A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
"The last time I voided it was painful and red-tinged.”.
"My period ended 2 days ago.”.
"I drink at least 2 quarts of fluid every day.”.
"I don't eat shellfish because it gives me hives.”.
The Correct Answer is D
Choice A rationale:
Painful and red-tinged urination could indicate a urinary tract infection or passing of a kidney stone, not necessarily a contraindication for an intravenous pyelogram.
Choice B rationale:
The end of a menstrual period does not affect the procedure.
Choice C rationale:
Adequate fluid intake is generally beneficial for kidney health.
Choice D rationale:
An allergy to shellfish might indicate an allergy to iodine, which is used in the contrast dye for an intravenous pyelogram. This is a potential contraindication for the procedure and should be reported to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The ESR is a common blood test that measures how quickly red blood cells settle at the bottom of a test tube. Inflammation can cause the cells to settle faster, and this test can be used to monitor the effectiveness of anti-inflammatory treatments like aspirin.
Choice B rationale:
The WBC count is a measure of the body’s immune response and is not directly affected by aspirin.
Choice C rationale:
The RF is a specific marker for rheumatoid arthritis, but it does not change with aspirin treatment.
Choice D rationale:
The ANA is a test used to help diagnose autoimmune disorders, and it is not affected by aspirin.
Correct Answer is A
Explanation
Choice A rationale:
Aspirin is given to clients with a history of myocardial infarction due to its antiplatelet aggregate properties. It prevents blood clots from forming, which can block the coronary arteries and cause a heart attack.
Choice B rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is given to clients with a history of myocardial infarction.
Choice C rationale:
Aspirin does have analgesic properties, but this is not the primary reason it is given to clients with a history of myocardial infarction.
Choice D rationale:
Aspirin does have antipyretic properties, but this is not the primary reason it is given to clients with a history of myocardial infarction.
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