A nurse obtains a focused health history for a client who is scheduled for magnetic resonance imaging (MRI). Which condition should alert the nurse to contact the provider and cancel the procedure?
a. Creatine phosphokinase (CPK) of 100 IU/L
b. Atrioventricular graft
c. Blood urea nitrogen (BUN) of 50 mg/dL
d. Internal insulin pump
ANS: D
Metal devices such as internal pumps, pacemakers, and prostheses interfere with the accuracy of the image and can become displaced by the magnetic force generated by an MRI procedure. An atrioventricular graft does not contain any metal. CPK and BUN levels have no impact on an MRI procedure.
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An older adult who has an albumin level of 2.5 g/dl takes aspirin and phenytoin (Dilantin) by mouth daily. Which adverse effect of these medications does the nurse expect because of the older adult's nutritional status?
a. Depressed mood b. Clay-colored stools c. Increased heart rate d. Gingival hyperplasia
In the ICU, a patient has been diagnosed with sepsis due to a bacterial invasion
The human body usually responds to infections by developing an uncontrolled inflammatory response with large production and release of inflammatory cytokines such as IL-1 and TNF-a. The nurse will note which of the following clinical manifestations in this septic patient as a result of the activation of these cytokines? Select all that apply. A) Excessive interstitial edema related to increased vascular permeability B) Decreased cardiac output resulting from myocardial depression C) Increased respiratory rate with crackles heard throughout all lung fields D) Excessive bleeding from bowels and bladder E) Lower blood pressure due to intravascular fluid loss
After you complete your nutritional counseling for a pregnant woman, you ask her to reiterate your instructions to assess her understanding of the instructions given
What statement below would indicate that she understands the role of protein in her pregnancy? 1. "Protein will help my baby grow.". 2. "Eating protein will prevent me from becoming anemic.". 3. "Eating protein will make my baby have strong teeth after he is born.". 4. "Eating protein will prevent me from being diabetic.".
What was the outcome of the Shattuck Report?
a. Efforts to control alcohol and drug abuse, as well as tobacco use, were initiated. b. Environmental sanitation efforts became an immediate priority. c. Guidelines for modern public health organizations were eventually developed. d. Local and state governments established boards of health after its publication.