A client has a shoulder injury and is scheduled for a magnetic ...

[nummyann]

A client has a shoulder injury and is scheduled for a magnetic resonance imaging (MRI). The nurse notes the presence of an aneurysm clip in the client's record. What action by the nurse is best?
 
  a. Ask the client how long ago the clip was placed.
  b. Have the client sign an informed consent form.
  c. Inform the provider about the aneurysm clip.
  d. Reschedule the client for computed tomography.

Question 2

A client has a subarachnoid bolt. What action by the nurse is most important?
 
  a. Balancing and recalibrating the device
  b. Documenting intracranial pressure readings
  c. Handling the fiberoptic cable with care to avoid breakage
  d. Monitoring the client's phlebostatic axis

[bdobbins]

Answer to Question 1

ANS: A
Some older clips are metal, which would preclude the use of MRI. The nurse should determine how old the clip is and relay that information to the MRI staff. They can determine if the client is a suitable candidate for this examination. The client does not need to sign informed consent. The provider will most likely not know if the client can have an MRI with this clip. The nurse does not independently change the type of diagnostic testing the client receives.

Answer to Question 2

ANS: A
This device needs frequent balancing and recalibration in order to read correctly. Documenting readings is important, but it is more important to ensure the device's accuracy. The fiberoptic transducer-tipped catheter has a cable that must be handled carefully to avoid breaking it, but ensuring the device's accuracy is most important. The phlebostatic axis is not related to neurologic monitoring.

[nummyann]

Thank you

[bdobbins]

No problemo