For which of the following clients is a magnetic resonance imaging (MRI) procedure contraindicated?
A. Client with severe diabetes who has an artificial leg
B. A 30-year-old client who has a pacemaker
C. A 40-year-old client with an intrauterine device
D. Client with a Gore-Tex AV graft for hemodialysis
B
Metal devices such as pacemakers and prostheses interfere with the accuracy of the image and can become displaced by the magnetic force generated by an MRI procedure.
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A client is admitted with possible renal calculi. The client asks, "Are there are any tests that can be performed to show the doctor if there are any kidney stones?" Which response by the nurse is the most appropriate?
1. "The intravenous pyelogram will allow the healthcare provider to visualize kidney stones." 2. "A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones." 3. "A routine urinalysis will allow the healthcare provider to visualize kidney stones." 4. "A kidney biopsy will allow the healthcare provider to visualize kidney stones."
The nurse concludes that a significant goal of the care plan for an alcoholic patient has been met when the patient states:
a. "I drink because I'm lonely." b. "All my difficulties are related to my drinking." c. "I wouldn't need to drink if I had my family back." d. "My drinking helps me cope with the stress of my job."
A client asks the nurse why a medication prescribed by the provider "didn't do anything at all." Which statement by the nurse accurately describes how genetics influence drug action?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. "Genetic differences can result in significant differences in how each client's body handles the same medication." B. "Genetic differences can cause mutations in enzymes, changing the way they function. This can alter how the body metabolizes and excretes drugs." C. "Because of genetic differences, medication may accumulate to toxic levels in one client while in another client may be inactivated before it can have a therapeutic effect." D. "Genetic differences can be expressed as an alteration in the structure of an enzyme, which can cause a defective receptor and an allergic response to drugs." E. "Genetic differences in clients who are biracial result in an allergic response to medications."
The nursing assistant assists with development of the care plan.
Answer the following statement true (T) or false (F)