Author Question: A client is having a myelography. What action by the nurse is most important? a. Assess serum ... (Read 28 times)

renzo156 · **on:** Jun 25, 2018

A client is having a myelography. What action by the nurse is most important?

a. Assess serum aspartate aminotransferase (AST) levels.
b. Ensure that informed consent is on the chart.
c. Position the client flat after the procedure.
d. Reinforce the dressing if it becomes saturated.

Question 2

A hospitalized client has Mnire's disease. What menu selections demonstrate good knowledge of the recommended diet for this disorder? (Select all that apply.)

a. Chinese stir fry with vegetables
b. Broiled chicken breast
c. Chocolate espresso cookies
d. Deli turkey sandwich and chips
e. Green herbal tea with meals

ilianabrrr · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
This diagnostic procedure is invasive and requires informed consent. The AST does not need to be assessed prior to the procedure. The client is positioned with the head of the bed elevated after the test to keep the contrast material out of the brain. The dressing should not become saturated; if it does, the nurse calls the provider.

Answer to Question 2

ANS: B, E
The diet recommendations for Mnire's disease include low-sodium, caffeine-free foods and fluids distributed evenly throughout the day. Plenty of water is also needed. The broiled chicken breast and herbal tea are the best selections. The stir fry is high in sodium and possibly monosodium glutamate (MSG, also not recommended). The cookies have caffeine, and the sandwich and chips are high in sodium.