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    Med Surg Proctored Exam (Musculoskeletal)- Falcon Institute Of Health And Science

    A client has returned from a myelogram. The LPN caring for the patient knows that which of the following interventions is the MOST important after this procedure?

    Explanation & Rationale

    A. Providing the patient with pain medication: Pain management may be necessary if the patient experiences discomfort or headache after the myelogram, but it does not address the primary post-procedure priority related to complications. B. Apply a new dressing over the puncture site: Maintaining the puncture site is important to prevent infection, but a sterile dressing is typically already applied immediately after the procedure, making this a routine rather than critical intervention. C. Allowing the patient to lay down and rest: Patients are usually positioned flat for several hours after a myelogram to reduce the risk of headache from cerebrospinal fluid leakage. While important, this intervention alone does not address metabolic considerations from the contrast dye. D. Increasing PO fluid intake: Promoting increased oral fluid intake is the most important intervention because it helps flush the contrast dye from the cerebrospinal fluid and kidneys, reducing the risk of nephrotoxicity and facilitating dye elimination. This intervention directly impacts patient safety and recovery.

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