A client is scheduled for an intravenous pyelogram today. The nurse instructs the client that the x-ray visualizes the kidneys, ureters, and bladder. Which information is most important for the nurse to gather before the client goes for the x-ray?
Find out if the client can lie prone for the x-ray.
Ask if the client has an allergy to shellfish.
Determine the last time the client had a bowel movement.
Inquire if the client has taken regularly scheduled medications.
The Correct Answer is B
Choice A reason: While it's important to know if the client can lie prone, this is not the most critical piece of information prior to an intravenous pyelogram.
Choice B reason: Asking about a shellfish allergy is crucial because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.
Choice C reason: Knowing the last time the client had a bowel movement is less critical than knowing about potential allergies to the contrast dye.
Choice D reason: While it's important to know about medication schedules, the risk of an allergic reaction to the contrast dye is a more immediate concern that could affect the safety of the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["67"]
Explanation
Step 1: Convert the volume of fluid to be infused from mL to mL (since the rate is usually measured in mL/hr):
100 mL = 100 mL (No conversion needed as the volume is already in mL)
Step 2: Convert the time for infusion from hours to hours (since the rate is usually measured in mL/hr):
1.5 hours = 1.5 hours (No conversion needed as the time is already in hours)
Step 3: Calculate the rate (volume ÷ time):
Rate = Volume ÷ Time
Rate = 100 mL ÷ 1.5 hours
Rate = 66.67 mL/hr
So, the nurse should program the infusion pump to deliver at a rate of 67 mL/hr (rounded to the nearest whole number
Correct Answer is B
Explanation
Choice A reason: While knowing if the client can lie prone is useful, it is not the most critical piece of information prior to an intravenous pyelogram.
Choice B reason: Asking about a shellfish allergy is crucial because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause an allergic reaction in individuals with shellfish allergies.
Choice C reason: Knowing the last time the client had a bowel movement is less critical than knowing about potential allergies to the contrast dye.
Choice D reason: While it's important to know about medication schedules, the risk of an allergic reaction to the contrast dye is a more immediate concern that could affect the safety of the procedure.
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