A client with severe nerve pain is scheduled for a myelogram. ...

[Charlie]

A client with severe nerve pain is scheduled for a myelogram. What should the nurse instruct the client to prepare for this diagnostic test? (Select all that apply.)
 
  1. Expect to be on a table that tilts
  2. Expect to have a stiff neck or pain
  3. Warmth is expected when the dye is injected
  4. Expect to return home immediately after the test
  5. Take nothing by mouth for 4 hours before the test

Question 2

When teaching the client and family about the disease myasthenia gravis, the nurse should include what information?
 
  1. Methods to increase fluid intake
  2. Signs and symptoms of cholinergic crisis
  3. Strategies to improve memory
  4. Signs and symptoms of fluid volume excess

[Alyson.hiatt@yahoo.com]

Answer to Question 1

Answer: 1, 3, 5

1. In preparation for a myelogram the client should be instructed to expect to be on a table that tilts.
2. In preparation for a myelogram the client should be instructed to report a stiff neck or pain.
3. In preparation for a myelogram the client should be instructed to expect to feel warmth when the dye is injected.
4. In preparation for a myelogram the client should be instructed to be on bedrest with frequent assessment for 8 hours.
5. In preparation for a myelogram the client should be instructed to take nothing by mouth for 4 hours before the test.

Answer to Question 2

Answer: 2

1. Increasing fluid intake is not a priority.
2. Cholinergic crisis is caused by overmedication with cholinergic medications. Symptoms will include excessive sweating, bradycardia, severe muscle weakness, cramps, and salivation.
3. Memory is not affected.
4. Fluid volume excess is not an issue.

[Charlie]

Wow, this really help

[bulacsom]

Thanks for the timely response, appreciate it