The nurse is preparing a client who will undergo a myelogram. Which of the following statements by the client indicates a contraindication for this test?

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

The nurse is preparing a client who will undergo a myelogram. Which of the following statements by the client indicates a contraindication for this test?

Correct Answer: B

Rationale: I am allergic to shrimp' indicates a contraindication for a myelogram. Shellfish allergy suggests iodine sensitivity, risking reaction to contrast dye, per radiology standards. Positioning , claustrophobia , and headache are manageable. B requires alternative planning.

Question 2 of 5

The nurse must know that the most accurate oxygen delivery system available is

Correct Answer: A

Rationale: The Venturi mask delivers precise oxygen concentrations (24%-50%) via a Venturi valve, making it the most accurate system.

Question 3 of 5

The nurse is caring for a school-aged child with a diagnosis of secondary hyperparathyroidism following treatment for chronic renal disease. Which of the following lab data should receive priority attention?

Correct Answer: A

Rationale: Imbalanced calcium and phosphorus indicate parathyroid dysfunction, critical in renal disease management.

Question 4 of 5

The nurse is caring for a pregnant woman with pregnancy induced hypertension (PIH) receiving magnesium sulfate intravenously. In assessing the client, it is noted that respirations are 12, pulse and blood pressure have dropped significantly, and 8 hour output is 200 ml. What should the nurse do first?

Correct Answer: C

Rationale: Respiratory depression and oliguria suggest magnesium toxicity; stopping the infusion is the priority.

Question 5 of 5

The nurse is caring for a 10 year-old client who will be placed on heparin therapy. Which assessment is critical for the nurse to make before initiating therapy

Correct Answer: B

Rationale: Heparin dosing is weight-based in children to ensure safe anticoagulation.

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