medium · NCLEX-RN Reduction of Risk Potential

A client is scheduled for an MRI of the heart. The nurse recognizes the client has several small, hemostatic clips from a gallbladder surgery 10 years ago.

What is the most appropriate nursing action?

  1. Cancel the MRI immediately and notify the surgeon of the retained metal
  2. Note the history and proceed, as abdominal surgical clips are typically well-anchored and non-ferromagnetic
  3. Apply a tight abdominal binder to prevent the clips from migrating toward the heart, at this point in care.
  4. Obtain an abdominal X-ray to determine the exact number of clips present, for this client, in this situation.

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