hard · NCLEX-RN risk-reduction

A 42-year-old machinist presents to the outpatient clinic for a scheduled abdominal MRI. During the pre-procedure screening, the client mentions getting a tiny metal sliver in their left eye ten years ago, which was removed in an emergency department. Which actions must the nurse perform? Select all that apply.

1. Instruct the client to wear protective lead-shielded goggles during the MRI scan to block magnetic rays.
2. Verify that a radiologist or credentialed clinician has reviewed and cleared the screening orbital radiographs before transport.
3. Proceed with the MRI scan because the metal sliver was completely removed and the client is asymptomatic.
4. Obtain an order for a screening orbital X-ray (plain radiographs) prior to cleared entry into Zone IV.
5. Instill prophylactic ophthalmic saline drops to flush any potential residual surface metal from the sclera.

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