A client is scheduled for an open magnetic resonance imaging (MRI) to evaluate for left tibia osteomyelitis. Which information obtained by the nurse indicates that the nurse should consult with the health care provider before scheduling an MRI?
1. Client has a pacemaker
2. Client is claustrophobic
3. Client is allergic to shellfish
4. Client is pregnant.
5. Client wears a hearing aid and contact lenses
6. Client has an implanted insulin pump
Answer. 1, 4, 6
The physician should be contacted regarding clients with pacemakers (the magnetic field interferes with the function of the pacemaker and interferes with the test as well), clients with implanted insulin pumps, pregnant clients, obese clients, and any client who requires life support equipment (the equipment will malfunction in a magnetic field). Hearing aids can be removed; contact lenses should not be a problem. This is an open MRI, so claustrophobia should not be an issue. Contrast medium is not used, so shellfish allergy is not a contraindication to MRI. (Ignatavicius, Workman,7 ed., p. 1115-1116.)
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