A pregnant client visits the health clinic with pain in the abdomen. What intervention should the nurse anticipate the physician will order at this time?
A) Obtain abdominal x-rays
B) Administer medications
C) Prepare the client for an ultrasound procedure
D) Place the client on NPO orders fo...
BNS (VNSG 1323) CH. 14 STUDY QUESTIONS || A+
Verified Solutions.
A pregnant client visits the health clinic with pain in the abdomen. What intervention should the
nurse anticipate the physician will order at this time?
A) Obtain abdominal x-rays
B) Administer medications
C) Prepare the client for an ultrasound procedure
D) Place the client on NPO orders for endoscopy Correct Answer: C
The physician should instruct the nurse to prepare the client for ultrasound. Because ultrasound
examinations do not involve radiation or contrast media, they are extremely safe diagnostic tools.
Any surgical procedure, such as endoscopy, should be avoided as far as possible. X-rays are
avoided during pregnancy if at all possible because a developing fetus is at greater risk for
cellular damage from x-rays. Pregnancy is a crucial stage at which medicines should not be
administered without proper investigation.
A nurse is caring for a diabetic client at the health agency. What is the normal blood sugar level
2-4 hours after the client has completed a meal?
A) 139 mg/dL
B) 95 mg/dL
C) 73 mg/dL
D) 80 mg /dL Correct Answer: A
The normal blood sugar level in a client with diabetes 2 to 4 hours after a meal is 139 mg/dL.
The amount of blood glucose in the morning fasting state is generally between 70-99 mg/dL.
A client visits the health agency with severe headaches and nausea. The physician advises the
client that an MRI needs to be obtained to determine the exact cause of the client's problem.
Which of the following is a feature of the MRI test?
A) It is a form of radiography that displays images in real time.
B) It produces images by using atoms through a strong electromagnetic field.
C) It is a form of roentgenography that shows planes of tissues.
D) It produces images of body structures on a special film using electromagnetic energy. Correct
Answer: B
Magnetic resonance imaging (MRI) is a technique for producing an image by using atoms
subjected to a strong electromagnetic field. X-rays produce electromagnetic energy that passes
through body structures, leaving an image of dense tissue on special film. Fluoroscopy is a form
of radiography that displays images in real time. Computed tomography (CT) is a form of
roentgenography that shows planes of tissues.
, A physician instructs the nurse to administer iodine orally to a client before an x-ray. What is the
primary reason for the administration of iodine before an x-ray?
A) To make solid body parts appear distinct.
B) To make thin body parts appear distinct.
C) To make thick body parts appear distinct.
D) To make hollow body parts appear distinct. Correct Answer: D
A contrast medium is a substance such as barium sulfate or iodine that adds density to a body
organ or cavity. The nurse needs to administer iodine to make hollow body areas appear more
distinct when imaged on x-ray film. Iodine or any of the contrast medium will not affect
thickness, thinness, or solidness of a body part.
A nurse is caring for a client who needs to get a chest x-ray done. The nurse assesses the client's
vitals sign before the procedure in order to assess the client's condition. What other nursing
action must be completed before the client is taken to the x-ray department?
A) Administering anesthesia before the procedure.
B) Encouraging the client to drink adequate amounts of fluid.
C) Removing all metal items from the client's body.
D) Requesting an apron to shield the vulnerable body parts. Correct Answer: C
Before the client is taken for an x-ray, the nurse should ensure that the client removes all metal
items such as jewelry, religious lockets, or clothing that contains metal. Metal produces a dense
image that may be confused with a tissue abnormality. A lead apron or collar needs to be
provided to shield a fetus (in case of a pregnant client) or vulnerable body parts during x-rays.
For x-rays, the client need not be administered anesthesia. However, the radiographic study
might involve administration of a contrast medium. To promote urinary excretion, the client
should be encouraged to drink a large amount of fluid after the examination involving iodine to
promote its excretion.
After administering barium as a contrast medium to a client, the nurse explains the side effects to
the client. Which of the following is a common side effect of barium ingestion?
A) Headache
B) Joint pain
C) Fever
D) Constipation Correct Answer: D
Using barium as a contrast medium can lead to constipation and bowel obstruction. Barium may
also cause side effects such as stomach cramps, diarrhea, and pale skin. However, barium does
not cause headache, fever, or joint pains.
A client is advised by her physician to receive a Pap test approximately 3 years after the onset of
sexual intercourse. What are the recommended guidelines for the client to follow after the first
Pap test has been completed?
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