A client with suspected foot osteomyelitis is scheduled for an MRI. Which findings should the nurse notify the health care provider about before the test? Select all that apply. A)Aneurysm clip B)Cardiac pacemaker C)Colostomy D)Retained metal foreign body in eye E)Transdermal testosterone patch

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Clients must be screened for contraindications before exposure to a magnetic field (MRI) as it can damage implanted devices or metallic implants. Absolute contraindications can preclude testing, and relative contraindications can pose a hazard to the client's devices or implants, affect the quality of the images, or cause discomfort. Absolute contraindications: Cardiac pacemaker (Option B) Implantable cardioverter defibrillator Cochlear implant Retained metallic foreign body, especially in organs such as the eye (Option D) Relative contraindications: Prosthetic heart valve Metal plate, pin, brain aneurysm clip, or joint prosthesis (Option A) - Some of these devices have nonferrous MRI-safe materials and should be verified. Implanted device (eg, insulin pump, medication port) Other factors that can affect the client's eligibility include inability to remain supine for 30-60 minutes and claustrophobia; however, these concerns are often controllable (eg, sedation can be prescribed, open MRI machine can be used). (Option C) A colostomy is not a contraindication for MRI. (Option E) Transdermal metal-containing medication patches (clonidine, nicotine, scopolamine, testosterone, or fentanyl) are not a contraindication for MRI. However, the nurse should remove the patch beforehand due to the risk of burns and replace after testing. Educational objective: Usual contraindications for MRI include implanted devices (eg, pacemaker, implantable cardioverter defibrillator, medication ports), certain metal implants (eg, plates, pins, brain aneurysm clips, joint prostheses), and presence of a retained metal foreign body. However, some of these devices are now manufactured with MRI-safe materials that should be verified.

A Client with Suspected Foot Osteomyelitis Is Scheduled for an MRI