A patient scheduled for magnetic resonance imaging (MRI) has an implanted pacemaker. What should the nurse anticipate being done for this patient?
a. MRI will take longer than usual.
b. MRI is contraindicated for this patient.
c. The pacemaker settings will be adjusted.
d. The patient will be given sedation before MRI.
ANS: B
MRI is contraindicated for anyone with a pacemaker or metal implants. A. C. D. These choices are inappropriate and dangerous for a patient with an implanted pacemaker.
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What is the most likely explanation for her presentation?
A 24-year-old cashier comes to your clinic for her first OB visit. She had her last period 10 weeks before, which would mean she is 12 weeks pregnant. She did a home pregnancy urine test a month ago and it was positive. She has had some fatigue and nausea, but not in the last week. She has had no cramping or bleeding. Her vital signs, head, eyes, ears, nose, throat, thyroid, cardiac, pulmonary, and abdominal examinations are all unremarkable. On speculum examination her os is closed and there is a pinkish hue to the cervix. On bimanual examination the cervix is soft and the uterus is enlarged to the pelvic brim. Despite 20 minutes of trying, you cannot find heart tones. You repeat a urine pregnancy test and it is negative. A serum pregnancy test is ordered and is positive. You send the patient for a vaginal ultrasound. A) Earlier than 12 weeks B) Fetal demise (missed abortion) C) False pregnancy
Which information could be given to the parents of a 12-month-old child regarding appropriate play activities?
a. Give large push-pull toys for kinetic stimulation. b. Place cradle gym across crib to facilitate fine motor skills. c. Provide child with finger-paints to enhance fine motor skills. d. Provide stick horse to develop gross motor coordination.
Therapy with fluorouracil is associated with
A. mutagenicity B. bone marrow depression C. decreased immune response D. gastrointestinal and oral ulcerations E. all of the above