Podcast
Questions and Answers
What is the primary reason for instructing a client to empty their bladder before a gallium scan?
What is the primary reason for instructing a client to empty their bladder before a gallium scan?
- To enhance visualization of the pelvic bones during the scan. (correct)
- To prevent incontinence during the prolonged scan duration.
- To minimize radiation exposure to the bladder.
- To reduce the risk of kidney damage from the radioisotope.
What is the rationale behind advising clients to increase their fluid intake following a gallium scan?
What is the rationale behind advising clients to increase their fluid intake following a gallium scan?
- To facilitate the excretion of the radioisotope. (correct)
- To dilute the radioisotope in the bloodstream.
- To alleviate discomfort at the injection site.
- To prevent dehydration caused by the radioisotope.
Which of the following assessments is most critical for the nurse to perform prior to a gallium scan?
Which of the following assessments is most critical for the nurse to perform prior to a gallium scan?
- Assessing for allergies to the radioisotope, pregnancy, lactation, or kidney disease. (correct)
- Assessing the client's hydration status.
- Assessing the client's pain level at the affected site.
- Assessing the client's ability to lie still for an extended period.
A client with suspected osteomyelitis is scheduled for a gallium scan. What information should the nurse prioritize when explaining the procedure to the client?
A client with suspected osteomyelitis is scheduled for a gallium scan. What information should the nurse prioritize when explaining the procedure to the client?
A client is scheduled to undergo a gallium scan to determine the origin of bone pain. After the scan, the client asks the nurse if they need to take any special precautions. Which of the following is the most appropriate response?
A client is scheduled to undergo a gallium scan to determine the origin of bone pain. After the scan, the client asks the nurse if they need to take any special precautions. Which of the following is the most appropriate response?
A gallium scan has been ordered for a client with a history of vertebral compression fractures. What specific information should the nurse provide regarding the scan's duration and process?
A gallium scan has been ordered for a client with a history of vertebral compression fractures. What specific information should the nurse provide regarding the scan's duration and process?
A client is undergoing a gallium scan to assess for potential liver disease. Which of the following best describes how the radioisotope aids in detecting disease in this organ?
A client is undergoing a gallium scan to assess for potential liver disease. Which of the following best describes how the radioisotope aids in detecting disease in this organ?
Following a gallium scan, a client reports persistent bone pain. How should the nurse interpret this information in conjunction with the scan results?
Following a gallium scan, a client reports persistent bone pain. How should the nurse interpret this information in conjunction with the scan results?
A client is scheduled for repeat gallium scans at 24, 48, and 72 hours after the initial injection. What is the primary purpose of these repeat scans?
A client is scheduled for repeat gallium scans at 24, 48, and 72 hours after the initial injection. What is the primary purpose of these repeat scans?
What conditions could the gallium scan detect?
What conditions could the gallium scan detect?
Flashcards
Gallium and Thallium Scans
Gallium and Thallium Scans
More sensitive than bone scans for detecting bone problems; also migrates to brain, liver, and breast tissues to detect disease.
Indications for Bone Scan
Indications for Bone Scan
Degenerative bone diseases, osteomyelitis, fractures, osteoporosis, bone cancer, bone pain, aseptic necrosis
Pre-procedure Nursing Actions for Bone Scan
Pre-procedure Nursing Actions for Bone Scan
Inform client, assess for allergies to radioisotope or contraindications (pregnancy, lactation, kidney disease).
Client Education: During Bone Scan
Client Education: During Bone Scan
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Post-procedure Instructions : Bone Scan
Post-procedure Instructions : Bone Scan
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Study Notes
- Gallium and thallium scans are more sensitive than bone scans for detecting bone problems.
- Radioisotope migrates to tissues of the brain, liver, and breast, and helps detect disease.
- The client receives a radionuclide injection before the scan.
- Scan takes 30 to 60 minutes and might require sedation to help the client remain still.
- Repeat scanning occurs at 24, 48, and 72 hours.
Indications
- Used to assess degenerative bone diseases and their progression.
- Identifies osteomyelitis.
- Detects stress, vertebral compression, and nonhealing fractures.
- Assists in osteoporosis evaluation.
- Helpful to define primary or metastatic bone cancer.
- Useful in cases of bone pain of unknown origin.
- Used to assess aseptic necrosis.
Pre-Procedure Nursing Actions
- Inform the client about the procedure.
- Assess for allergies to radioisotopes or conditions like pregnancy, lactation, and kidney disease which would be a contraindication.
Pre-Procedure Client Education
- Essential to remain still during the entire procedure.
- Empty the bladder before the procedure to promote visualization of pelvic bones.
Post-Procedure Client Education
- Radioactive precautions are unnecessary after the procedure.
- Drink fluids to increase excretion of radioisotope in the urine and feces.
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