Question

A client is scheduled for a myelogram, and the nurse provides a list of instructions to the client regarding preparation for the procedure. Which instructions should the nurse place on the list? Select all that apply.

1. Jewelry will need to be removed.
2. An informed consent will need to be signed.
3. A trained x-ray technician performs the procedure.
4. The procedure will take approximately 45 minutes.
5. A liquid diet can be consumed on the day of the procedure.
6. Solid food intake needs to be restricted only on the day of the procedure.

Answer 1

The nurse should instruct the client to remove jewelry, sign an informed consent, expect the procedure to take about 45 minutes, and follow dietary restrictions, such as a liquid diet on the day of the procedure.

Step-by-step explanation:

When preparing a client for a myelogram, a nurse should provide specific instructions to ensure the procedure is performed safely and successfully. The following instructions are essential:

• Jewelry will need to be removed to prevent interference with imaging.
• An informed consent will need to be signed to ensure the client understands the risks and benefits associated with the procedure.
• The procedure will take approximately 45 minutes; this information helps manage the client's expectations regarding the duration of the myelogram.
• A liquid diet may be recommended on the day of the procedure, while solid food intake should be restricted to prevent complications during the myelogram.

The client should be made aware that a trained radiography technician or a healthcare professional with relevant expertise typically performs the procedure, using imaging technology to obtain clear pictures of the spinal cord and surrounding structures. They must also confirm that any necessary pre-procedure antibiotics have been administered unless not indicated, and ensure that all essential imaging results are available and displayed for the correct patient in the operating room or procedure suite.