the client can drive herself home.
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Which of the following neurological disorders is characterized by writhing, twisting movements of the face and limbs?
- A. epilepsy
- B. Parkinson's
- C. muscular sclerosis
- D. Huntington's chorea
Correct Answer: D
Rationale: Huntington's chorea is characterized by writhing, twisting movements of the face and limbs. The remaining options are neurological disorders that do not have such movements as part of their disease process.
A client begins bleeding from the site of a previous arterial blood gas draw on the right wrist. What should the nurse do first?
- A. Check the blood count.
- B. Apply pressure to the site.
- C. Document the bleeding.
- D. Monitor the bleeding.
Correct Answer: B
Rationale: If a client begins bleeding from the site of a previous arterial blood gas draw on the right wrist, the nurse should first apply pressure to the site. This prevents further bleeding. The remaining choices can be performed later.
Which of the following allergies might be a contraindication for a client to receive contrast enhancement for intracranial computed tomography?
- A. Penicillin
- B. Iodine
- C. Erythromycin
- D. Aspirin
Correct Answer: B
Rationale: Iodine allergy is a contraindication for contrast media, as it can cause severe allergic reactions, unlike the other allergies listed.
Which of the following indicates a hazard for a client on oxygen therapy?
- A. A No Smoking sign is on the door.
- B. The client is wearing a synthetic gown.
- C. Electrical equipment is grounded.
- D. Matches are removed.
Correct Answer: B
Rationale: A synthetic gown might generate sparks of static electricity, which can be a fire hazard, particularly in the presence of oxygen. The client on oxygen therapy should wear a cotton gown. The remaining options are appropriate safety measures.
A patient has a history of cardiac arrhythmia. A nurse has been ordered to give 2 units of blood to this patient. The nurse should take which of the following actions?
- A. Prep the patient with pain medication.
- B. Notify the patient's family about the procedure via the telephone.
- C. Decrease the temperature of the blood to be given.
- D. Increase the temperature of the blood to be given.
Correct Answer: D
Rationale: Warming the blood will reduce the risk of additional cardiac arrhythmia.