The nurse is preparing a client for diagnostic studies requiring the administration of contrast media. Which action by the nurse is the priority in this situation?
1. Obtaining informed consent
2. Obtaining results of lab tests
3. Checking for allergies
4. Checking if routine medications are to be held
Correct Answer: 3
The priority action for the nurse is to determine if the client has any allergies, due to the risk of reaction to the contrast media. All of the other actions are to be performed in preparation for the diagnostic test, but none is as important as establishing the client's allergies.
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The nurse and a dietitian are instructing the client on a low-sodium diet needed to lower the blood pressure. Which question, asked by the nurse, is most important?
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A pre-eclampsia patient is on magnesium sulfate. The nurse understands that magnesium sulfate will relax the smooth muscles, and should be alert for the development of:
1. Hypotension. 2. Hypertension. 3. Hypoglycemia. 4. Hyperglycemia.
A priority teaching point for the nurse explaining the use of a vaginal diaphragm includes instructing the woman that:
A) effectiveness can be increased if spermicide is applied just before insertion of the diaphragm. B) the diaphragm should be carefully removed immediately following ejaculation. C) the open end of the diaphragm should be placed just inside the vagina. D) the diaphragm should be left in place for two hours after intercourse.